Am I Eligible?
If you’re enrolled in Medicare Parts A and B benefits due to age or disability, you’re eligible for DualPrime. You must be eligible for both Medicare and Medicaid (QMB and FBDE) and reside in the state of Maryland to enroll.
Ready to EnrollI'm a Member
As a member of DualPrime, you have access to a checklist of healthy activities to complete throughout the year, information on how to use all your benefits, and helpful information to get the most out of your health plan. You can also search for providers, prescriptions, pharmacies and more.
View Member BenefitsOverview of CareFirst BlueCross BlueShield Advantage DualPrime (HMO-SNP) Plan
Premium and Benefit Costs—If you have Qualified Medicare Beneficiary (QMB) or Full Benefit Dual Eligible (FBDE), you'll have no monthly premium and no cost-sharing for all Medicare-covered benefits.
Coverage of All Original Medicare Benefits—DualPrime covers all Original Medicare benefits like hospital stays, doctors’ visits, labs, x-rays, physical therapy, outpatient services, preventive services and more.
Coverage of All Medicaid Benefits—DualPrime covers all Maryland Medicaid benefits. For more details, visit Maryland Health Connection.
Prescription Drug Coverage—DualPrime covers all prescription drugs on the plan’s formulary (list of covered drugs) with no to low cost-sharing. Visit the prescription drug overview to learn more.
Care Management and Quality Programs—DualPrime gives you access to targeted programs and services to manage your whole health needs including chronic condition management, referrals to local services, specialized programs and more.
Extra Benefits
Flex Benefit
(OTC, Rent, Groceries, & Utilities)
2025- $130 monthly allowance, with rollover, for OTC, rent, groceries, or utilities.
- Members must have a qualifying condition to use the $130 a month on groceries or utilities.
- $100 monthly allowance for OTC drugs, groceries and/or utility bills
- Members must have a qualifying condition to use the $100 a month on groceries or utilities.
Comprehensive Dental Coverage
2025- $0 copay for preventive, comprehensive and denture coverage
- $3,000 annual allowance toward services
- $0 copay for preventive, comprehensive and denture coverage
- $3,000 annual allowance toward services
Transportation for Routine Care
2025- Transportation costs covered for 36 one-way, non-emergency trips for health-related services
- Transportation costs covered for 24 one-way, non-emergency trips for health-related services
Healthy Rewards Program
2025- Earn $20–$50 on your reloadable healthcare prepaid card for completing specific health activities ($290 annually).
- Earn $15 added to your reloadable healthcare prepaid card for completing specific health screenings/tests (up to $120 annually).
Vision Coverage
2025- $0 copay for routine exam
- $150 annual allowance for eyewear
- $0 copay for routine exam
- $150 annual allowance for eyewear
Hearing Coverage
2025- $0 copay for routine hearing exams
- Allowance for hearing aids
- $0 copay for routine hearing exams
- Allowance for hearing aids
Meal Benefits for Chronic Conditions and Post-Hospital Discharge
2025- $0 copay for meals and nutritional assistance for qualifying members
- $0 copay for meals and nutritional assistance for qualifying members
Bathroom Safety Devices
2025- $0 copay for two home/bathroom safety devices per year
- $0 copay for two home/bathroom safety devices
24-Hour Nurse Advice Line
2025- Speak to a nurse whenever you need to—at no charge.
- Speak to a nurse whenever you need to—at no charge.
Medical Nutrition Therapy
2025- Includes nutritional assessment and three follow-up coaching sessions
- Includes nutritional assessment and three follow-up coaching sessions
Personal Emergency Response Systems (PERS)
2025- No-cost PERS device for those living with a disability or chronic condition
- No-cost PERS device for those living with a disability or chronic condition
Search for Your Medications
Are my prescription drugs part of the plan? Search our formulary list.
Find a 2025 PrescriptionFind a 2024 Prescription