A A C P S

Introduction to the BlueChoice HMO Plan

CareFirst BlueCross BlueShield is an independent licensee of the Blue Cross and Blue Shield Association.

® Registered trademark of the Blue Cross and Blue Shield Association. ® ’ Registered trademark of CareFirst, Inc.

Open Enrollment for 2012 Benefits

A A C P S

BlueChoice HMO

Benefit Network PCP Required Referrals Required Copays

BlueChoice Yes Yes

Independent Lab

$5 PCP $10 Specialist LabCorp – No charge

Preventive Services

No copay

Plan Highlights

Benefit Urgent Care Center Emergency Room

$10 copay $50 copay; waived if admitted No charge

Inpatient Hospitalization Occupational, Physical, Speech Therapy

Combined 30 visits per condition/per yr

Open Enrollment for 2012 Benefits

A A C P S

BlueChoice HMO

 Primary Care Physician  At time of enrollment, you select a Primary Care Physician (PCP). Your PCP will be listed on your ID card. The PCP can be changed at any time, simply contact Member Services (800-628-8549).

 Dependents may select their own PCP. Each member will have their own personalized ID card with PCP information

Open Enrollment for 2012 Benefits

A A C P S

BlueChoice HMO

 Access to care through your Primary Care Physician or Specialist with referral  You pay a $5 PCP or $10 Specialist co-pay  No Deductible  No coinsurance  No need to file claim forms  Independent Lab - Lab Corp

Open Enrollment for 2012 Benefits

A A C P S

BlueChoice HMO

 Over 30,400 Providers in the MD, DC, Northern VA area  Full 3 Year NCQA Accreditation  BlueChoice Customer Service - 800-628-8549 

Medical / Vision

will be on the same ID Card.

Dental

will be on a separate ID Card.  Visit our website at

carefirst.com

to find a doctor, PCP or Specialist. You can also find information about our

Options

discount program, in addition to other services and resources CareFirst offers.

Open Enrollment for 2012 Benefits

A A C P S

Away From Home Care

 Members who live in another part of the country for at least 90 consecutive days may be eligible for “

Away From Home Care

”.

 Contact Member Services to enroll (telephone number is on the back of your ID card) and ask for the Away From Home Care Coordinator.

 Once enrolled, you have access to routine and urgent care through an affiliated BCBS HMO.

 Great program for out-of-state college students.

Open Enrollment for 2012 Benefits

A A C P S

BlueChoice HMO

Questions & Answers

Open Enrollment for 2012 Benefits