What's Changed in 2025
What's Changed?
Some details about our existing plans have changed. We’ve highlighted these changes below to help you compare your options for 2025.*
- Opioid Reversal Agents: The Plan will cover Opioid Reversal Agents with a $0 copay. The deductible will apply under the HDHP plan.
- Maternity: Breast pumps are available one per calendar year pre- or post-natal.
- Out-of-Pocket Maximum: The in-network out-of-pocket maximum is changing to $5,500 for Self Only and $11,000 for Self+1 and Self and Family. The out-of-network out-of-pocket maximum is changing to $9,000 for Self Only and $18,000 for Self+1 and Self and Family.
- Primary Care Physician (PCP): The Plan will increase the member cost for in-network PCP visits from a $0 copay to a $25 copay and from $80 copay to $100 copay for out-of-network.
- Specialist: The Plan will increase the member cost for in-network Specialist visits from a $40 copay to a $50 copay and from $80 copay to $100 copay for out-of-network.
- Prescription Drugs: The Plan will increase the member copay for a 34-day supply for Tier 1: $0 to $10, Tier 2: $50 to $75, Tier 3 $75 to $100, Tier 4: $100 to $125, and Tier 5 $150 to $175. For a 90-day supply the copay will increase for Tier 1: $0 to $20, Tier 2: $100 to $150, Tier 3 $150 to $200, Tier 4: $200 to $250, and Tier 5 $300 to $350
- Infertility Services: The Plan will add coverage for in-vitro fertilization (IVF) at 50% of the plan allowance. Benefits are limited to three attempts per live birth and limited to $45,000 payment per plan year
- Out-of-Pocket Maximum: The in-network out-of-pocket maximum is changing to $5,500 for Self Only and $11,000 for Self+1 and Self and Family. The out-of-network out-of-pocket maximum is changing to $7,500 for Self Only and $15,000 for Self+1 and Self and Family.
- Deductible: The in-network deductible is changing to $1,650 for Self Only and $3,300 for Self+1 and Self and Family. The out-of-network deductible is changing to $3,300 for Self Only and $6,600 for Self+1 and Self and Family. See more information on page 13.
- Infertility Services: The Plan will add coverage for in-vitro fertilization (IVF) at 50% of the plan allowance after the deductible. Benefits are limited to three attempts per live birth and limited to $45,000 payment per plan year
- Out-of-Pocket Maximum: The in-network out-of-pocket maximum is changing to $6,500 for Self Only and $13,000 for Self+1 and Self and Family.
- Infertility Services: The Plan will add coverage for in-vitro fertilization (IVF) at 50% of the plan allowance. Benefits are limited to three attempts per live birth and limited to $45,000 payment per plan year
2025 CareFirst BlueChoice Premiums
Type of Enrollment |
Enrollment Code |
Your Biweekly Share |
Your Monthly Share |
|---|---|---|---|
| HDHP option (Self Only) | B61 | $86.34 | $187.07 |
| HDHP option (Self + One) | B63 | $172.68 | $374.15 |
| HDHP option (Self and Family) | B62 | $205.15 | $444.49 |
| Blue Value Plus option (Self Only) | B64 | $89.43 | $193.76 |
| Blue Value Plus option (Self + One) | B66 | $178.85 | $387.52 |
| Blue Value Plus option (Self and Family) | B65 | $212.47 | $460.36 |
| Standard BlueChoice (Self Only) | 2G4 | $242.45 | $525.31 |
| Standard BlueChoice (Self + One) | 2G6 | $431.06 | $933.97 |
| Standard BlueChoice (Self and Family) | 2G5 | $570.06 | $1,235.13 |
*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 2025 BlueChoice Brochure (PDF)