Recent Changes in 2027
Some details about our existing plans have changed. We’ve highlighted these changes below to help you compare your options for 2027.*
- Maternity: The plans will add group-based prenatal care through CenteringPregnancy at $0 copay for Standard and BVP and deductible, then $0 copay for HDHP.
- Zerigo Health: The plans will add Zerigo Health, a home-based NB-UVB (narrowband ultraviolet B) phototherapy program for members diagnosed with psoriasis, atopic dermatitis (eczema), and vitiligo across all skin types and ages.
- Blue Rewards: The plan is adding Flex Earnings to the BlueRewards program, providing members more opportunities to earn their $400 Blue Rewards.
- Prior Authorization: The plans are removing prior authorization from certain services rendered in an outpatient hospital. Prior authorization will be required only for the specific services and procedures identified in Section 3 of the Brochure.
- Prescription Drugs: The plans are increasing the cost share on GLP-1s for weight loss to a 50% coinsurance.
- Smart Shopper: The SmartShopper incentive and engagement program will no longer be offered to members. Members are encouraged to use the enhanced Find A Doctor tool found at carefirst.com/fedhmo for locating providers.
- Out-of-Pocket Maximum: The in-network OOP Max is increasing from $6,500 to $7,500 for Self Only and from $13,000 to $15,000 for Self +1 and Self and Family. The out-of-network OOP Max is increasing from $10,000 to $11,000 for Self Only and from $20,000 to $22,000 for Self+1 and Self and Family.
- Deductible: The plan is adding a deductible to facility services rendered in an outpatient or inpatient hospital. The in-network deductible is $250 for Self Only and $500 for Self+1 and Self and Family. The out-of-network deductible is $250 for Self Only and $500 for Self+1 and Self and Family.
- Diagnostic Services: The plan will increase the in-network cost share for the following services when rendered at an outpatient hospital or ambulatory surgical center. Labs will increase from $0 copay to $50 copay, x-ray will increase from $40 copay to $65 copay, and other diagnostic services will increase from $40 copay to $65 copay.
- Specialty Imaging: The plan will increase the in-network cost share for specialty imaging from $75 copay to $100 copay when rendered at an outpatient hospital or ambulatory surgical center.
- Out-of-Pocket Maximum: The in-network OOP Max is increasing from $6,500 to $7,500 for Self Only and from $13,000 to $15,000 for Self +1 and Self and Family. The out-of-network OOP Max is increasing from $8,500 to $9,500 for Self Only and from $17,000 to $19,000 for Self+1 and Self and Family.
- Deductible: The Plan will increase the in-network deductible from $1,700 to $1,750 for Self Only and from $3,400 to $3,500 for Self+1 and Self and Family. The out-of-network deductible is increasing from $3,400 to $3,500 for Self Only and from $6,800 to $7,000 for Self+1 and Self and Family.
- Diagnostic Services: The Plan will increase the in-network cost share for the following services when rendered at an outpatient hospital or ambulatory surgical center. Labs will increase from deductible then, $35 copay to deductible then, $75 copay; x-ray will increase from deductible then, $50 copay to deductible then, $75 copay; and other diagnostic services will increase from deductible then, $50 copay to deductible then, $75 copay.
- Specialty Imaging: The Plan will increase the in-network cost share for specialty imaging from deductible then, $100 copay to deductible then, $125 copay when rendered at an outpatient hospital or ambulatory surgical center.
- Outpatient Hospital or Other Covered Facility: The Plan will decrease the in-network cost share for Mental Health and Substance Use Disorder outpatient facility charges from deductible then, $100 copay to deductible then, $75 copay.
- Out-of-Pocket Maimum: The in-network OOP Max is increasing from $7,500 to $8,500 for Self Only and from $15,000 to $17,000 for Self+1 and Self and Family.
- Deductible: The plan is adding a deductible to facility services rendered in an outpatient or inpatient hospital. The in-network deductible is $250 for Self Only and $500 for Self+1 and Self and Family.
2027 CareFirst BlueChoice Premiums
|
Type of Enrollment |
Enrollment Code |
Your Biweekly Share |
Your Monthly Share |
|---|---|---|---|
| HDHP option (Self Only) | B61 | $91.52 | $198.30 |
| HDHP option (Self + One) | B63 | $183.04 | $396.60 |
| HDHP option (Self and Family) | B62 | $217.45 | $471.15 |
| Blue Value Plus option (Self Only) | B64 | $94.79 | $205.38 |
| Blue Value Plus option (Self + One) | B66 | $189.58 | $410.77 |
| Blue Value Plus option (Self and Family) | B65 | $225.22 | $487.98 |
| Standard BlueChoice (Self Only) | 2G4 | $248.20 | $537.76 |
| Standard BlueChoice (Self + One) | 2G6 | $434.75 | $941.96 |
| Standard BlueChoice (Self and Family) | 2G5 | $583.31 | $1,263.84 |
*Please note: This is not a complete list of all the changes. To see a complete list of benefit changes with a complete description, please refer to the 2027 BlueChoice Brochure (PDF)