Page 8 - 2021 Summer Enrollment

LEARN ABOUT YOUR PLANS
HealthSelect of Texas
A point-of-service health plan available to:
∙ Active employees and
∙ Non-Medicare-enrolled retirees
and their eligible dependents
∙ Who live or work in Texas
Plan Highlights
∙ You must contact BCBSTX to name an in-network PCP. If you haven’t named a PCP after your first 60 days on the plan, you will pay out-of-network charges, even if you see a provider who is in the HealthSelect network.
∙ Your PCP coordinates your care and manages any referrals you may need to see specialists.
∙ You pay nothing for medical and mental health Virtual Visits through MDLIVE and Doctor on Demand.
∙ You will have a copay for in- network office visits.
∙ There is 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.”
HealthSelect Out-of-State
A PPO plan available only to:
∙ Active employees and
∙ Non-Medicare-enrolled retirees
and their eligible dependents
∙ Who live or work 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.
∙ You will have a copay for certain services like PCP and specialist office visits.
∙ You pay nothing for medical and mental health Virtual Visits through MDLIVE and Doctor on Demand.
∙ There is 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.”
Consumer Directed HealthSelect
A high-deductible health plan available to:
∙ Active employees and
∙ Non-Medicare-enrolled retirees
and their eligible dependents
Plan Highlights
∙ This plan is a high-deductible health plan paired with a health savings account (HSA).
∙ You pay the full cost for most of 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.
∙ You have access to the same provider network as HealthSelect of
Texas participants.
∙ You do not need a referral to see a specialist.
∙ The monthly premium for dependent coverage is lower than HealthSelect of Texas.
∙ 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.
Learn About Your Plans www.healthselectoftexas.com 8