Ready to Enroll?

The chart will give you a sense of what each plan covers. You must continue to pay your Part B premium in addition to the premiums.

CareFirst BlueCross BlueShield Advantage Essential Plan (PPO)

Available in Allegany, Anne Arundel, Calvert, Carroll, Caroline, Cecil, Charles, Dorchester, Frederick, Garrett, Harford, Howard, Kent, Montgomery, Prince George's, Queen Anne's Somerset, St. Mary's, Talbot, Washington, Wicomico and Worcester counties.

Not available in Baltimore City or Baltimore County. Not available in Washington, D.C.

2025 Enroll Now

CareFirst BlueCross BlueShield Advantage Complete Plan (PPO)

Available in Maryland and Washington, D.C.

2025 Enroll Now

Monthly Premium

$0
$42

Maximum Out-of-Pocket

$8,300 / $13,300
$7,300 / $12,300

Medical and Drug Deductible

$0
$0

Primary Care Provider (PCP)

$0
$0

Specialist

$45
$35

Urgent Care

$25 / $0 Virtual Visit
$10 / $0 Virtual Visit

Emergency Care

$115
$110

Inpatient Hospital Care

$385 days 1–5
$385 days 1–5

Lab Services

$0
$0

X-Rays

$25
$20

Physical and Speech Therapy

$15
$5
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Dental Coverage

  • $0 copay for cleanings, oral exams, x-rays and fluoride treatments
  • Comprehensive dental coverage (frequency and copays may vary)
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Routine Eye Exams and Eyewear Coverage

  • $0 copay for a routine eye exam
  • $10 copay for eyeglass lenses
  • Plus allowance for frames and contacts
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Hearing Exams and Hearing Aid Coverage

  • $0 copay for a routine exam and annual fitting
  • Low to no copay on hearing aids
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Fitness

  • Gym access and online resources for a $0 copay
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Transportation

  • $0 for 32 one-way rides to and from health-related locations
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Over-the-Counter

  • Quarterly benefit towards over-the-counter items like vitamins, first aid kits, incontinence supplies and more
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Annual Wellness Exam

  • $0 copay for an annual wellness exam with your primary care physician
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In-Home Health Assessment

  • Personalized care coordination and assistance with care that comes to you
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Healthy Rewards

  • Earn $10–$40 on your reloadable healthcare prepaid card for completing specific health activities ($180 annually)

Make sure your doctors and specialists are a part of our network or find a new one.

Find a Doctor Appointment Wait Times

Search for your prescriptions to estimate costs and coverage by plan.

2025 Search Now
2026 Search Now

(Both plans include Rx coverage, including multiple day supplies and mail order.)

Find a network pharmacy near you.

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2026 Search Now
For more about our plan coverage, review our   2025 Summary of Benefits Complete (PDF) or
Summary of Benefits Essential (PDF).