Plan Information
Below you’ll find plan documents to help you understand what your benefits cover and how to use them. Read through each for important benefit details, prescription drug coverage and more.
Have a question? Member Services can help. Give us a call using the number on the back of your CareFirst member ID.
Plan Documents
Active Employees | |
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2025 Benefit Options (PDF) | |
Medical Benefit Options (PDF) | |
PPN vs. Triple Option (PDF) |
Retirees | |
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2025 Retiree Under 65 Benefit Options (PDF) | |
2025 Retiree Over 65 Benefit Options (PDF) | |
Medical Benefit Options Under 65 (PDF) | |
Retiree PPN vs. Triple Option (PDF) |
For Both Active Employees and Retirees | |
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2025 Dental and Vision Options (PDF) | |
2024 CareFirst Formulary 2-5 Tier (PDF) | |
2024 Preferred Drug List (PDF) |
Summary of Benefits and Coverages (SBCs)
Active Employees | |
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BC HMO Open Access Actives with Rx (PDF) | |
BC HMO Open Access MVP Actives with Rx (PDF) | |
PPO Actives with Rx (PDF) | |
Triple Option Actives with Rx (PDF) |