CareFirst of Maryland Health Insurance in Hyattsville, MD

Updated July 2026 · MarylandPlanFinder.com — Licensed Health Insurance Producer (NPN #21249133)

In 2026, Hyattsville residents can choose from plans offered by four carriers on the Maryland Health Connection marketplace.
CareFirst of Maryland provides a range of plan types, including PPO, HMO, and EPO options, on-exchange for subsidy-eligible shoppers.
Maryland expanded Medicaid (HealthChoice), covering adults up to 138% of the Federal Poverty Level (FPL).
Hyattsville is located in Rating Area 1, which covers 24 counties across Maryland.

Navigating health insurance options in Hyattsville, Maryland, can feel complex, but understanding your choices with carriers like CareFirst of Maryland is straightforward. As a resident of Hyattsville, you can access a variety of health plans through the Maryland Health Connection, Maryland's official state-based marketplace. CareFirst of Maryland is one of the prominent carriers offering plans in this region, providing options ranging from PPOs to HMOs and EPOs. These plans are designed to meet diverse needs, whether you prioritize lower monthly premiums, specific doctor networks, or broader coverage flexibility. Your eligibility for financial assistance, such as subsidies that reduce your monthly premiums, depends on your household income and size.

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What CareFirst of Maryland Plans Are Available in Hyattsville?

CareFirst of Maryland offers a comprehensive selection of health insurance plans through the Maryland Health Connection marketplace in Hyattsville. Unlike some states, Maryland's marketplace allows consumers to choose from Health Maintenance Organization (HMO), Preferred Provider Organization (PPO), and Exclusive Provider Organization (EPO) structures. This means Hyattsville residents have greater flexibility in selecting a plan that aligns with their preferred doctor access and cost-sharing preferences. CareFirst of Maryland, alongside its affiliate CareFirst BlueChoice, is a major provider of both PPO and HMO plans on-exchange in Maryland. PPO plans typically offer more flexibility to see out-of-network providers, albeit at a higher cost, while HMOs usually require you to choose a primary care physician (PCP) and get referrals for specialists within a defined network. EPOs offer a network of providers, similar to an HMO, but generally do not require a referral to see a specialist within the network. Understanding these differences can help you select the most suitable CareFirst of Maryland plan for your healthcare needs in Hyattsville.

Understanding Your Eligibility and Subsidies in Maryland

Maryland's commitment to accessible healthcare means that many Hyattsville residents qualify for significant financial assistance to make health insurance affordable. The Maryland Health Connection marketplace uses your household income and size to determine eligibility for subsidies, which can drastically lower your monthly premiums and out-of-pocket costs.

Premium Tax Credits (Subsidies)

Premium tax credits are available on a sliding scale for individuals and families with incomes between 100% and 400% of the Federal Poverty Level (FPL). For 2026, this range is approximately $15,060 to $60,240 for a single individual, and higher for larger households. These credits can be applied directly to your monthly premiums, reducing the amount you pay out-of-pocket.

Cost-Sharing Reductions (CSRs)

If your income is between 100% and 250% FPL (approximately $15,060 to $37,650 for a single individual), you may also qualify for Cost-Sharing Reductions (CSRs). These subsidies reduce your deductibles, co-payments, and out-of-pocket maximums, making healthcare services more affordable when you use them. CSRs are only available with Silver-tier plans, which are enhanced to provide better coverage at a lower cost for eligible individuals.

Maryland Medicaid (HealthChoice)

Maryland expanded its Medicaid program, known as HealthChoice, in 2014. This means adults with incomes up to 138% FPL may qualify for comprehensive, low-cost or free health coverage. For a single individual, this threshold is approximately $20,782 annually in 2026. This is a crucial safety net, ensuring that low-income residents in Hyattsville have access to necessary medical care without facing a coverage gap. Maryland Medicaid also provides coverage for pregnant women with incomes up to 250% FPL and children up to 300% FPL through the Maryland Children's Health Program (MCHP).

Health Insurance Carriers in Hyattsville

Residents of Hyattsville, located in Prince George's County, have a selection of carriers offering plans on the Maryland Health Connection marketplace. Hyattsville is part of Maryland Rating Area 1, which covers a broad region including 24 counties: Allegany, Anne Arundel, Baltimore, Baltimore, Calvert, Caroline, Carroll, Cecil, Charles, Dorchester, Frederick, Garrett, Harford, Howard, Kent, Montgomery, Prince George's, Queen Anne's, Somerset, St. Mary's, Talbot, Washington, Wicomico, Worcester. In 2026, four carriers offer marketplace plans in Rating Area 1:

CareFirst BlueChoice: Offers a variety of plans, including HMO and PPO options.
CareFirst of Maryland: Provides comprehensive HMO, PPO, and EPO plans tailored to different needs.
Optimum Choice: Another key provider in the region, offering competitive health insurance options.
Wellpoint: Delivers additional choices for individuals and families seeking coverage.

These carriers provide a competitive landscape, ensuring that Hyattsville residents have multiple options to compare for the best fit in terms of cost, network, and plan structure.

Local Healthcare Landscape in Hyattsville and Prince George's County

Hyattsville, with a population of 20,966 and a median income of $91,941 per U.S. Census Bureau ACS 2024 5-year estimates, is a vibrant part of Prince George's County. The county itself has a population of 959,754 and a median income of $101,798. Despite its robust population, Prince George's County does not have any acute care hospitals within its boundaries. This means that Hyattsville residents needing acute hospital services typically travel to neighboring counties within Rating Area 1 for their care. The city's uninsured rate stands at 16.1%, highlighting the ongoing need for accessible and affordable health insurance options like those offered by CareFirst of Maryland through the Maryland Health Connection.

Choosing the Right CareFirst of Maryland Plan

Selecting the ideal health insurance plan involves considering your budget, expected healthcare needs, and preferences for provider access. Here's a general guide for Hyattsville residents considering CareFirst of Maryland plans:

If you qualify for significant subsidies: Explore Silver plans, especially if your income is between 100% and 250% FPL. These plans combine premium tax credits with Cost-Sharing Reductions, offering excellent value with lower out-of-pocket costs.
If you have a limited budget and good health: Bronze or Catastrophic plans (if eligible) from CareFirst of Maryland might offer the lowest premiums, but come with higher deductibles and out-of-pocket maximums. These are best for covering unexpected serious illness or injury.
If you prefer broader network access: CareFirst of Maryland's PPO plans, available on-exchange in Maryland, offer more flexibility to see out-of-network providers, though they typically have higher premiums.
If you're comfortable with a network and referrals: CareFirst of Maryland's HMO plans can be a cost-effective choice, providing coordinated care through a primary care physician.
If you want a network without referrals: CareFirst of Maryland's EPO plans offer a middle ground, providing a network of providers without the need for a PCP referral for specialists.

An independent, licensed health insurance producer specializing in the Maryland marketplace can help you compare CareFirst of Maryland's offerings against other carriers, ensuring you find a plan that meets your specific requirements and budget.

Frequently Asked Questions

Can I get CareFirst of Maryland PPO plans in Hyattsville?

Yes, CareFirst of Maryland offers PPO plans on the Maryland Health Connection marketplace in Hyattsville, along with HMO and EPO options. Maryland is one of the states where PPO plans are available on-exchange for subsidy-eligible shoppers.

What income qualifies for Medicaid in Maryland?

Maryland expanded Medicaid (HealthChoice) in 2014. Adults with income up to 138% of the Federal Poverty Level (FPL) may qualify. For a single individual, this is approximately $20,782 per year in 2026. Pregnant women may qualify with income up to 250% FPL, and children up to 300% FPL for the Maryland Children's Health Program (MCHP).

How many health insurance carriers offer plans in Hyattsville?

In 2026, four carriers offer marketplace health insurance plans in Rating Area 1, which includes Hyattsville and Prince George's County. These carriers are CareFirst BlueChoice, CareFirst of Maryland, Optimum Choice, and Wellpoint.

Where do Hyattsville residents go for acute hospital care?

Prince George's County, where Hyattsville is located, does not have any acute care hospitals within its boundaries. Residents needing acute care typically travel to neighboring counties within Rating Area 1 for hospital services.