Page 8 - 2020 Summer Enrollment

HealthSelect of Texas
A point-of-service health plan available to:
„ Activeemployeesand
„ Non-Medicare-enrolled
retirees and their
eligible dependents
„ WholiveorworkinTexas
Plan Highlights
∙ Copay for in-network office visits.
∙ Your primary care provider (PCP) coordinates your care and manages any referrals you may need to see specialists.
∙ You must designate a PCP for you and your eligible dependents within 60 days of the first day you have HealthSelect coverage, or you will pay out-of-network charges, even if you see a provider who is in the HealthSelect network.
∙ No deductible for in-network services.
∙ When seeking care, be sure to
use an in-network provider. Visit www.healthselectoftexas.com, click on “Find a Doctor/Hospital,” look for HealthSelect of Texas and click “Search.”
8 www.healthselectoftexas.com
PLAN OPTIONS
Consumer Directed HealthSelect
A high-deductible health plan available to:
„ Activeemployeesand
„ Non-Medicare-enrolled retirees and their eligible dependents
Plan Highlights
∙ You pay the full cost for your health care and prescriptions (except preventive care) until you meet the annual deductible.
∙ You are not required to select a PCP; however, having a PCP is important to managing your overall health.
∙ Thisplanhasahigh-deductible health plan paired with a health savings account (HSA).
∙ You have access to the same provider network as HealthSelect of Texas participants.
∙ You do not need a referral to see a specialist.
∙ You can use funds in your HSA to pay for qualified medical expenses, including your deductible and coinsurance.
∙ If you are enrolled in Medicare, you are not eligible for this plan.
∙ Themonthlypremiumfor dependent coverage is lower than HealthSelect of Texas.
HealthSelect Out-of-State
A PPO plan available only to:
„ Activeemployeesand
„ Non-Medicare-enrolled retirees and their eligible dependents
„ Wholiveorwork outside of Texas
Plan Highlights
∙ Benefits are the same as HealthSelect of Texas.
∙ You are not required to select a PCP; however, having a PCP is important to managing your overall health.
∙ You do not need a referral to see a specialist.
∙ Copay for certain services like PCP and specialist office visits.
∙ No deductible for in-network services.
∙ When seeking care, be sure to use
an in-network provider. To find an out-of-state network provider, visit www.healthselectoftexas.com, click on “Find a Doctor/Hospital,” look for HealthSelect Out-of-State and click “Search.”