Your HealthCare4ChildCare Plan is Changing for 2027

Your HealthCare4ChildCare (HC4CC) plan is changing for 2027, but most of your coverage will stay the same.

You are currently enrolled in CareFirst BluePreferred PPO Essential Gold 500. For 2027, you will automatically be enrolled in the CareFirst BlueChoice HMO Essential Gold 500.

What’s Staying the Same and What’s Changing

While most of your coverage will stay the same, there are some important differences between your current PPO plan and your new HMO plan.

CURRENT PLAN CareFirst BluePreferred PPO Essential Gold 500	NEW PLAN (starting January 1, 2027) CareFirst BlueChoice HMO Essential Gold 500
FREE ($0 monthly premium)	SAME
$500 deductible	SAME
Free preventive care*	SAME
Free Type 2 Diabetes care including insulin, free Heart Disease and Stroke Care including imaging, free HIV care, and $5 Pediatric Mental Health Care**	SAME
Covers the following services without having to pay the deductible: Primary care visits: $25 copayment Specialist visits: $50 copayment Generic RX $15 copayment Urgent care visits $60 copayment Mental/behavioral health: $25 copayment	SAME
All other copays (hospital stay, RX, labs, ER, etc.)	SAME
Primary Care Provider No PCP required	DIFFERENT Primary Care Provider (PCP) Required Select a PCP in the "BlueChoice HMO" network
Specialists No PCP referrals required	SAME You do not need to see your PCP or get a referral before seeing a specialist. You can make an appointment directly with a specialist, as long as the specialist is in the “BlueChoice HMO” network.
47,000 in-network providers in the DMV region	DIFFERENT 44,000 in-network providers in the DMV region Before receiving care, search "BlueChoice HMO" network for your doctors, clinics, hospitals, and others

* Preventive care includes vaccinations, annual well-woman and well-child visits, contraception, screening for cancer, diabetes, hypertension, depression, and other chronic conditions, routine eye and dental check-ups for children, and more.

** Free means no copayment, no coinsurance, and no deductible. More information see Essential Plans.

Important: You will Receive Two Notices About Your Coverage

Around October 30, 2026: You will receive a termination notice from CareFirst stating that your current plan, CareFirst BluePreferred PPO Essential Gold 500, will end on December 31, 2026.
Around November 2, 2026: You will receive an enrollment notice from DC Health Link confirming that your new plan, CareFirst BlueChoice HMO Essential Gold 500, will begin January 1, 2027.

Don’t be alarmed when you receive the termination notice. This is part of the process of moving you to the new HMO plan. Your coverage will continue under your new HMO plan beginning January 1, 2027.

Questions?

Email

Email us at [email protected]

Phone

Call the DC Health Link Contact Center at (855) 532-5465 / TTY: 711

Schedule an Appointment

Schedule an appointment with an HC4CC staff member at
dchealthlink.com/hc4cc-help