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These plans differ in what you pay for premiums, coinsurance, deductibles and maximum out-of-pocket amounts.PLAN COINSURANCE DEDUCTIBLES MAXIMUM OUT OF POCKET COPAYSTRS-ActiveCare Primary 30% after deductible Individual: $2,500Family: $5,000Individual: $8,050Family: $16,100PCP: $30Specialist: $70TRS-ActiveCare Primary+ 20% after deductible Individual: $1,200Family: $2,400 Individual: $6,900Family: $13,800PCP: $15Specialist: $70TRS-ActiveCare HD PlanThis is a high-deductible plan. It works with a Health Savings Account, has out-of-network coverage, a nationwide network and coinsurance instead of copays. You have to meet your deductible before you have out-ofnetwork coverage or use coinsurance.This plan might be right for you if:%u2022 you or your family members don%u2019t have chronic health issues%u2022 you don%u2019t expect to have many doctor appointments%u2022 you want the freedom to choose any provider, even out of network%u2022 you live in Texas but get care from providers in another stateFeatures of this plan:%u2022 higher deductible%u2022 must meet your deductible before the plan starts to pay %u2022 no PCP required%u2022 no referrals needed for specialist visits%u2022 broad nationwide network with coverage outside Texas%u2022 out-of-network coverage %u2022 prescription benefits, including coverage for specialty medications%u2022 works with an HSAYou don%u2019t have copays with this plan. Your coinsurance, deductibles and maximum out-of-pocket amounts are different for in-network and out-of-network care. TRS-ACTIVECARE HD COINSURANCE DEDUCTIBLES MAXIMUM OUT OF POCKETIn network 30% after deductible Individual: $3,300Family: $6,600Individual: $8,300Family: $16,600Out of network 50% after deductible Individual: $6,600Family: $13,200Individual: $20,500Family: $41,00010 www.bcbstx.com/trsactivecare