Account Name

Welcome

Welcome to the CareFirst Medicare Advantage website for [Account Name]. Use this site to find doctors in our network, access your Summary of Benefits, [check to see if your drugs are on the formulary] and review other information about your plan.

[ ]

[CareFirst BlueCross BlueShield Group Advantage (PPO) 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 833-320-2664 (Monday-Friday, 8 a.m.-6 p.m. ET).]

[General Plan Information]

[Benefits Guide – English | Spanish (Coming Soon)]
[Plan Comparison Chart (Coming Soon)]
[General FAQs (Coming Soon)]
[Group Cover Letter (Coming Soon)]
[Self-Mailers (Coming Soon)]
[Rate Sheets (Coming Soon)]
[Ancillary Flyers (Coming Soon)]
[Notice of Privacy Practices (Coming Soon)]
[SilverSneakers Member Flier (PDF)] This link opens in a new window.

[Your Evidence of Coverage - Detailed Plan Benefits]

[EOC – English | Spanish (Coming Soon)]

[Medical Benefits/Materials]

[Summary of Benefits - English | Spanish (Coming Soon)]
[Medical Directory – English | Spanish (Coming Soon)]
[Network FAQs - English | Spanish (Coming Soon)]
[Network Sharing Guide (Coming Soon)]

[Prescription Drug Information - For the CareFirst BlueCross BlueShield Group Advantage (PPO) Plan only]

[Formulary – English | Spanish (Coming Soon)]
[Pharmacy Directory – English | Spanish (Coming Soon)]
[Step Therapy Criteria (Coming Soon)]
[Prior Authorization Criteria (Coming Soon)]
[Formulary Changes (Coming Soon)]
[Personal Medication List (Coming Soon)]
[Top 100 Drugs (Coming Soon)]

[Vision Benefits/Materials]

[Vision Directory – English | Spanish (Coming Soon)]

[Hearing Benefits/Materials]

[Hearing Directory – English | Spanish (Coming Soon)]

[Forms]

[Enrollment Application (Coming Soon)]
[Reconsideration Request Form (Coming Soon)]
[Mail Order Pharmacy Enrollment Form (Coming Soon)]
[Step Therapy Criteria (Coming Soon)]
[Coverage Determination Form (Coming Soon)]
[Coverage Redetermination Form (Coming Soon)]
[Designation of Personal Representative Form (Coming Soon)]

Find a Doctor

[Quickly find a healthcare provider, read reviews and estimate total costs for common medical procedures. ]

Search Now

[Search for your Prescriptions]

[ Find out if your prescription is covered. ]

Search Now

[Open Enrollment Webinar]

[Get answers to all your benefit questions at our open enrollment events. Experts will help you choose the best coverage for you.]

Learn More