CareFirst BlueCross BlueShield Advantage Complete & Essential (PPO) Plan Resources
Once you're enrolled, we can help you get started with your plan. As a member, you'll have access to various benefits, support and helpful documentation.
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FIND A PHARMACY
FIND YOUR MEDICATION
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We want to make it easy for you to get started enjoying the benefits of your new plan right away. This page includes information about your first 30 days as a new member and details about using your benefits.
Get the Most from Your Plan
Your First 30 Days
Register or log ln to My Account. There, you can check your eligibility and claim status, view authorization and update demographics.
Complete the Health Risk Assessment (HRA) to provide more information about your health care needs and earn a Healthy Reward.
Schedule your annual wellness visit with your PCP as soon as you join the plan.
If you have a chronic condition, schedule all your follow up appointments with your specialist, as soon as you join the plan.
Discuss with your providers any questions you have about your medications.
Review your Welcome Kit to learn about all the benefits of your plan.
Answer the Call
Once you’re enrolled, CareFirst health specialists may call to offer assistance. They can help you complete your Health Risk Assessment (HRA) and understand your plan's many benefits to ensure you’re getting the most from your plan.
Finally, CareFirst has partnered with Porter Cares, a local company that may call you to set up an appointment to see you in the comfort of your own home. They can offer services such has home health screenings, access to local resources, help scheduling your doctor visits and more.
Your Plan Documents
Get the most from your plan by understanding all your benefits!
Access a host of helpful documents like the Summary of Benefits that explain your plan in detail, including provider directories, formulary lists and much more.
View DocumentsAccessing Your Benefits and Programs
Our Medicare Advantage plans offer a routine dental benefit that provides preventive and comprehensive dental care like:
- Preventive dental coverage (frequency may vary by service)
- $0 copay for cleanings, oral exams, x-rays, and fluoride treatments
- Comprehensive dental coverage (frequency and copays may vary):
- Comprehensive allowance: Essential: $1000. Complete: $1500
- Dentures
- Fillings
- Root canals
- Extractions
- And more!
Access to a large national network of vision retail and independent vision providers:
- $0 copay for a routine eye exam
- $10 copay for eyeglass lenses
- Frame/Contact lens benefit: Select frames from Davis Vision's exclusive collection are covered in full.
- $200 eyewear allowance for frames or $250 towards contact lenses
- Savings on lens upgrades and protective coatings
- $0 copay for routine exam and annual fitting
- Essential hearing aid copays: $475-$1950
- Complete hearing aid copays: $400-$1875
- Your Medicare Advantage plan offers a SilverSneakers® fitness benefit which includes gym access and online resources for a $0 copay
- $0 for 10 one-way rides to and from health-related locations like doctor appointments and to the pharmacy
- $50 quarterly benefit for Essential members towards over-the-counter items like vitamins, first aid kits, incontinent supplies and more.
- $55 quarterly benefit for Complete members towards over-the-counter items like vitamins, first aid kits, incontinent supplies and more.
- $0 exam copay for an annual wellness exam with your primary care physician
- $0 copay for personalized care coordination and assistance by offering care that comes to you. Your in-home assessment does not replace your yearly visit with your PCP.
Earn $20-$50 ($290 annual maximum) in healthy rewards for completing the below screenings each year:
- Health Risk assessment
- Annual Wellness Visit
- Annual Flu Shot
- Post-Hospitalization Physician Visit
- At-Home Colorectal Cancer Screening
- Breast Cancer Screening
- Diabetes HbA1c Screening
- Diabetic Retinal Eye Exam
- At Home Visit
- Colonoscopy or Flexible Sigmoidoscopy