Domestic Health and Prescription Plan and Rate
Plan Basics:
An eligible employee has the option to choose between any one of the 4 plan options. There is an “Executive Summary” which follows for each plan, and additionally, there is a full benefit summary available by clicking the link following each Executive Summary.
If you would like to see the latest list of doctors in the CareFirst HMO or PPO Network, here is the website: www.carefirst.com.
The following sections include comments which may help you decide on the best option to suit your needs:
Blue Choice HMO Open Access HSA Option 4 is a plan which utilizes the local (MD/DC/NoVA) CareFirst HMO network. Services must be provided by a network member in order to qualify for benefits. Also important to note is that this plan involves a Health Savings Account (HSA) feature. This means that there is a large deductible which must be satisfied prior to being eligible for most benefits, including prescriptions. For more information about an HSA type of plan, please review this dated, but effective Treasury HSA Brochure. This is the lowest premium plan.
Blue Choice Advantage 2.0 Option 20 is a Point of Service plan that uses the local CareFirst HMO network in the DC/MD/NoVA area and the Anthem Healthkeepers network throughout the rest of VA. Beyond the local area, members may access care using the Blue Cross Blue Shield PPO network. Under a Point of Service plan, you may qualify for benefits whether or not your physician is a member of the network. Benefits are better when care and treatment is received from a network provider. You may be responsible for paying the balance of the bill to out of network providers that do not accept the CareFirst reimbursement as full payment.
Blue Choice Advantage 2.0 Option 1-S operates very much like a the Option 20 plan. Providers who are in either the CareFirst Blue Choice network or the Anthem Healthkeepers network are considered In Network for services. For anyone seeking services outside of the Metro DC or Virginia network area, providers who are members of the local Blue Cross Blue Shield PPO Network may be accessed and claims will be processed as In Network under this plan. If you or a dependent on your plan lives outside of the Metro DC Blue Choice network area, this plan is a lower cost alternative compared to the PPO.
Blue Preferred PPO Option 6 is a plan that uses the Blue Cross Preferred Provider Organization national network. With this PPO plan, you may receive benefits whether or not your service provider is a member of the CareFirst/Blue Cross PPO network. This plan is the most flexible of all the plans offered, and is also the most expensive in terms of monthly premiums. This plan also covers participants nationwide under the Blue Cross PPO network.
Please refer to the links below for more descriptive benefit summaries for the above referenced plans.
- Summ of Ben BC HMO OA HSA Option 4
- Summ of Ben BC Adv 2-0 Option 20
- Summ of Ben BC Adv 2-0 Option 1-S
- Summ of Ben Blue Pref Option 6
- The following items will be connected when the information becomes available.
- Summary of Benefits RX for Blue Choice HMO HSA Open Access Option 4 25-26
- Summary of Benefits RX for Blue Choice Opt-out Plus Option 3 25-26
- Summary of Benefits RX for Blue Choice Advantage 1-S 25-26
- Summary of Benefits RX for Blue Preferred Option 6 25-26
- Blue Preferred Option 6 policy
- Blue Choice Opt Out Open Access Option 3 policy
- Blue Choice HMO Open Access HSA Option 4 policy
- Blue Choice Advantage Option 1-S
2026-2027 CareFirst
Overseas Building Operations & Department of State PSC Healthplan
Domestic Plan Rate Chart
| Blue Choice Advantage 2.0 Option 20 | Carefirst Blue Choice HMO Open Access HSA Option 4 | Carefirst Blue Preferred PPO Option 6 | Carefirst Blue Choice Advantage 2.0 Option 1-S | Carefirst Traditional Dental Option 4 | ||||
| Employee/Single | $1292.69 | $1197.92 | $1675.75 | $1397.34 | $48.92 | |||
| Per Pay Period | $646.35 | $598.96 | $837.88 | $698.67 | $24.46 | |||
| Employee & Spouse | $2973.45 | $2755.71 | $3855.05 | $3214.50 | $112.51 | |||
| Per Pay Period | $1486.73 | $1377.86 | $1927.53 | $1607.25 | $56.26 | |||
| Employee & Child | $2389.94 | $2215.84 | $3098.58 | $2583.69 | $90.50 | |||
| Per Pay Period | $1194.97 | $1107.92 | $1549.29 | $1291.85 | $45.25 | |||
| Family | $3618.38 | $3352.58 | $4691.71 | $3912.13 | $136.97 | |||
| Per Pay Period | $1809.19 | $1697.29 | $2345.86 | $1956.07 | $68.49 | |||