TRS Plan Information

For comprehensive information about TRS-ActiveCare plans and benefits, visit bcbstx.com/trsactivecare.

TRS-ActiveCare Primary

• Lowest premium of the three available plans.
• Statewide network benefits. No out-of-network benefits.
• A Primary Care Physician (PCP) is required.
• Primary Care Provider referrals required to see specialists.
• Copays for doctor visits and generic prescriptions before deductible.
• After deductible, insurance pays 70% of covered charges and participant pays 30% co-insurance.
• $50 co-pay for urgent care.

TRS-ActiveCare Primary+

• Premiums are higher than the HD plan.
• Statewide network benefits. No out-of-network benefits.
• A Primary Care Physician (PCP) is required.
• Primary Care Provider referrals required to see specialists.
• 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 than the HD and Primary plans.
• $50 copay for urgent care.

TRS-ActiveCare HD

• Premiums are higher than the Primary plan.
• Nationwide network with 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 70% of covered charges and participant pays 30% co-insurance.
• Compatible with Health Savings Accounts (HSA’s).

TRS-ActiveCare 2 (plan is closed to new enrollees)

• Nationwide network with 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.