Plan Options:
The district’s medical plans are offered through Blue Cross Blue Shield of Texas. There are three medical plans to choose from. The plans offer a PPO, HMO, and High Deductible option and includes prescription benefits offered by Prime Rx, a division of Blue Cross Blue Shield of Texas.
BCBSTX Plans (medical) & Prime Rx (pharmacy)
Blue Essentials HMO
- Copays for doctor visits and generic prescriptions before you meet deductible
- In-Network Only
- Participants must select a primary care provider who will make referrals to specialists
- No out-of-network coverage
Website: https://www.bcbstx.com/
Phone: 1-800-521-2227
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/member/account-access/mobile
HDHP Plan PPO
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- 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)
Website: https://www.bcbstx.com
Phone: 1-800-521-2227
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/member/account-access/mobile
Gold PPO
- Copays for many services and drugs
- In-network and out-of-network benefits – separate out-of-network deductible/out-of-pocket maximum
- Certain services are available before the deductible is met
- No requirements for PCP referrals to see specialists
Website: https://www.bcbstx.com
Phone: 1-800-521-2227
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/member/account-access/mobile
Prescription Benefits
Prime Rx | www.bcbstx.com | 1-800-521-2227
When you enroll in one of the BCBSTX medical plan options, you automatically receive prescription drug coverage through Prime Rx, a branch of blue cross blue shield, which gives you access to a large, national network of retail pharmacies.
