Plan Options:
The district’s medical plans are offered through TRS. There are four medical plans to choose from. 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.
Administered by BCBS (medical) & CVS/Caremark (pharmacy)
ActiveCare 1-HD
- High deductible plan – must meet deductible before plan begins cost share
- In-network and out-of-network benefits – separate out-of-network deductible/out-of-pocket maximum
- Provider network is Aetna Choice POS II
- Deductible applies to medical and pharmacy
- There is no individual deductible. Should only one member of a family incur major expenses, that family member would have to meet the full family deductible.
- Employee is eligible to set up/contribute to a Health Savings Account
Plan Highlights – two page comparison of Aetna plans, including covered preventive care services
Benefits Booklet – 100+ pages of Aetna plan details including a detailed comparison of Aetna plans, list of covered services, limitations and exclusions, important terms and plan provisions
ALEX Benefits Counselor – interactive tool for choosing an Aetna plan that talks you through choices
Find a Doctor or Facility – search for network providers
Aetna Navigator – access medical ID cards, medical claims payments and Explanations of Benefits
Mobile Apps – get ID cards and plan information on the go
Resource Guides – one for each plan explaining what is offered with website links for more info:
- How the plan works – deductibles, co-pays, co-insurance, out-of-pocket maximums
- Choosing network providers and what happens if you go out-of-network
- Routine and emergency care options and costs
- Teladoc – doctors available 24/7 to diagnose, treat and prescribe medications
- 24-Hour Nurse Information Line – registered nurses answer questions and advise on care
- Aetna member discounts – save on health related products and services
- Wellness programs and services
- Care Advocate Team – trained nurses who can help you understand confusing medical conditions and treatments, and coordinate complex medical care
- Beginning Right Maternity Program – obtain support during your pregnancy and receive a $100 gift card for participation
- Finding participating retail pharmacy providers
- Maintenance medications and Specialty medications – options for obtaining them
- How to receive savings on glucose meter and supplies
- Drug Cost Tool – see what medications cost under your plan
Summary of Benefits & Coverage – for each plan, a summary of what you pay/what the plan pays for medical/pharmacy
ActiveCare Select
- Co-pay plan – pay flat fees for office visits and prescriptions
- Network-only – no out-of-network benefits
- Provider network is determined by the county in which the employee lives
- Note: If you obtain mail through a P.O. Box you must also list the street address at which you live.
- Dependents who temporarily or permanently live outside the network area would only have benefits in the event of a “true medical emergency” as defined by the plan and determined by Aetna.
Plan Highlights – two page comparison of Aetna plans, including covered preventive care services
Benefits Booklet – 100+ pages of Aetna plan details including a detailed comparison of Aetna plans, list of covered services, limitations and exclusions, important terms and plan provisions
ALEX Benefits Counselor – interactive tool for choosing an Aetna plan that talks you through choices
Find a Doctor or Facility – search for network providers
Aetna Navigator – access medical ID cards, medical claims payments and Explanations of Benefits
Mobile Apps – get ID cards and plan information on the go
Resource Guides – one for each plan explaining what is offered with website links for more info:
- How the plan works – deductibles, co-pays, co-insurance, out-of-pocket maximums
- Choosing network providers and what happens if you go out-of-network
- Routine and emergency care options and costs
- Teladoc – doctors available 24/7 to diagnose, treat and prescribe medications
- 24-Hour Nurse Information Line – registered nurses answer questions and advise on care
- Aetna member discounts – save on health related products and services
- Wellness programs and services
- Care Advocate Team – trained nurses who can help you understand confusing medical conditions and treatments, and coordinate complex medical care
- Beginning Right Maternity Program – obtain support during your pregnancy and receive a $100 gift card for participation
- Finding participating retail pharmacy providers
- Maintenance medications and Specialty medications – options for obtaining them
- How to receive savings on glucose meter and supplies
- Drug Cost Tool – see what medications cost under your plan
Summary of Benefits & Coverage – for each plan, a summary of what you pay/what the plan pays for medical/pharmacy
ActiveCare 2 - CLOSED TO NEW ENROLLEES
- THIS PLAN IS CLOSED TO NEW ENROLLEES
- Co-pay plan – pay flat fees for office visits and prescriptions
- In-network and out-of-network benefits – separate out-of-network deductible/out-of-pocket maximum
- Provider network is Aetna Choice POS II
- Highest cost plan
Plan Highlights – two page comparison of Aetna plans, including covered preventive care services
Benefits Booklet – 100+ pages of Aetna plan details including a detailed comparison of Aetna plans, list of covered services, limitations and exclusions, important terms and plan provisions
ALEX Benefits Counselor – interactive tool for choosing an Aetna plan that talks you through choices
Find a Doctor or Facility – search for network providers
Aetna Navigator – access medical ID cards, medical claims payments and Explanations of Benefits
Mobile Apps – get ID cards and plan information on the go
Resource Guides – one for each plan explaining what is offered with website links for more info:
- How the plan works – deductibles, co-pays, co-insurance, out-of-pocket maximums
- Choosing network providers and what happens if you go out-of-network
- Routine and emergency care options and costs
- Teladoc – doctors available 24/7 to diagnose, treat and prescribe medications
- 24-Hour Nurse Information Line – registered nurses answer questions and advise on care
- Aetna member discounts – save on health related products and services
- Wellness programs and services
- Care Advocate Team – trained nurses who can help you understand confusing medical conditions and treatments, and coordinate complex medical care
- Beginning Right Maternity Program – obtain support during your pregnancy and receive a $100 gift card for participation
- Finding participating retail pharmacy providers
- Maintenance medications and Specialty medications – options for obtaining them
- How to receive savings on glucose meter and supplies
- Drug Cost Tool – see what medications cost under your plan
Summary of Benefits & Coverage – for each plan, a summary of what you pay/what the plan pays for medical/pharmacy
