Plan Options:
The district’s medical plans are offered through TRS. From in- and out-of-network options to comprehensive prescription drug coverage and special health and wellness programs, TRS-ActiveCare has been designed to flexibly meet the needs of nearly half a million public education employees.
Expand plans for details.
BCBSTX Plans (medical) & Express-Scripts (pharmacy)
What‘s New and What’s Changing
Ballinger ISD TRS Medical Rates
TRS-ActiveCare Primary
- Copays for doctor visits and generic prescriptions before you meet deductible
- Statewide Network
- Participants must select a primary care provider who will make referrals to specialists
- No out-of-network coverage
EMPLOYEE WILL RECEIVE 2 ID CARDS (BCBS & CAREMARK)
Website: https://www.bcbstx.com/trsactivecare/
Service: 866-355-5999
PHARMACY – CVS/CAREMARK
Website: https://info.caremark.com/trsactivecare
Telephone: 866-355-5999
DIGITAL APPS
- Email/text options available to get claim status/plan details/ways to save – update information through BCBS website: https://upp.bcbstx.com/
- Blue Access for Members (BAM) – available through Google Store or Apple Store: https://www.bcbstx.com/trsactivecare/tools-and-resources
HEALTH AND WELLBEING
View information on Health and Wellbeing.
- Well on Target
- Women’s and Family Health
- Ovia Health (app available through Google/Apple stores)
- Focus on Fitness
- Talk to a Nurse 24/7 Nurseline
ActiveCare HD
- Must meet deductible before plan pays for non-preventive care
- In-network and out-of-network benefits – separate out-of-network deductible/out-of-pocket maximum
- Nationwide network
- Deductible applies to medical and pharmacy
- No requirement for PCP or referrals
- Compatible with health savings account (HSA)
EMPLOYEE WILL RECEIVE 2 ID CARDS (BCBS & CAREMARK)
Website: https://www.bcbstx.com/trsactivecare/
Service: 866-355-5999
- Provider Directory Link (for Primary, Primary+, HD, AC2 only)
- TRS Virtual Health Information
- 2020 TRS-ActiveCare Employee Presentation
PHARMACY – CVS/CAREMARK
Website: https://info.caremark.com/trsactivecare
Telephone: 866-355-5999
DIGITAL APPS
- Email/text options available to get claim status/plan details/ways to save – update information through BCBS website: https://upp.bcbstx.com/
- Blue Access for Members (BAM) – available through Google Store or Apple Store: https://www.bcbstx.com/trsactivecare/tools-and-resources
HEALTH AND WELLBEING
View information on Health and Wellbeing.
- Well on Target
- Women’s and Family Health
- Ovia Health (app available through Google/Apple stores)
- Focus on Fitness
- Talk to a Nurse 24/7 Nurseline
ActiveCare Primary Plus
- Copays for many services and drugs
- Statewide Network
- Participants must select a primary care provider who will make referrals to specialists
- No out-of-network coverage
EMPLOYEE WILL RECEIVE 2 ID CARDS (BCBS & CAREMARK)
Website: https://www.bcbstx.com/trsactivecare/
Service: 866-355-5999
PHARMACY – CVS/CAREMARK
Website: https://info.caremark.com/trsactivecare
Telephone: 866-355-5999
DIGITAL APPS
- Email/text options available to get claim status/plan details/ways to save – update information through BCBS website: https://upp.bcbstx.com/
- Blue Access for Members (BAM) – available through Google Store or Apple Store: https://www.bcbstx.com/trsactivecare/tools-and-resources
HEALTH AND WELLBEING
View information on Health and Wellbeing.
- Well on Target
- Women’s and Family Health
- Ovia Health (app available through Google/Apple stores)
- Focus on Fitness
- Talk to a Nurse 24/7 Nurseline
ActiveCare 2 - CLOSED TO NEW ENROLLEES
- Copays for many drugs and services
- Nationwide network with out-of-network coverage
EMPLOYEE WILL RECEIVE 2 ID CARDS (BCBS & CAREMARK)
Website: https://www.bcbstx.com/trsactivecare/
Service: 866-355-5999
PHARMACY – CVS/CAREMARK
Website: https://info.caremark.com/trsactivecare
Telephone: 866-355-5999
DIGITAL APPS
- Email/text options available to get claim status/plan details/ways to save – update information through BCBS website: https://upp.bcbstx.com/
- Blue Access for Members (BAM) – available through Google Store or Apple Store: https://www.bcbstx.com/trsactivecare/tools-and-resources
HEALTH AND WELLBEING
View information on Health and Wellbeing.
- Well on Target
- Women’s and Family Health
- Ovia Health (app available through Google/Apple stores)
- Focus on Fitness
- Talk to a Nurse 24/7 Nurseline
Prescription Benefits
EXPRESS-SCRIPTS | http://www.express-scripts.com/trsactivecare | 1-844-367-6108
Starting Friday, Sept. 1, 2023, Express Scripts will be the new pharmacy benefits manager (PBM) for TRS-ActiveCare. We’re here to help you understand your prescription benefits and make it convenient and affordable for you and your family to get the prescription medications you may need.
HMO Plans
West Texas Blue Essentials HMO
- Copays for doctor visits and prescriptions before you meet deductible
- In-Network only – no out-of-network benefits
ALL COVERED MEMBERS WILL RECEIVE AN ID CARD FOR MEDICAL & PRESCRIPTION.
Website: www.bcbstx.com/trshmo
Service (including prescriptions): 888-378-1633
Provider directory link: https://my.providerfinderonline.com/?ci=tx-blueessentials
TRS Virtual Health Information
DIGITAL/APPS
- Email/text options available to get claim status/plan details/ways to save – update information through BCBS website https://upp.bcbstx.com/
- Blue Access for Members (BAM) – available through Google Store or Apple Store https://members.hcsc.net/wps/portal/bam
HEALTH AND WELLBEING
View information on Health & Wellbeing.
- Well on Target
- Fitness Program
- Special Beginning
- Talk to a Nurse 24/7 Nurseline
