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Plan HighlightsNo charge for diagnostic labs and preventive care %u2014The plan covers these services at 100% even if you haven%u2019t met your deductible. The plan covers diagnostic labs at 100% when you get them at your doctor%u2019s office or at an innetwork independent lab. Use Provider Finder at www.bcbstx.com/trsactivecare to search for an in-network lab or call a PHG at 1-866-355-5999. Covered preventive care includes routine care, annual wellness exams, recommended vaccines and screenings for things like diabetes, cancer or depression.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 Teladoc - $12 copay for medical visits - $0 copay for mental health visitsLow copays %u2014 You%u2019ll pay $15 for PCP visits, mental health services and physical therapy and $70 copays for specialist visits.You choose a PCP %u2014 You must choose 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 SaveOnSPcopay assistance program.Need to KnoThe TRS-ActiveCare Primary and TRS-ActiveCare Primary+ plans only pay benefits when you get care from in-network doctors and providers (except in a true medical emergency). If you get out-of-network care, you won%u2019t have coverage and you%u2019re responsible for paying all associated costs. Both the TRS-ActiveCare Primary and TRS-ActiveCare Primary+ plans use the BCBSTX broad statewide network of hospitals and doctors. You choose an in-network PCP who oversees your routine care and gives referrals to see specialists. All your care is coordinated by your PCP, so make sure you choose specialists and hospitals in the network.You can select a PCP from these providers: %u2022 family or general practitioner%u2022 pediatrician%u2022 OB/GYN%u2022 geriatric practitioner%u2022 internist You can choose the same PCP for the whole family or a different PCP for each family member. For instructions on choosing a PCP, see pages 13-15. For gynecological or maternity care, you can see an innetwork OB/GYN without a referral or see your PCP for OB/GYN services. Need to Kno If you don%u2019t choose a PCP, we%u2019ll choose one for you. Also, if you go to a doctor other than your PCP or one your PCP referred you to, the plan won%u2019t cover your services %u2013 even if they%u2019re in network.Services that don%u2019t require a referral from your PCP:%u2022 mental health visits %u2022 OB/GYN care%u2022 dermatologist visits%u2022 physical therapist visits%u2022 services from a back-up PCP %u2022 emergency services%u2022 services from student health centers %u2022 services where Medicare or another type of insurance pays first%u2022 durable medical equipment%u2022 TRS Virtual Health visits %u2022 urgent care%u2022 labs%u2022 eye exams (both routine and diagnostic)%u2022 services from retail health clinicsSee pages 24-25 for details and a comparison of benefits for all plans.www.bcbstx.com/trsactivecare 17