CareFirst BlueCross BlueShield is a not-for-profit health insurer and independent licensee of the Blue Cross and Blue Shield Association. CareFirst is committed to quality health care for everyone in its community. CareFirst’s not-for-profit status allows it to focus on its mission–caring more for its members rather than its bottom line. In every community, CareFirst works closely with local hospitals and doctors to provide a personalized approach to affordable, quality health care.