{"id":3414,"date":"2023-06-16T22:18:17","date_gmt":"2023-06-16T22:18:17","guid":{"rendered":"http:\/\/ffbenefits.ffga.com\/allenisd\/?page_id=3414"},"modified":"2023-06-20T21:35:04","modified_gmt":"2023-06-20T21:35:04","slug":"medical-2023","status":"publish","type":"page","link":"https:\/\/ffbenefits.ffga.com\/allenisd\/medical-2023\/","title":{"rendered":"Medical 2023"},"content":{"rendered":"\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-wyiu-9252d288cb7a1ad993aed15c5afffaa9\">\n.flex_column.av-wyiu-9252d288cb7a1ad993aed15c5afffaa9{\n-webkit-border-radius:0px 0px 0px 0px;\n-moz-border-radius:0px 0px 0px 0px;\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div class='flex_column av-wyiu-9252d288cb7a1ad993aed15c5afffaa9 av_one_full  avia-builder-el-0  el_before_av_two_third  avia-builder-el-first  first flex_column_div av-zero-column-padding '     ><style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-jv8srw4g-c8c4ea185edd9da6afd53d4e1acfbb4f\">\n.avia-image-container.av-jv8srw4g-c8c4ea185edd9da6afd53d4e1acfbb4f img.avia_image{\nbox-shadow:none;\n}\n.avia-image-container.av-jv8srw4g-c8c4ea185edd9da6afd53d4e1acfbb4f .av-image-caption-overlay-center{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-image-container av-jv8srw4g-c8c4ea185edd9da6afd53d4e1acfbb4f av-styling- avia_animated_image av-animated-when-visible-95 left-to-right avia-align-center  avia-builder-el-1  avia-builder-el-no-sibling '   itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" ><div class=\"avia-image-container-inner\"><div class=\"avia-image-overlay-wrap\"><img decoding=\"async\" class='wp-image-2843 avia-img-lazy-loading-not-2843 avia_image ' src=\"\/wp-content\/uploads\/sites\/1667\/2021\/06\/Medical-1030x139.png\" alt='Medical' title='Medical'  height=\"139\" width=\"1030\"  itemprop=\"thumbnailUrl\" srcset=\"\/wp-content\/uploads\/sites\/1667\/2021\/06\/Medical-1030x139.png 1030w, \/wp-content\/uploads\/sites\/1667\/2021\/06\/Medical-300x41.png 300w, \/wp-content\/uploads\/sites\/1667\/2021\/06\/Medical-768x104.png 768w, \/wp-content\/uploads\/sites\/1667\/2021\/06\/Medical-1536x208.png 1536w, \/wp-content\/uploads\/sites\/1667\/2021\/06\/Medical-2048x277.png 2048w, \/wp-content\/uploads\/sites\/1667\/2021\/06\/Medical-1500x203.png 1500w, \/wp-content\/uploads\/sites\/1667\/2021\/06\/Medical-705x95.png 705w\" sizes=\"(max-width: 1030px) 100vw, 1030px\" \/><\/div><\/div><\/div><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-e8ote-e899b39894645e30ecb0a21538019451\">\n.flex_column.av-e8ote-e899b39894645e30ecb0a21538019451{\n-webkit-border-radius:0px 0px 0px 0px;\n-moz-border-radius:0px 0px 0px 0px;\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div class='flex_column av-e8ote-e899b39894645e30ecb0a21538019451 av_two_third  avia-builder-el-2  el_after_av_one_full  el_before_av_one_third  first flex_column_div av-zero-column-padding column-top-margin'     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-kqimzkts-549ecb6410d0976f2ac3126bc3176a80\">\n.iconbox.av-kqimzkts-549ecb6410d0976f2ac3126bc3176a80 .iconbox_icon{\nbackground-color:#c42032;\ncolor:#ffffff;\n}\n<\/style>\n<article  class='iconbox iconbox_left av-kqimzkts-549ecb6410d0976f2ac3126bc3176a80  avia-builder-el-3  el_before_av_heading  avia-builder-el-first '  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class=\"iconbox_content\"><header class=\"entry-content-header\"><div class=\"iconbox_icon heading-color\" aria-hidden='true' data-av_icon='\ue854' data-av_iconfont='entypo-fontello'><\/div><h3 class='iconbox_content_title '  itemprop=\"headline\" >TRS ActiveCare - BCBS<\/h3><\/header><div class='iconbox_content_container '  itemprop=\"text\" ><p>Blue Cross Blue Shield\u00a0 |\u00a0 (866) 355-5999\u00a0 |\u00a0 <a href=\"http:\/\/www.bcbstx.com\/trsactivecare\" target=\"_blank\" rel=\"noopener noreferrer\">www.bcbstx.com\/trsactivecare<\/a><\/p>\n<\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-5dll8t-f07d27c201e8dbfa790b371dcdda55d5\">\n#top .av-special-heading.av-5dll8t-f07d27c201e8dbfa790b371dcdda55d5{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-5dll8t-f07d27c201e8dbfa790b371dcdda55d5 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-5dll8t-f07d27c201e8dbfa790b371dcdda55d5 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-5dll8t-f07d27c201e8dbfa790b371dcdda55d5 av-special-heading-h3  avia-builder-el-4  el_after_av_icon_box  el_before_av_textblock '><h3 class='av-special-heading-tag'  itemprop=\"headline\"  >Allen ISD Premiums for TRS-ActiveCare<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-acv6-52c305b305557bd8a522bab8db220cd5'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p>Premiums are lower than TRS ActiveCare rates because Allen ISD contributes to TRS $340 per month per eligible* covered employee.<\/p>\n<\/div><\/section><br \/>\n<div  class='hr av-6m38u-721e41f525b6f91cfd753baa9a2bf66a hr-default  avia-builder-el-6  el_after_av_textblock  el_before_av_heading '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-43ks6l-9fd844f87a7202a7cc33bc8138747972\">\n#top .av-special-heading.av-43ks6l-9fd844f87a7202a7cc33bc8138747972{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-43ks6l-9fd844f87a7202a7cc33bc8138747972 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-43ks6l-9fd844f87a7202a7cc33bc8138747972 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-43ks6l-9fd844f87a7202a7cc33bc8138747972 av-special-heading-h3  avia-builder-el-7  el_after_av_hr  el_before_av_textblock '><h3 class='av-special-heading-tag'  itemprop=\"headline\"  >TRS-ActiveCare Plan Info<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-acv6-2-f6c6e16fa58b4ddc8326a25bf75059d2'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p><em>Visit the following websites for:<\/em><\/p>\n<ul>\n<li>Plan Comparisons and Plan Details<\/li>\n<li>Doctor &amp; Hospital Searches<\/li>\n<li>Tools &amp; Resources<\/li>\n<\/ul>\n<p><a href=\"https:\/\/www.trs.texas.gov\/TRS%20Documents\/2023-24-TRS-ActiveCare-plan-highlights-reg10.pdf\">TRS ActiveCare All Plan Highlights 2023-2024<\/a><\/p>\n<p><a href=\"\/wp-content\/uploads\/sites\/1667\/2023\/06\/MEDICAL-RATE-CHART-2023-2024.pdf\">TRS Medical Rate Chart<\/a><\/p>\n<p><a href=\"\/wp-content\/uploads\/sites\/1667\/2022\/07\/Allen-ISD-Benefit-Eligibility-Chart-22-23.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Allen ISD Benefit Eligibility Chart<\/a><\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-3a7oml-b24faeb32a640dca5e5c14f670c16335\">\n#top .av-special-heading.av-3a7oml-b24faeb32a640dca5e5c14f670c16335{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-3a7oml-b24faeb32a640dca5e5c14f670c16335 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-3a7oml-b24faeb32a640dca5e5c14f670c16335 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-3a7oml-b24faeb32a640dca5e5c14f670c16335 av-special-heading-h3  avia-builder-el-9  el_after_av_textblock  el_before_av_textblock '><h3 class='av-special-heading-tag'  itemprop=\"headline\"  >TRS-ActiveCare Plans<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-acv6-1-d7260e788af9b5f776edcfd80f8fadf0'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h5><strong><em>Plans administered by BCBSTX (medical) &amp; Express Scripts (pharmacy)<\/em><\/strong><\/h5>\n<h4>TRS-ActiveCare Primary<\/h4>\n<ul>\n<li>Lowest cost plan.<\/li>\n<li>Statewide provider network with in-network benefits. No out-of-network benefits.<\/li>\n<li>Will be able to apply for out-of-state coverage for dependent college students.<\/li>\n<li>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.<span class=\"Apple-converted-space\">\u00a0<\/span><\/li>\n<li>Copays for doctor visits and generic prescriptions before deductible.<\/li>\n<li>After deductible, insurance pays 70% of covered charges and participant pays 30% co-insurance.<\/li>\n<li>Includes zero cost generic preventive medications.<\/li>\n<li>Includes telemedicine through Teledoc and RediMD.<\/li>\n<li>$50 co-pay for urgent care.<\/li>\n<\/ul>\n<h4>TRS-ActiveCare HD<\/h4>\n<ul>\n<li>Premiums are higher than the Primary plan.<\/li>\n<li>Nationwide network with in-network and out-of-network benefits.<\/li>\n<li>No requirement for PCP or referrals.<\/li>\n<li>No copays. Participant must meet medical and pharmacy deductible before plan pays.<\/li>\n<li>New individual deductible for coverage tiers that include spouse and\/or children.<\/li>\n<li>After deductible, insurance pays 70% of covered charges and participant pays 30% co-insurance.<\/li>\n<li>Includes zero cost generic preventive medications.<\/li>\n<li>Includes telemedicine through Teledoc and RediMD.<\/li>\n<li>Compatible with Health Savings Accounts (HSA\u2019s).<\/li>\n<\/ul>\n<h4>TRS-ActiveCare Primary+ (PrimaryPlus)<\/h4>\n<ul>\n<li>Premiums are higher than the HD plan.<\/li>\n<li>Statewide provider network with in-network benefits. No out-of-network benefits.<\/li>\n<li>Can apply for out-of-state coverage for dependent college students.<\/li>\n<li>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.<span class=\"Apple-converted-space\">\u00a0<\/span><\/li>\n<li>Copays for doctor visits and generic prescriptions before deductible.<\/li>\n<li>After deductible, insurance pays 80% of covered charges and participant pays 20% co-insurance.<\/li>\n<li>Lowest deductibles and out-of-pocket maximums of all BCBSTX plan options.<\/li>\n<li>Includes telemedicine through Teledoc and RediMD.<\/li>\n<li>$50 copay for urgent care.<\/li>\n<\/ul>\n<h4>TRS-ActiveCare 2 \u2013 plan is closed to new participants<\/h4>\n<ul>\n<li>Highest cost plan.<\/li>\n<li>Nationwide network with in-network and out-of-network benefits.<\/li>\n<li>No requirement for PCP or referrals.<\/li>\n<li>No copays. Participant must meet medical and pharmacy deductible before plan pays.<\/li>\n<li>After deductible, insurance pays 80% of covered charges and participant pays 20% co-insurance.<\/li>\n<li>Includes telemedicine through Teledoc and RediMD.<\/li>\n<\/ul>\n<div  class='hr av-2tcglb-67993d8e936cbe4370fe9d5d877784ee hr-short  avia-builder-el-11  avia-builder-el-no-sibling  hr-center'><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div>\n<h5><strong><em>Plans administered by Scott &amp; White Health Plan (medical &amp; pharmacy)<\/em><\/strong><\/h5>\n<h4>SWHP HMO for TRS-ActiveCare<\/h4>\n<ul>\n<li>Highest cost plan (other than AC2 which is closed to new participants).<\/li>\n<li>Must live OR work in certain DFW area counties to participate.<\/li>\n<li>Provider network is not statewide. Only in-network benefits. No out-of-network benefits.<\/li>\n<li>No requirement for PCP or referrals.<\/li>\n<li>Copays for doctor visits and generic prescriptions before deductible.<\/li>\n<li>No co-pay for primary care visits for dependents under age 19.<\/li>\n<\/ul>\n<\/div><\/section><\/p><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-3ycpu-d59c1670fe39606bd68326dd98528212\">\n.flex_column.av-3ycpu-d59c1670fe39606bd68326dd98528212{\n-webkit-border-radius:0px 0px 0px 0px;\n-moz-border-radius:0px 0px 0px 0px;\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div class='flex_column av-3ycpu-d59c1670fe39606bd68326dd98528212 av_one_third  avia-builder-el-12  el_after_av_two_third  avia-builder-el-last  flex_column_div av-zero-column-padding column-top-margin'     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-1rw9a-d7290b5af5e44c413a0ccc934c766044\">\n.iconbox.av-1rw9a-d7290b5af5e44c413a0ccc934c766044 .iconbox_icon{\nbackground-color:#c42032;\n}\n<\/style>\n<article  class='iconbox iconbox_top av-1rw9a-d7290b5af5e44c413a0ccc934c766044  avia-builder-el-13  el_before_av_textblock  avia-builder-el-first  main_color'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class=\"iconbox_content\"><header class=\"entry-content-header\"><div class=\"iconbox_icon heading-color\" aria-hidden='true' data-av_icon='\ue812' data-av_iconfont='entypo-fontello'><\/div><h3 class='iconbox_content_title '  itemprop=\"headline\" ><a href='https:\/\/ffbenefits.ffga.com\/allenisd\/?page_id=1359' title='ELIGIBILITY FOR BENEFITS'  >ELIGIBILITY FOR BENEFITS<\/a><\/h3><\/header><div class='iconbox_content_container '  itemprop=\"text\" ><\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article><br \/>\n<section  class='av_textblock_section av-11y2q-544b9b6ae305f32ae276c61587ef551b'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h5>BCBSTX (medical)<\/h5>\n<ul>\n<li><a href=\"https:\/\/www.bcbstx.com\/trsactivecare\" target=\"_blank\" rel=\"noopener noreferrer\">BCBSTX for ActiveCare Website<\/a><\/li>\n<li><a href=\"https:\/\/www.bcbstx.com\/trsactivecare\/doctors-and-hospitals\" target=\"_blank\" rel=\"noopener noreferrer\">Provider Search<\/a><\/li>\n<li><a href=\"https:\/\/www.bcbstx.com\/trsactivecare\/tools-and-resources\/forms\" target=\"_blank\" rel=\"noopener noreferrer\">BCBSTX Downloadable Forms<\/a><\/li>\n<li>To request ID cards or inquire about coverage call BCBSTX at 866-355-5999<\/li>\n<\/ul>\n<h5>Express Scripts (pharmacy)<\/h5>\n<ul>\n<li><a href=\"https:\/\/www.express-scripts.com\/trsactivecare\">Express Scripts Website for ActiveCare<\/a><\/li>\n<li><a href=\"\/wp-content\/uploads\/sites\/1667\/2022\/08\/PrudentRx-Specialty-Drugs-FAQ-Primary-Primary-plans-only.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">PrudentRx Specialty Drugs FAQ (Primary &amp; Primary+ plans only)<\/a><\/li>\n<li>Call Express Scripts:<br \/>\n1-844-367-6108<\/li>\n<\/ul>\n<h5>SWHP HMO (medical\/pharmacy)<\/h5>\n<ul>\n<li>MyBSWHealth App\n<ul>\n<li><a href=\"https:\/\/itunes.apple.com\/us\/app\/healthsource\/id1000856979?mt=8\" target=\"_blank\" rel=\"noopener noreferrer\">App Store<\/a><\/li>\n<li><a href=\"https:\/\/play.google.com\/store\/apps\/details?id=com.baylorscottandwhite.healthsource&amp;hl=en\" target=\"_blank\" rel=\"noopener noreferrer\">Google Play<\/a><\/li>\n<\/ul>\n<\/li>\n<li><a href=\"https:\/\/trs.swhp.org\/\" target=\"_blank\" rel=\"noopener noreferrer\">SWHP Member Portal<\/a><\/li>\n<li><a href=\"https:\/\/portal.swhp.org\/#\/search?networkCode=BSW_PREM_HMO&amp;hideOptions=true\" target=\"_blank\" rel=\"noopener noreferrer\">Provider Search<\/a><\/li>\n<li><a href=\"https:\/\/trs.swhp.org\/Portals\/0\/Files\/Forms\/TRS\/2021\/SWHP_GR_TRS_Map_2020-21-FNL-WEB.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Coverage Area Map<\/a><\/li>\n<li><a href=\"https:\/\/trs.swhp.org\/tools-and-resources\" target=\"_blank\" rel=\"noopener noreferrer\">SWHP Documents and Forms<\/a><\/li>\n<li><a href=\"\/wp-content\/uploads\/sites\/1667\/2022\/07\/22-23-Baylor-SW-Member-Guide.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">23-24 Scott &amp; White Member-Guide<\/a><\/li>\n<li>Call Scott &amp; White HMO:<br \/>\n1-844-633-5325<br \/>\n7 days\/week, 7 a.m. to 8 p.m.<\/li>\n<\/ul>\n<div>\n<h3><strong>Stay Connected<\/strong><\/h3>\n<p><a href=\"https:\/\/www.bcbstx.com\/trsactivecare\/tools-and-resources\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>Download the BCBSTX App<\/strong><\/a><\/p>\n<p>Use the app to find providers, access coverage information, and view your member ID card.\u00a0Text BCBSTXAPP to 33633.<\/p>\n<\/div>\n<\/div><\/section><\/p><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-3414","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/ffbenefits.ffga.com\/allenisd\/wp-json\/wp\/v2\/pages\/3414","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ffbenefits.ffga.com\/allenisd\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/ffbenefits.ffga.com\/allenisd\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/ffbenefits.ffga.com\/allenisd\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/ffbenefits.ffga.com\/allenisd\/wp-json\/wp\/v2\/comments?post=3414"}],"version-history":[{"count":6,"href":"https:\/\/ffbenefits.ffga.com\/allenisd\/wp-json\/wp\/v2\/pages\/3414\/revisions"}],"predecessor-version":[{"id":3494,"href":"https:\/\/ffbenefits.ffga.com\/allenisd\/wp-json\/wp\/v2\/pages\/3414\/revisions\/3494"}],"wp:attachment":[{"href":"https:\/\/ffbenefits.ffga.com\/allenisd\/wp-json\/wp\/v2\/media?parent=3414"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}