Medical

Allen ISD Preferred Medical Plan

Cigna Open Access Network  | (855) 999-6808 |  www.cigna.com

Click the drop-down list below to access claim forms and more information.

Claim Form

Transition of Care Form

Dependent Disability Form

COB Questionnaire

ABPM ACF Form

Authorization to Release Confidentiality

UBC Help Desk

Email help@ubc-benefits.com to ask questions about any of the UBC plans, medical coverage, pharmacy, network, etc.

As a District of Innovation, Allen ISD is choosing to be flexible with the medical coverage offered to employees. That is why you are being given alternative health solutions for the upcoming plan year. Alongside the TRS medical plans, you now have the option to choose from 2 new medical plans: The Allen ISD Preferred Medical Basic Plan & the Allen ISD Preferred Medical Alternative Plan.

The Allen ISD Preferred Medical Plan provides:

  • Reduced Monthly Premiums
  • True PPO Plan Options
  • Large National Network
  • Lower Prescriptions Costs
  • Affordable Access to Care
  • Freedom of Choice-No Referrals Required
  • In- and Out-of-Network Benefits

Resources and Information

Cigna (Medical)
PCA Rx (pharmacy)
Does the Allen Preferred Medical plan cover your prescription? View the pharmacy formulary to see if yours is on the list.

Although dependent proof of eligibility is not required at the time of enrollment, the medical insurance providers reserves the right to request proof of eligibility for your dependents in the future.

Allen ISD Premiums for TRS-ActiveCare

Premiums are lower than TRS ActiveCare rates because Allen ISD contributes to TRS $340 per month per eligible* covered employee.

TRS-ActiveCare Plan Info

Visit the following websites for:

  • Plan Comparisons and Plan Details
  • Doctor & Hospital Searches
  • Tools & Resources

TRS ActiveCare All Plan Highlights 21-22

Medical Rate Chart 2021-2022

Allen ISD Benefit Eligibility Chart

TRS-ActiveCare Plans

Plans administered by BCBSTX (medical) & CVS/Caremark (pharmacy)

TRS-ActiveCare Primary

  • Lowest cost plan.
  • Statewide provider network with in-network benefits. No out-of-network benefits.
  • Will be able to apply for out-of-state coverage for dependent college students.
  • A Primary Care Physician (PCP) is required. Each covered person must choose a PCP. Must obtain a PCP referral before seeking specialty care. Claims may be denied if a covered person does not use their PCP. 
  • Copays for doctor visits and generic prescriptions before deductible.
  • After deductible, insurance pays 70% of covered charges and participant pays 30% co-insurance.
  • Includes zero cost generic preventive medications.
  • Includes telemedicine through Teledoc and RediMed for $0 co-pay per visit.
  • $50 co-pay for urgent care.

TRS-ActiveCare HD

  • Premiums are higher than the Primary plan.
  • Nationwide network with in-network and out-of-network benefits.
  • No requirement for PCP or referrals.
  • No copays. Participant must meet medical and pharmacy deductible before plan pays.
  • New individual deductible for coverage tiers that include spouse and/or children.
  • After deductible, insurance pays 70% of covered charges and participant pays 30% co-insurance.
  • Includes zero cost generic preventive medications.
  • Includes telemedicine through Teledoc and RediMed for $30 co-pay per visit.
  • Compatible with Health Savings Accounts (HSA’s).

TRS-ActiveCare Primary+ (PrimaryPlus)

  • Premiums are higher than the HD plan.
  • Statewide provider network with in-network benefits. No out-of-network benefits.
  • Can apply for out-of-state coverage for dependent college students.
  • A Primary Care Physician (PCP) is required. Each covered person must choose a PCP. Must obtain a PCP referral before seeking specialty care. Claims may be denied if a covered person does not use their PCP. 
  • Copays for doctor visits and generic prescriptions before deductible.
  • After deductible, insurance pays 80% of covered charges and participant pays 20% co-insurance.
  • Lowest deductibles and out-of-pocket maximums of all BCBSTX plan options.
  • Includes telemedicine through Teledoc and RediMed for $0 co-pay.
  • $50 copay for urgent care.

TRS-ActiveCare 2 – plan is closed to new participants

  • Highest cost plan.
  • Nationwide network with in-network and out-of-network benefits.
  • No requirement for PCP or referrals.
  • No copays. Participant must meet medical and pharmacy deductible before plan pays.
  • After deductible, insurance pays 80% of covered charges and participant pays 20% co-insurance.
  • Includes telemedicine through Teledoc and RediMed for $0 co-pay.
Plans administered by Scott & White Health Plan (medical & pharmacy)

SWHP HMO for TRS-ActiveCare

  • Highest cost plan (other than AC2 which is closed to new participants).
  • Must live OR work in certain DFW area counties to participate.
  • Provider network is not statewide. Only in-network benefits. No out-of-network benefits.
  • No requirement for PCP or referrals.
  • Copays for doctor visits and generic prescriptions before deductible.
  • No co-pay for primary care visits for dependents under age 19.
BCBSTX (medical)
CAREMARK (pharmacy)
SWHP HMO (medical/pharmacy)

Stay Connected

Download the BCBSTX App

Use the app to find providers, access coverage information, and view your member ID card. Text BCBSTXAPP to 33633.