Page 3 - 2021 Summer Enrollment

SEE WHAT’S NEW
$0 copay for mental health Virtual Visits
If you are enrolled in HealthSelect of Texas, HealthSelectSM Out-of-State or HealthSelectSM Secondary, mental health Virtual Visits through Doctor on Demand® and MDLIVE® will be covered at 100% beginning July 1, 2021. This means you will pay nothing for medical and mental health Virtual Visits.
IfyouareenrolledinConsumerDirectedHealthSelect, you must meet your annual deductible before medical and mental health Virtual Visits are covered. After you meet your deductible, you will pay 20% coinsurance.
Welcome HMO participants to HealthSelect of Texas
Health maintenance organization (HMO) plans will no longer be offered after September 1, 2021.
All HMO participants who do not have Medicare as their primary insurer will be automatically enrolled in HealthSelect of Texas beginning September 1, 2021. HMO participants also have the option to choose Consumer Directed HealthSelect or waive GBP health coverage during Summer Enrollment.
Diagnostic A1c lab test benefit
Effective September 1, 2021, Consumer Directed HealthSelect and HealthSelect Secondary plan participants will no longer need to meet their annual deductible before in-network diagnostic A1c testing for diabetes is covered. Coinsurance will still apply.
Because there is no in-network deductible for HealthSelect of Texas and HealthSelect Out-of- State, there is no change to these plans. In-network preventive A1c testing will still be covered at no cost to participants.
Annual out-of-pocket maximum
Effective January 1, 2022, the total in-network annual out-of-pocket maximum will increase for all HealthSelect plans, including Consumer Directed HealthSelect. The out-of-pocket maximum will increase to $7,000 for employee-only coverage and $14,000 for family coverage. The out-of-pocket maximum includes expenses you pay toward medical and prescription drug copays, coinsurance and deductibles, if your plan has one.
3 Call a BCBSTX Personal Health Assistant toll-free at (800) 252-8039 (TTY:711), Monday - Friday 7 a.m. - 7 p.m. and Saturday 7 a.m. - 3 p.m. CT See What’s New