CareFirst BlueCross BlueShield in Virginia

Learn more about CareFirst Blue Cross Blue Shield in Virginia to see if their health insurance is right for you.

• About CareFirst®' Blue Cross® Blue Shield®
• CareFirst of Virginia Plan Types and Typical Coverage
• Get Coverage in Virginia Through eHealth

About CareFirst®' Blue Cross® Blue Shield®

CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc., which do business as CareFirst Blue Cross Blue Shield (CareFirst), are wholly owned subsidiaries of CareFirst, Inc., a not-for-profit holding company licensed in Maryland. A third affiliate does business as Blue Cross Blue Shield (BCBS) of Delaware.

The affiliates are independently licensed by the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans, to market health insurance and related services and products throughout the Mid-Atlantic Region, including Maryland, Washington, D.C., Delaware, and Northern Virginia.

Through its affiliates and subsidiaries, CareFirst, the largest health insurer in the Mid-Atlantic region, serves 3.5 million members. CareFirst and its parent company have more than 8,000 employees operating in Maryland, North Carolina, Northern Virginia, West Virginia, Delaware, and the District of Columbia.

CareFirst has received seven consecutive National Brand Excellence awards from the Blue Cross and Blue Shield Association, recognizing its customer service, financial strength, membership growth, and promotion of the Blue name.

Do CareFirst and BCBS operate independently?

CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst Blue Cross Blue Shield and Blue Cross Blue Shield of Delaware are independent licensees of the Blue Cross and Blue Shield Association. ® Registered trademark of the Blue Cross and Blue Shield Association. ® Registered trademark of CareFirst of Maryland, Inc.

CareFirst of Virginia Plan Types and Typical Coverage

All CareFirst Individual and Family Health insurance plans are Affordable Care Act (ACA) compliant. Most plans typically include prescription drugs, preventative care, vaccinations, hospitalization, and emergency services.

Plans Available:

• BlueChoice HMO HSA Silver
• BluePreferred PPO HSA Silver
• BlueChoice HMO Standard Silver
• BluePreferred PPO Standard Silver
• BlueChoice HMO Gold
• BluePreferred PPO Gold
• BlueChoice HMO Standard Gold
• BluePreferred PPO Standard Gold
• BlueChoice HMO Young Adult catastrophic coverage

Coverage Benefits:

All plans include core health benefits include the following:

• Office visits
• Maternity and newborn care
• Prescription drugs
• Laboratory tests and X-rays
• Preventative and wellness care
• Dental and vision for children under age 19
• Emergency services
• Hospitalization
• Vaccinations
• Behavioral health and substance use disorder
• Physical, speech, and occupational therapy
• Vision examination for members over age 19
• Dental and vision coverage for members under age 19

Will my CareFirst Virginia (Virginia Blue Cross Blue Shield) plan work outside of Virginia?

Virginia Blue Cross Blue Shield offers service in the following areas:

• Maryland
• District of Columbia
• The cities of Alexandra and Fairfax
• The town of Vienna
• Arlington County
• The areas of Fairfax and Prince William Counties in Virginia east of Route 123.

When you receive care outside of your health plan's service area, you typically have to pay out-of-pocket costs. Your plan may cover some or all of these costs if you use in-network providers.

How does CareFirst Blue Cross Blue Shield of Virginia differ from other BCBS carriers?

CareFirst is the largest not-for-profit health plan in the Mid-Atlantic region, working to deliver accessible and affordable healthcare to find the right plan for your health needs. The vast network and National plans provide access to more than 96% of hospitals and 95% of doctors nationwide.

Get Coverage in Virginia Through eHealth