Benefit Brochure 2022

In-Network You Pay 1

Services

Visit www.carefirst.com/doctor to locate providers and facilities

24-HOUR NURSE ADVICE LINE

Free advice from a registered nurse. Visit www.carefirst.com/needcare to learn more about your options for care.

When your doctor is not available, call 800-535-9700 to speak with a registered nurse about your health questions and treatment options.

WELLNESS PROGRAM & BLUE REWARDS

Visit www.carefirst.com/myaccount for more information.

You have access to a comprehensive wellness program as part of your medical plan. You also have Blue Rewards, an incentive program where you can get rewarded for completing certain activities.

ANNUAL DEDUCTIBLE (Benefit period) 2

Individual

None

Family

None

ANNUAL OUT-OF-POCKET MAXIMUM (Benefit period) 3

Medical 4

$1,300 Individual/$2,600 Family

Prescription Drug 4

$4,500 Individual/$9,000 Family

LIFETIME MAXIMUM BENEFIT

Lifetime Maximum

None

PREVENTIVE SERVICES

No charge*

Well-Child Care (including exams & immunizations) Adult Physical Examination (including routine GYN visit)

No charge*

Breast Cancer Screening

No charge*

Pap Test

No charge*

Prostate Cancer Screening

No charge*

Colorectal Cancer Screening

No charge*

OFFICE VISITS, LABS AND TESTING

Office Visits for Illness

$10 PCP/$20 Specialist per visit

Imaging (MRA/MRS, MRI, PET & CAT scans) 5

No charge*

Lab 5

No charge*

X-ray 5

No charge*

Allergy Testing

$10 PCP/$20 Specialist per visit

Allergy Shots

$10 PCP/$20 Specialist per visit

Physical, Speech and Occupational Therapy 6 (limited to 30 visits/injury/benefit period)

$20 per visit

Chiropractic (limited to 20 visits/benefit period)

$20 per visit

Acupuncture

Not covered (except when approved or authorized by Plan when used for anesthesia)

EMERGENCY SERVICES

Urgent Care Center

$20 per visit

Emergency Room — Facility Services

$50 per visit (waived if admitted)

Emergency Room — Physician Services

No charge*

Ambulance (if medically necessary)

No charge*

4

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