Introduction to the BlueChoice HMO Plan

1. 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.

2. BlueChoice HMO Plan Highlights

3. 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

4. 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

5. 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.

6. 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.

7. BlueChoice HMO Questions & Answers