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Our Plans

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You Buy Insurance Through Your Employer

HealthyBlue encourages greater interaction between you and your Primary Care Provider (PCP) as you both work toward the goal of a healthier you. Partnering with your PCP can also help you earn a healthy reward – up to $300 for an individual and $700 for a family. With HealthyBlue, the focus is on you.

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Plan Highlights:
  • Rewards program - Earn up to $300 per adult or up to $700 per family toward your deductible
  • No cost, no copay for preventive care, well-child visits/immunizations and cancer screenings when you access care in-network
  • Access to an extensive provider network
  • No referrals required
  • Out-of-network benefits for some plans
  • Tax advantages of a health savings account with some plans

Please Note:  There may be exceptions depending on the plan you choose. Refer to your Benefit Summary for more details.

Plan Comparison (In- and Out-of-Network Comparison)

HealthyBlue Plans

 
HMO
2.0/Plus
Advantage
PPO
Network
In-Network
In-Network
Out-of-Network
In-Network
Out-of-Network
In-Network
Out-of-Network
Provider Network 28,000 BlueChoice providers  and 72 area hospitals In:
28,000 BlueChoice
providers and 72
area hospitals

Out:
600,000 BlueCard providers and 4,500 hospitals or
Non-participating providers
In: MD/DC/VA
28,000 BlueChoice providers and
72 area hospitals 

In: Outside of
MD/DC/VA
600,000 providers
and 4,500 hospitals

Out: 35,000 PPO providers or
Non-participating providers
In:
600,000 BlueCard providers and 4,500 hospitals

Out:

Non-participating providers
PCP Selection Yes In: Yes

Out: No*
In: No*

Out: No*
In: No*

Out: No*
Referrals No In: No

Out: No
In: No

Out: No
In: No

Out: No
Preventive Services $0 In: $0

Out: Deductible,
then $0
In: $0

Out: Deductible,
then $0
In: $0

Out: Deductible,
then $0
Sick Visits
(w/ PCP)**
$0 In: $0

Out: Deductible,
then $0
In: $0

Out: Deductible,
then $0
In: $0

Out: Deductible,
then $0
Lab,
X-Ray, Diagnostic Testing**
$0 In: $0

Out: Deductible,
then $0
In: $0

Out: Deductible,
then $50
In: $0

Out: Deductible,
then $50

*Members are required to select a PCP in order to earn the Healthy Reward.

**If you have an HSA-compliant plan, these services are subject to the deductible

Healthy Reward

Your Healthy Reward Will Save You Money

Complete 3 simple steps within 180 days of enrolling in HealthyBlue and you will receive your Healthy Reward, which reduces your deductible.*

Earn up to $300 per adult or up to $700 per family. Each member of your family over age 2 is eligible for a $25 reward.

Three Steps for Adults 18+
Complete these steps and earn up to $300 per adult.

  1. Select a PCP online through My Account  
  2. Complete your Health Assessment and provide consent to share the results with your PCP
  3. Complete the Health and Wellness Evaluation Form
    • Print and complete the form with your PCP
    • Submit online by logging into My Account


Two Steps for Children 2-17 Years
Complete these steps and earn $25 for each child.

  1. Select a PCP online through My Account 
  2. Complete the Health and Wellness Evaluation Form
    • Print and complete the form with your PCP
    • Submit online through My Account


Using Your Reward
As a member with coverage through your employer, you will receive your Healthy Reward as a reduction to your deductible.

To view your Healthy Reward status, you can login to My Account.

*If you have already met your deductible, you will receive a check from CareFirst.

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