Carefirst 50 epo plan

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Login Register. Have questions about health insurance? Explore our Insurance Basics pages. Need Insurance? Log In or Register. Choosing a health plan for yourself—or your family—is an important decision. Whether you know what coverage you need or want to explore your options, CareFirst offers a range of plans for Maryland residents. Plans offer core health benefits and preventive services, including: Prescription drugs Preventive care Vaccinations Hospital and emergency services As a Maryland resident, you can apply for your health insurance plan directly through CareFirst.

Get a Quote. Interested in individual or family health insurance? Know You are Covered with Great Benefits With 21 plans to choose from, you can find a plan to meet your needs—wherever you live or work. Receive Hassle-Free Care Whether you are visiting a provider or simply calling our dedicated Customer Service representatives, you can be assured you are receiving quality care and service. National vs. Regional Plans National and regional plans offer you choices of different cost-sharing arrangements, premiums and networks.

National plans have access to a large network of providers throughout the country see the "General Information" row in each summary for specifics. These plans are the best option if you or your family members live outside Washington, D.

Regional plans use the BlueChoice network of participating doctors, specialists and hospitals available only in Washington, D.

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For a detailed definition of cost-sharing, please refer to our Important Terms section. Expand All Collapse All. When you see one of our more than 50, participating providers, you'll save the most money. If you go outside the BlueChoice network, your medical services will not be covered except for emergency services. Our POS plans offer more flexibility. These plans combine the benefits of an HMO with access to out-of-network providers. You can see providers in the BlueChoice network for the most savings or use the PPO network and pay slightly more but still be protected from balance billing.

You can also visit a provider outside of CareFirst's networks, but you'll likely pay charges that exceed CareFirst's allowed benefit. You can receive care from the PPO network of more than 55, providers locally and hundreds of thousands nationally.

In addition, you can go out-of-network and pay slightly more. Understanding plans. Usually the least expensive choice. Your PCP and providers handle the paperwork. Very limited coverage out of the HMO's service area.

Seeing an out-of-network provider usually means you will pay the entire cost. BlueChoice HMO. Point of Service POS. Includes benefits of an HMO and access to out-of-network providers. When you use your PCP to coordinate care, you'll pay the lowest cost and they'll handle the paperwork. Copayments for in-network services are known in advance. PPO plans offer out-of-network benefits. EPO plans do not provide out-of-network benefits except for true emergencies.

Coordination of benefits COB occurs when a person has health care coverage under more than one insurance plan. All plans require information from employees and retirees on other coverage that they or their dependents have from another health insurance carrier to determine which plan is primary.

Providers may decide to terminate from a plan network at any time. A provider terminating from a plan is not considered a qualifying event that would allow coverage to be canceled or changed. Employees must wait until the next Open Enrollment period to make any changes to plans. Lexington St. All rights reserved.

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PPO plans offer out-of-network benefits. EPO plans do not provide out-of-network benefits except for true emergencies. Coordination of benefits COB occurs when a person has health care coverage under more than one insurance plan. All plans require information from employees and retirees on other coverage that they or their dependents have from another health insurance carrier to determine which plan is primary.

Providers may decide to terminate from a plan network at any time. A provider terminating from a plan is not considered a qualifying event that would allow coverage to be canceled or changed. Employees must wait until the next Open Enrollment period to make any changes to plans.

Lexington St. All rights reserved. Interested in making a meaningful difference in our community? Explore our career opportunities to find your place with one of the world's most ethical companies. Search Jobs. Have a question for us? If you are looking to buy or renew a CareFirst plan, please contact us at Have a question about individual or family plans?

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