An independent licensee of the Blue Cross and Blue Shield Association, CareFirst of Maryland offers health insurance and managed care services throughout the state of Maryland. Its main products are HMO, PPO, and traditional indemnity plans for individuals and groups, but it also offers dental and vision insurance and Medicare Part D coverage. The company is a subsidiary of CareFirst, a not-for-profit insurer in the Mid-Atlantic region, and together with its sister company, Group Hospitalization and Medical Services, it does business as CareFirst BlueCross BlueShield.