Loyola University Maryland

Office of Human Resources

Medical Benefits

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The University currently offers three health care plans. They are CareFirst BlueCross/BlueShield Preferred Provider Network (BCBS PPO), BlueChoice HMO (health maintenance organization) and HealthyBlue HSA (qualified high deductible health plan). All plans provide prescription coverage. Benefits are available on a pre-tax basis. Coverage options include Employee, Two-Party, and Family. Enrollment is optional and you may waive coverage if you are covered under another health plan. For more information on the health care plans, please select the plan of interest below:

BlueCross/BlueShield - PPO (www.carefirst.com)

PPO Summary Plan Document 
PPO Major Medical Claim Form
LUMD PPO SBC Chart - 7/1/2014 - 6/30/2015

 BlueChoice HMO (www.carefirst.com

BlueChoice Summary Plan Document 
HMO Medical Claim Form 
LUMD HMO BlueChoice SBC Chart - 7/1/2014 - 6/30/2015 

HealthyBlue HSA (www.carefirst.com)

LUMD HealthyBlue HSA SBC Chart

Health Savings Accounts Pre-Enrollment Brochure

Health Savings Accounts from Tax Perspective

Contraceptive and sterilization services and procedures are not covered under any of the Loyola sponsored medical plans.  These services are available directly from CareFirst.  Access the benefit by providing your insurance card as you normally do to an in-network pharmacy (services and procedures will not be covered out-of-network).  CareFirst will in turn arrange payment directly to the pharmacy.  Contact CareFirst Member Services at 1-800-628-8549 for additional information. 

Additional Resources
Medicare Creditable Coverage Notice for BCBS PPO, BlueChoice HMO and HealthyBlue HSA 
CVS Caremark Mail Order Form
CVS Caremark Prescription Claim Form