INDIVIDUAL ENROLLMENT AGREEMENT FOR A QUALIFIED HEALTH PLANOctober 19th, 2016
FiledOctober 19th, 2016This Agreement, including any duly authorized attachments, notices, amendments and riders, is issued to the Subscriber and contains the principal provisions affecting the Member(s) enrolled under the Agreement and other provisions that explain the duties of CareFirst BlueChoice and those of the Subscriber or Application Filer.
INDIVIDUAL ENROLLMENT AGREEMENT FOR A QUALIFIED HEALTH PLANOctober 19th, 2016
FiledOctober 19th, 2016This Agreement, including any duly authorized attachments, notices, amendments and riders, is issued to the Subscriber and contains the principal provisions affecting the Member(s) enrolled under the Agreement and other provisions that explain the duties of CareFirst BlueChoice and those of the Subscriber or Application Filer.
IN-NETWORK INDIVIDUAL ENROLLMENT AGREEMENTOctober 19th, 2016
FiledOctober 19th, 2016This is the In-Network Agreement for the jointly offered Point-of-Service product with In-Network HMO benefits administered by CareFirst BlueChoice, Inc. and Out-of-Network indemnity benefits administered by Group Hospitalization and Medical Services, Inc. or CareFirst of Maryland, Inc., doing business as, CareFirst BlueCross BlueShield (CareFirst). Each time that services are sought, the Member may choose to receive In-Network HMO benefits or Out-of-Network indemnity benefits.
INDIVIDUAL ENROLLMENT AGREEMENT FOR A QUALIFIED HEALTH PLANOctober 19th, 2016
FiledOctober 19th, 2016This Agreement, including any duly authorized attachments, notices, amendments and riders, is issued to the Subscriber and contains the principal provisions affecting the Member(s) enrolled under the Agreement and other provisions that explain the duties of CareFirst BlueChoice and those of the Subscriber or Application Filer.