INC.
CAREFIRST BLUECHOICE, INC. — Blue Value Plus
PSHB Offered in 2027|CAREFIRST BLUECHOICE, INC.|Traditional|HMO
Premium
biweekly · employee paysSelf Only
$158.24biweekly · employee pays
vs 2026+$58.98 +59.4%
Lowest$89.43 (2025)
Highest$158.24 (2027)
Since 2025+76.9%
Self Plus One
$263.59biweekly · employee pays
vs 2026+$65.06 +32.8%
Lowest$178.85 (2025)
Highest$263.59 (2027)
Since 2025+47.4%
Self & Family
$383.52biweekly · employee pays
vs 2026+$147.67 +62.6%
Lowest$212.47 (2025)
Highest$383.52 (2027)
Since 2025+80.5%
Premium history
SharePeriodRate type
Year by year
follows the chart's share, period and rate-type selection| Year | Self Only | Δ | Self Plus One | Δ | Self & Family | Δ | Listed as |
|---|
Changelog
- 2025First appears in OPM rate tablesNew plan option for 2025.
- 2027Largest increase: +59.4%Self Only employee share went from $99.26 to $158.24.
Full rate schedule
Plan yearIn-network
2027 plan benefits file| Self Only | Self Plus One | Self & Family | |
|---|---|---|---|
| Medical account contribution | Not applicable | Not applicable | Not applicable |
| Annual out-of-pocket maximum | $8,500 | $17,000 | $17,000 |
| Prescription out-of-pocket maximum | $8,500 | $17,000 | $17,000 |
- Type of accountNot Applicable
- Medicare Part D EGWP Prescription Drug Out-of-Pocket Maximum per enrollee$2,400
- Tier 0$0 Copayment
- Tier 1$10 Copayment
- Tier 2$50 Copayment
- Tier 3$100 Copayment
- Tier 4$150 Copayment
- Mail Order PharmacyNo
- Deductible waiver (with Medicare Part A as Primary)Not applicable
- Deductible waiver (with Medicare Part B as Primary)Not applicable
- Deductible Waiver with Parts A & BNot applicable
- Out-of-Pocket Maximum with Parts A & B$8,500
- Primary Care Physician Office Visit with Medicare A & B PrimaryMember Pays Nothing
- Specialty Physician Office Visit with Parts A & BMember Pays Nothing
- Inpatient Hospital Services with Parts A & BMember Pays Nothing
- Outpatient Hospital Services with Part A$200 Copayment
- Outpatient physician services (with Medicare Part B as Primary)Member Pays Nothing
- Part B Premium Reimbursement with Parts A & BNot applicable
- Requirement for Part B ReimbursementNot applicable
- Deductible Waiver with Part CNot applicable
- Out-of-Pocket Maximum with Part CNot applicable
- Primary Care Physician Office Visit with Medicare Advantage (Part C) PrimaryNot applicable
- Specialty Physician Office Visit with Part CNot applicable
- Inpatient Hospital Services with Part CNot applicable
- Outpatient Hospital Services with Part CNot applicable
- Outpatient physician services (with Medicare Advantage Part C as Primary)Not applicable
- Part B Premium Reimbursement with Part CNot applicable
- Preventive CareMember Pays Nothing
- Primary Care Office Visit$15 Copayment
- Specialist Office Visit$50 Copayment
- Emergency Care$275 Copayment
- Urgent Care$50 Copayment
- Doctor Costs for Inpatient Surgery25% Coinsurance
- Hospital Inpatient Cost Per Admission25% Coinsurance
- Hospital Room Costs25% Coinsurance
- Other Inpatient Hospital Costs25% Coinsurance
- Doctor Costs for Outpatient Surgery$50 Copayment
- Other Outpatient Surgery Costs$50 Copayment
- Diagnostic Tests or Procedures (e.g., Blood Tests, X-rays, Urinalysis, Ultrasounds)$50 Copayment
- Diagnostic Tests or Procedures (e.g., CT scans, MRIs, PET Scans)$100 Copayment
- Enhanced Lab Network$50 Copayment
- Applied Behavioral Analysis (ABA)$15 Copayment
- Chiropractic$50 Copayment
- Occupational Therapy$50 Copayment
- Physical Therapy$50 Copayment
- Speech Therapy$50 Copayment
- Professional Services (Mental Health and Substance Use Disorder)$15 Copayment
- Inpatient Hospital (Mental Health and Substance Use Disorder Services)25%
- Outpatient Hospital (Mental Health and Substance Use Disorder Services)$50 Copayment
- Diagnosis and Treatment (Infertility Services)50% Coinsurance
- Fertility Preservation Procedures (e.g., iatrogenic infertility) (Infertility Services)50% Coinsurance
- Artificial Insemination Services (e.g. ICI, IVI, IUI)50% Coinsurance
- Assisted Reproductive Technology (ART) (e.g., IVF, GIFT, ZIFT) (Infertility Services)Member Pays All Charges
- Surgical Procedures$50 Copayment
- Reconstructive Surgery$50 Copayment
- Hearing Services$50 Copayment
- Hearing Aids (external)Covered
- Prenatal Care, Screening for Gestational Diabetes, Delivery, and Postpartum Care (Maternity Care)$0 Copayment
- Hospital Stay--Vaginal Birth, Cesarean Birth (Maternity Care)25% Coinsurance
- Hospice Care$0 Copayment
- Home Health Services (Skilled Nursing Care)$0 Copayment
- Durable Medical Equipment25% Coinsurance
- Outpatient Rehabilitation (Skilled Nursing Care Facility)25% Coinsurance
- Diabetes Education$0 Copayment
- Nutritional Counseling$0 Copayment
- Routine Dental Exams and Cleaning for AdultsNot Covered
- Routine Dental Exams and Cleaning for ChildrenNot Covered
- Routine Eye ExamsCovered
- Eye Exams for Medical Condition or Non-Surgical TreatmentCovered
- EyeglassesNot Covered
- Contact LensesNot Covered
- Acupuncture$50 Copayment
- Chronic Disease Management: Heart DiseaseCovered
- Chronic Disease Management: ObesityCovered
- Chronic Disease Management: HypertensionCovered
- Chronic Disease Management: AsthmaCovered
Out-of-network
2027 plan benefits file| Self Only | Self Plus One | Self & Family | |
|---|---|---|---|
| Annual deductible | Not applicable | Not applicable | Not applicable |
| Medical account contribution | Not applicable | Not applicable | Not applicable |
| Net deductible | Not applicable | Not applicable | Not applicable |
| Annual out-of-pocket maximum | Not applicable | Not applicable | Not applicable |
- Type of accountNot Applicable
- Tier 0$0 Copayment
- Tier 1$0 Copayment
- Tier 2$0 Copayment
- Tier 3$0 Copayment
- Tier 4$0 Copayment
- Mail Order PharmacyNo
- Deductible waiver (with Medicare Part A as Primary)Not applicable
- Deductible waiver (with Medicare Part B as Primary)Not applicable
- Deductible Waiver with Parts A & BNot applicable
- Out-of-Pocket Maximum with Parts A & BNot applicable
- Primary Care Physician Office Visit with Medicare A & B PrimaryNot applicable
- Specialty Physician Office Visit with Parts A & BNot applicable
- Inpatient Hospital Services with Parts A & BNot applicable
- Outpatient Hospital Services with Part ANot applicable
- Outpatient physician services (with Medicare Part B as Primary)Not applicable
- Part B Premium Reimbursement with Parts A & BNot applicable
- Requirement for Part B ReimbursementNot applicable
- Deductible Waiver with Part CNot applicable
- Out-of-Pocket Maximum with Part CNot applicable
- Primary Care Physician Office Visit with Medicare Advantage (Part C) PrimaryNot applicable
- Specialty Physician Office Visit with Part CNot applicable
- Inpatient Hospital Services with Part CNot applicable
- Outpatient Hospital Services with Part CNot applicable
- Outpatient physician services (with Medicare Advantage Part C as Primary)Not applicable
- Part B Premium Reimbursement with Part CNot applicable
- Preventive CareMember Pays All Charges
- Primary Care Office VisitMember Pays All Charges
- Specialist Office VisitMember Pays All Charges
- Emergency CareMember Pays All Charges
- Urgent CareMember Pays All Charges
- Doctor Costs for Inpatient SurgeryMember Pays All Charges
- Hospital Inpatient Cost Per AdmissionMember Pays All Charges
- Hospital Room CostsMember Pays All Charges
- Other Inpatient Hospital CostsMember Pays All Charges
- Doctor Costs for Outpatient SurgeryMember Pays All Charges
- Other Outpatient Surgery CostsMember Pays All Charges
- Diagnostic Tests or Procedures (e.g., Blood Tests, X-rays, Urinalysis, Ultrasounds)Member Pays All Charges
- Diagnostic Tests or Procedures (e.g., CT scans, MRIs, PET Scans)Member Pays All Charges
- Enhanced Lab NetworkMember Pays All Charges
- Applied Behavioral Analysis (ABA)Member Pays All Charges
- ChiropracticMember Pays All Charges
- Occupational TherapyMember Pays All Charges
- Physical TherapyMember Pays All Charges
- Speech TherapyMember Pays All Charges
- Professional Services (Mental Health and Substance Use Disorder)Member Pays All Charges
- Inpatient Hospital (Mental Health and Substance Use Disorder Services)Member Pays All Charges
- Outpatient Hospital (Mental Health and Substance Use Disorder Services)Member Pays All Charges
- Diagnosis and Treatment (Infertility Services)Member Pays All Charges
- Fertility Preservation Procedures (e.g., iatrogenic infertility) (Infertility Services)Member Pays All Charges
- Artificial Insemination Services (e.g. ICI, IVI, IUI)Member Pays All Charges
- Assisted Reproductive Technology (ART) (e.g., IVF, GIFT, ZIFT) (Infertility Services)Member Pays All Charges
- Surgical ProceduresMember Pays All Charges
- Reconstructive SurgeryMember Pays All Charges
- Hearing ServicesMember Pays All Charges
- Hearing Aids (external)Not Covered
- Prenatal Care, Screening for Gestational Diabetes, Delivery, and Postpartum Care (Maternity Care)Member Pays All Charges
- Hospital Stay--Vaginal Birth, Cesarean Birth (Maternity Care)Member Pays All Charges
- Hospice CareMember Pays All Charges
- Home Health Services (Skilled Nursing Care)Member Pays All Charges
- Durable Medical EquipmentMember Pays All Charges
- Outpatient Rehabilitation (Skilled Nursing Care Facility)Member Pays All Charges
- Diabetes EducationMember Pays All Charges
- Nutritional CounselingMember Pays All Charges
- Routine Dental Exams and Cleaning for AdultsNot Covered
- Routine Dental Exams and Cleaning for ChildrenNot Covered
- Routine Eye ExamsNot Covered
- Eye Exams for Medical Condition or Non-Surgical TreatmentNot Covered
- EyeglassesNot Covered
- Contact LensesNot Covered
- AcupunctureMember Pays All Charges
- Chronic Disease Management: Heart DiseaseNot Covered
- Chronic Disease Management: ObesityNot Covered
- Chronic Disease Management: HypertensionNot Covered
- Chronic Disease Management: AsthmaNot Covered
States
3District of ColumbiaMarylandVirginia
Counties covered
| State | Area |
|---|---|
| District of Columbia | Entire state |
| Maryland | Entire state |
| Virginia | Alexandria City, Arlington, Fairfax, Fairfax City, Falls Church City, Prince William |
Service area over time
| Year | States / areas listed |
|---|---|
| 2027 | District of Columbia, Maryland, Virginia |
| 2026 | District of Columbia, Maryland, Virginia |
| 2025 | District of Columbia, Maryland, Virginia |