Transcript Welcome to Open Enrollment

The Benefits of
Changing to the
Triple Option Plan
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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
BlueChoice Triple Option Plan
3 Health Care Plans in 1
Triple Option Plan
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Annual Deductible
Individual
Family
Level 1
N/A
N/A
Level 2
$200
$400
Level 3
$300
$600
Out-of-Pocket
Individual
Family
N/A
N/A
$500
$1,000
$1,000
$2,000
Lifetime Maximum
Unlimited
Co-pays
Primary
Specialist
Coinsurance
Unlimited Unlimited
$10
$10
$15
$15
N/A
N/A
100%
90%
80%
Open Enrollment for 2012 Benefits
BlueChoice Triple Option Plan
3 Health Care Plans in 1
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Primary Care Physician
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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).
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Dependents may select their own PCP. Each member
will have their own personalized ID card with PCP
information
Open Enrollment for 2012 Benefits
BlueChoice Triple Option Plan
3 Health Care Plans in 1

Level 1 (BlueChoice HMO)
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Access to care through your Primary Care Physician or
Specialist with referral
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You pay a $10 PCP or Specialist co-pay
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No Deductible
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No coinsurance
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No need to file claim forms
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Independent Lab - Lab Corp
Open Enrollment for 2012 Benefits
BlueChoice Triple Option Plan
3 Health Care Plans in 1

Level 2 (PPO Providers, Local and National)
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Access to care through a PPO Provider – no referral
required
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You pay a $15 co-pay for office visits
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After you meet $200 individual deductible, services are
covered at 90% AB up to the $500 maximum out-of-
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pocket.

No need to file claim forms
Open Enrollment for 2012 Benefits
BlueChoice Triple Option Plan
3 Health Care Plans in 1
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Level 3 (Participating and Non-Participating Providers)
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Direct access to care through participating or nonparticipating providers
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After you meet your annual $300 individual deductible,
services are covered at 80% of the allowed benefit up to
the $1,000 maximum out-of-pocket.
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Participating Providers may not balance bill, however,
Non-Participating Providers may balance bill the
difference between the allowed benefit and total charge
Open Enrollment for 2012 Benefits
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.
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Once enrolled, you have access to routine and
urgent care through an affiliated BCBS HMO.
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Great program for out-of-state college students
Open Enrollment for 2012 Benefits
BlueChoice Triple Option
Helpful Reminders

Select PCP at time of enrollment. You may change your
PCP at any time during the year.
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When accessing Level 1 Benefits, remember to get a referral
for specialty care from your PCP. Level 2 does not require a
referral.
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Remember to use Lab Corp for Level 1 Benefits. Quest
Diagnostic will be processed under Level 2.
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Medical / Vision will be on the same ID Card. Dental will be
on a separate ID Card.
Open Enrollment for 2012 Benefits
BlueChoice Triple Option
Helpful Reminders

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.
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Open Enrollment for 2012 Benefits
BlueChoice Triple Option
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Questions
&
Answers
Open Enrollment for 2012 Benefits