CareFirst Blue Cross / Blue Shield’s most comprehensive plan is Blue Preferred PPO.  This plan is most similar to traditional group health insurance with low deductibles and predictable fixed costs for services like office visits and prescription drugs.  There is no charge for preventative care and you can save money on prescriptions by getting a 90-day supply through mail order.  Benefits for BluePreferred PPO are as follows:

Deductible - $100, $300, $500, $750, or $2,500.  Deductibles are per person, maximum of two per family.

Co-insurance – 20% after deductible.  10% for the $100 deductible plan.  10% co-insurance optional for $300 deductible.

Annual out of pocket limit for individuals - $5000 for the $2500 deductible option, $3500 for the $750 deductible option, $2500 for the $500, $300, and $100 deductible options.

Annual out of pocket limit for families – Double the out of pocket maximum for individuals, but no more than the individual maximum for any one person.

Lifetime Maximum – Unlimited

Office visits – $25 co-pay for both primary care and specialists

Preventative care – No charge

Prescriptions – $100 prescription drug deductible per person, then $10 co-pay for generics, $25 for brand name, $45 for non-formulary brand name (30-day supply).  If using mail order, up to a 90-day supply is $20 for generics, $50 for brand name, and $90 for non-formulary brand name.

Emergency Room - $50 co-pay plus 20% co-insurance after deductible

Outpatient Lab/X-ray – 20% co-insurance after deductible.  10% for $100 deductible option and if selected for $300 deductible.  

Outpatient Surgery – 20% co-insurance after deductible.  10% for $100 deductible option and if selected for $300 deductible.  

Hospitalization - 20% co-insurance after deductible.  10% for $100 deductible option and if selected for $300 deductible.  

Maternity Benefits – Requires optional rider.  Rider costs $126 per month and has a 10-month waiting period.

Chiropractic - 20% co-insurance after deductible.  10% for $100 deductible option and if selected for $300 deductible.  

Mental Health - 20% co-insurance after deductible for visits 1-5, 50% after deductible for visits 6-20.  10% for $100 deductible option and if selected for $300 deductible.  

Substance Abuse – 20% co-insurance after deductible for visits 1-5, 50% after deductible for visits 6-20.  10% for $100 deductible option and if selected for $300 deductible.  

To get an instant quote for CareFirst BluePreferred PPO and apply online, just click the banner at the top or bottom of the page to get started.  You can give us a call at 703-753-3376 or toll-free at 1-877-656-1436 if you have any questions from 9 AM to 7 PM or This e-mail address is being protected from spambots. You need JavaScript enabled to view it 24 hours a day.