CareFirst Medical Summary

CareFirst - Group Medical Insurance

• The medical plan offered by CareFirst is called Choice+ which is administered by CareFirst BlueCross BlueShield
• Choice+ is a triple-option plan which includes three levels of coverage:
  • Option 1 (HMO),
  • Option 2 (PPO),
  • Option 3 (Traditional fee for service Indemnity coverage)
• Voluntary plan whereby employees must enroll within 35 days from date of hire or during Open Enrollment using Benefitfocus
• PGCPS pays 75% of monthly premium for medical insurance, the PGCPS share increases to 80% after 8 years of service.  The employee pays the remainder through payroll deduction
• Premiums are deducted on a pre-tax basis
• Customer Service at CareFirst: 1-800-628-8549 or CareFirst microsite

About Your Plan

• CareFirst microsite
• If you elected CareFirst as your health insurance provider download the CareFirst Mobile App and register to login to My Account to have access to benefits at your fingertips. Visit your app store to download.

Wellness and Preventative Services

• Summary of Preventive Services
• Closeknit Overview
  • Closeknit Urgent Care
  • Closeknit Nutrition Support
• Health and Wellness resources for CareFirst Members
  • Getting started with CareFirst Wellness
  • SmartDollar Financial Management
  • Eat Right Now Weight Management
  • Noom
  • Unwinding
• 24 Hour Nurse Advise Line

The link below leads to the machine-readable files that are made available in response to the federal Transparency in Coverage Rule and includes negotiated service rates and out-of-network allowed amounts between health plans and healthcare providers.  The machine-readable files are formatted to allow researchers, regulators, and application developers to more easily access and analyze data:
Transparency in Coverage - CareFirst BlueCross BlueShield

This summary is intended only as an overview of the benefits PGCPS offers. The contract governs the administration of the benefits.