Medical Plans

Child sitting with a doctor during an examination.

 

Montgomery County offers four comprehensive medical plans for you, your family and your partner. You can choose between two Point-of-Service (POS) plans with CareFirst BCBS and two Health Maintenance Organizations (HMO’s) with United HealthCare and Kaiser. To make medical care inexpensive for you and your family, we keep your per-paycheck contribution minimal, and we limit out-of-pocket expenses with low co-pays and no deductibles (low deductibles when out-of-network benefits are utilized with CareFirst BCBS).

Medical Comparison Chart
Weight Management Programs

Administrator: Carefirst BCBS
Website: www.carefirst.com/mcg
Phone: 1-888-417-8385
Mobile App:

The CareFirst BlueCross BlueShield Point-of-Service Plans (POS) are managed care programs. The BlueChoice Advantage Network provides you with choices over your out-of-pocket costs.  You do not need to select a primary care provider (PCP) or obtain a referral to see a specialist with this option. You can visit any provider and your choice will determine your out-of-pocket costs. When care is rendered in Maryland, Washington, D.C. or Northern Virginia, use the CareFirst Blue Choice Network to receive the highest level of coverage and pay the lower out-of-pocket costs. If you seek care outside the CareFirst service area you will lower costs by using a National Blue Card PPO provider.  You still have the option to opt-out of this network but will pay a higher out-of-pocket expenses. Prescription drug coverage is not included with either plan, but may be elected under a separate plan offered through Caremark. 

2022 EMPLOYEE RATES Self Self+1 Family
Employee Bi Weekly Cost - HIGH Option $63.38 $109.64 $184.62
Employee Bi Weekly Cost - STANDARD Option $58.95 $101.97 $171.70

Important Changes to your Health Care Benefit Structure , click here

Plan Materials 
BCBS High Option Evidence of Coverage Plan Booklet
BCBS Standard Option Evidence of Coverage Plan Booklet
BCBS Benefits Brochure
BCBS Mobile App 
BCBS Virtual Visit
Member Discounts 
Montgomery County Government Acceptance Page

Summary of Benefits and Coverage 
BCBS High Option 2023
BCBS Standard Option 2023

Forms
BCBS Claims
BCBS Primary Care Physician Selection 
BCBS Coordination of Benefits
BCBS Disabled Dependent Authorizaton
BCBS Health Information Release Authorization
BSBC Health Information Release Revocation 

Administrator: United Healthcare
Website: https://www.whyuhc.com/mcg
Phone: 1-800-638-0014
Mobile App:  HERE

United Healthcare is a national individual practice health maintenance organization (HMO). You must use United Healthcare providers in order to receive benefits under this plan. If you receive care elsewhere, you must pay the full cost. Prescription drug coverage is not included, but may be elected under a separate plan offered through Caremark.

2022 EMPLOYEE RATES Self Self +1 Family
Employee Bi Weekly Cost $51.88 $99.74 $158.56

Plan Materials                                                                                                                                               
UHC Select HMO SBC 2023                                                                                      


Mental Health Resources

 


Administrator: Kaiser Permenante
Website: https://my.kp.org/montgomerycountygovernment/‚Äč
Member Services: 1-800-777-7902
Mobile App: HERE

Kaiser Permenante is a health maintenance organization (HMO) which provides all care at special Kaiser centers. You must use providers at the Kaiser centers to receive benefits under this plan. If you receive care elsewhere, you must pay the full cost. Please note that the Kaiser Permanente HMO medical plan does include prescription drug coverage and therefore, it is not necessary to elect such coverage under a separate plan. 

2022 EMPLOYEE RATES Self Self + 1 Family 
Employee Bi weekly Cost $60.23 $113.23 $178.28

Plan Materials 

Kaiser HMO SBC 2023
Kaiser Brochure
Kaiser Benefits Summary
Kaiser Evidence of Coverage booklet
Kaiser Incapacitated Dependent Application 
Member Discounts
Kaiser Urgent Care and Locations
Kaiser Virtual Visit
Regional Service Map
Away From Home

Resources
Learn more about Kaiser Permanente: https://thrive.kaiserpermanente.org/care-near-mid-atlantic
Switching to Kaiser-Permanente: https://healthy.kaiserpermanente.org/maryland-virginia-washington-dc/new-members#register-to-kp-org
Kaiser Permanente Doctors: https://thrive.kaiserpermanente.org/care-near-mid-atlantic/find-doctor
How to get care:  https://healthy.kaiserpermanente.org/maryland-virginia-washington-dc/get-care
Find Kaiser Permanente locations: https://healthy.kaiserpermanente.org/maryland-virginia-washington-dc/doctors-locations#/search-form
Kaiser HMO General Plan Overview Video: https://www.brainshark.com/kp/MAS21HMO
Online & Mobile Tools Informational Video: https://www.brainshark.com/kp/MAS21OnlineTools
Behavioral Health Informational Video: https://www.brainshark.com/kp/MAS21BehavioralHealthWellness
Telehealth Informational Video: https://www.brainshark.com/kp/MAS21Telehealth
Care Away from Home Informational Video: https://www.brainshark.com/kp/MAS21CareAwayFromHome
Maternity Care Informational Video: https://www.brainshark.com/kp/MAS21MaternityCare
Kasier Self-Care Mobile Appskp.org/selfcareapps