Page 18 - Demo

Coverage for Out-of-State Dependents Gives Ultimate FlexibilityIf you enroll in TRS-ActiveCare Primary or TRS-ActiveCare Primary+ and have dependents who live out of state, they may still be able to get coverage outside Texas. You must complete an Out-of-State Dependent/Attestation Form, which you can get at www.bcbstx.com/trsactivecare/tools-and-resources/forms, from your employer%u2019s Benefits Administrator, or a PHG. Once you complete the form and BCBSTX approves it, your dependent will get a Coverage Exception Letter stating they can get out-of-state coverage through BCBSTX%u2019s Participating Provider nationwide network. Your dependent will need to show a copy of this letter when they get services. Everyone else on your plan will still need to see in-network providers and get referrals for specialists and other providers within Texas.Out-of-state dependents can search for a PAR provider at www.bcbstx.com. They can find a doctor or hospital and choose the ParPlan Network.The TRS-ActiveCare HD and TRS-ActiveCare 2 plans cover providers outside Texas. All participants and dependents enrolled in these plans have out-of-state coverage and don%u2019t need to complete a form.18 www.bcbstx.com/trsactivecare