Medical Plan: CareFirst BlueChoice HMO Open Access
CareFirst BlueChoice HMO Open Access is one of three medical plans HCPSS offers to benefits-eligible employees and retirees.
With CareFirst BlueChoice HMO Open Access, you can select your doctor from a regional network of physicians, specialists and hospitals located throughout Maryland, Washington, D.C. and Northern Virginia. CareFirst aims to keep you healthy by emphasizing prevention, early detection and early treatment.
Effective March 31, 2026, HCPSS is ending coverage of GLP-1 Drugs for weight management. Additionally, no new prescriptions for GLP-1 medications for weight management will be approved after Dec.1, 2025.
- Employees receiving GLP-1 medications for diabetes treatment will not be impacted by this change in coverage.
- Those who currently use a GLP-1 medication for weight management are encouraged to utilize the time before March 31, 2026, to discuss treatment options with their provider.
- With this change in coverage, the CVS Weight Management Program, which was previously announced with the goal of reducing GLP-1-related benefits costs, will no longer be in place.
Benefits Summary
2026 BlueChoice HMO Open Access – Your Health Benefits Booklet outlines the full terms, conditions, and rules of this health plan, including what is covered, excluded, and how benefits are administered.
2026 CareFirst BlueChoice HMO Open Access Benefits Summary provides a high-level overview of the key features of this health plan, such as copays, deductibles, and covered services.
2026 CareFirst BlueChoice HMO Summary of Benefits and Coverage (SBC)
Annual Costs
The following table reflects annual costs for the period of 1/1/26 – 12/31/26 for Active Full‐time and Part‐Time Employees with a Hire Date on or Before 6/30/2011.
| Coverage For | Total Cost | Employee Cost (annual) |
Employee cost (per pay period, over 20 periods) |
Benefits Credits (annual) |
Benefits Credits (per pay period, over 20 periods) |
|---|---|---|---|---|---|
| Employee | $9,897.72 | $1,385.68 | $69.28 | $140.00 | $7.00 |
| Employee/Child(ren) | $19,799.64 | $2,771.95 | $138.60 | $140.00 | $7.00 |
| Employee/Spouse | $21,780.84 | $3,049.32 | $152.47 | $140.00 | $7.00 |
| Family | $31,972.56 | $4,476.16 | $223.81 | $140.00 | $7.00 |
The following table reflects annual costs for the period of 1/1/26 – 12/31/26 for Active Full‐time and Part‐Time Employees with a hire date on or after 07/01/2011 and on and before 6/30/2021.
| Coverage For | Total Cost | Employee Cost (annual) |
Employee cost (per pay period, over 20 periods) |
Benefits Credits (annual) |
Benefits Credits (per pay period, over 20 periods) |
|---|---|---|---|---|---|
| Employee | $9,897.72 | $1,484.66 | $74.23 | $140.00 | $7.00 |
| Employee/Child(ren) | $19,799.64 | $2,969.95 | $148.50 | $140.00 | $7.00 |
| Employee/Spouse | $21,780.84 | $3,267.13 | $163.36 | $140.00 | $7.00 |
| Family | $31,972.56 | $4,795.88 | $239.79 | $140.00 | $7.00 |
The following table reflects annual costs for the period of 1/1/26 – 12/31/26 for Active Full‐time and Part‐Time Employees with a Hire Date on or after 07/01/2021.
| Coverage For | Total Cost | Employee Cost (annual) |
Employee cost (per pay period, over 20 periods) |
Benefits Credits (annual) |
Benefits Credits (per pay period, over 20 periods) |
|---|---|---|---|---|---|
| Employee | $9,897.72 | $1,583.64 | $79.18 | $140.00 | $7.00 |
| Employee/Child(ren) | $19,799.64 | $3,167.94 | $158.40 | $140.00 | $7.00 |
| Employee/Spouse | $21,780.84 | $3,484.93 | $174.25 | $140.00 | $7.00 |
| Family | $31,972.56 | $5,115.61 | $255.78 | $140.00 | $7.00 |
Available Resources
As a CareFirst BlueChoice HMO Open Access member, you will have access to several resources, including:
- Blue365 – Wellness Discount delivers great discounts from top national and local retailers on fitness gear, gym memberships, family activities, healthy eating options and much more.
- Close Knit is a virtual-first advanced primary care practice. Patients can access preventive care, urgent care, behavioral health, nutrition services, new parent support, and more, all from one convenient app.
For More Information
Visit the CareFirst website or contact Customer Support at (800) 628-8549.
You can also contact the following numbers for assistance:
- Hospital Precertification: (866) 773-2884
- Mental Health & Substance Abuse: (800) 245-7013
- Davis Vision: (800) 783-5602