The 2022 CareFirst BlueCross BlueShield Advantage DualPrime plan (HMO-SNP) is a Medicare Advantage Prescription Drug Plan for those with both Medicare and Medicaid (Maryland Medical Assistance Program) as a Qualified Medicare Beneficiary (QMB) or a Full Benefit Dual Eligible (FBDE). This plan combines your Medical, Hospital and Prescription Drug coverage with extra services and personalized programs focused on improving your health.
To be eligible for CareFirst BlueCross BlueShield Advantage DualPrime (HMO-SNP), you must also have Medicare Parts A & B and reside in the following Maryland counties: Anne Arundel, Baltimore, Baltimore City, Calvert, Caroline, Carroll, Cecil, Charles, Dorchester, Frederick, Howard, Harford, Kent, Montgomery, Prince Georges, Queen Anne’s, St. Mary’s, Somerset, Talbot, Wicomico and Worcester.
How Much You Pay for Covered Services
Monthly Plan Premium
$0 - $37.00 (Depending on your level of extra help)
Maximum Out-of-Pocket (MOOP)
$7,550 annually (This is not a deductible)
Inpatient Hospital Coverage1
Preventive Dental Services: $0 copay
Comprehensive Dental Services: $0 copay
$1,500 annual allowance towards services (member is responsible for all costs over allowance)
Denture Coverage: $0 copay
Personal Emergency Response System (PERS)1
*If your Medicaid status changes from Full Benefit Dual Eligible (FBDE) or Qualified Medicare Beneficiary (QMB), your copays and coinsurances may increase to 20% of the total cost for your medical benefits, the applicable Medicare Part A cost-shares, and 25% of the total cost of your Part D prescription drugs.
1May require prior authorization