Page 16 - Demo

TRS-ActiveCare PrimaryThis physician-directed plan has low monthly costs with $30 copays for primary care, and no copay for TRS Virtual Health with RediMDTM. It also works with the Member Rewards program that lets you earn credit toward future medical or pharmacy costs by reducing copays or coinsurance. It has a lower monthly premium and lower copays for doctor visits before you meet your deductible, so you can lower your out-of-pocket costs sooner. You must choose a PCP with this plan. PCPs can help you avoid unnecessary medical costs and refer you to quality specialists. You have a broad statewide network of providers to choose from and no regional network boundaries.Plan HighlightsThere%u2019s no charge for diagnostic labs or preventive care %u2014 The plan covers these services at 100% even if you don%u2019t meet your deductible. Diagnostic labs are covered at 100% only when your doctor%u2019s office or an in-network independent lab performs them. Use Provider Finder%u00ae at www.bcbstx.com/trsactivecare to search for an in-network lab or call a PHG at 1-866-355-5999. Preventive care covered by this plan includes routine care, annual wellness exams, recommended vaccines and screenings for things like diabetes, cancer or depression.Low copays %u2014 You pay $30 copays for primary care, mental health services and physical therapy and $70 copays for specialist visits. Convenient TRS Virtual Health visits %u2014 Get quality medical or mental health care without going to a doctor%u2019s office. When medically necessary, your provider can also send a prescription straight to your pharmacy.RediMD - $0 copay for medical visits TeladocTM - $12 copay for medical visits - $0 copay for mental health visitsYou choose a PCP %u2014 You must have a PCP to manage your care and refer you to specialists.Copay assistance for specialty medications %u2014 Get certain specialty medications for $0 with the SaveOnSP copay assistance program. TRS-ActiveCare Primary+ This physician-directed plan may have a higher premium, but it has the lowest deductibles, maximum out-of-pocket costs and coinsurance rates for many health care services and medications. It also works with the Member Rewards program that lets you earn credit toward future medical or pharmacy costs by reducing copays or coinsurance. You must choose a PCP when you enroll %u2014 you have a broad statewide network of providers to choose from. This plan has no regional network boundaries.TRS-ACTIVECARE PLAN HIGHLIGHTS16 www.bcbstx.com/trsactivecare