{"id":34,"date":"2018-04-10T23:42:57","date_gmt":"2018-04-10T23:42:57","guid":{"rendered":"http:\/\/ffbenefits.ffga.com\/galenaparkisd-2\/?page_id=34"},"modified":"2024-07-07T22:45:58","modified_gmt":"2024-07-07T22:45:58","slug":"medical","status":"publish","type":"page","link":"https:\/\/ffbenefits.ffga.com\/galenaparkisd-2\/medical\/","title":{"rendered":"Medical"},"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-2932a17b2b39c4edf5b600563236d57c\">\n.avia-image-container.av-jv8srw4g-2932a17b2b39c4edf5b600563236d57c img.avia_image{\nbox-shadow:none;\n}\n.avia-image-container.av-jv8srw4g-2932a17b2b39c4edf5b600563236d57c .av-image-caption-overlay-center{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-image-container av-jv8srw4g-2932a17b2b39c4edf5b600563236d57c 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-2980 avia-img-lazy-loading-not-2980 avia_image ' src=\"\/wp-content\/uploads\/sites\/2403\/2019\/10\/MedicalBanner-1500x202.png\" alt='' title='MedicalBanner'  height=\"202\" width=\"1500\"  itemprop=\"thumbnailUrl\" srcset=\"\/wp-content\/uploads\/sites\/2403\/2019\/10\/MedicalBanner.png 1500w, \/wp-content\/uploads\/sites\/2403\/2019\/10\/MedicalBanner-300x40.png 300w, \/wp-content\/uploads\/sites\/2403\/2019\/10\/MedicalBanner-768x103.png 768w, \/wp-content\/uploads\/sites\/2403\/2019\/10\/MedicalBanner-1030x139.png 1030w, \/wp-content\/uploads\/sites\/2403\/2019\/10\/MedicalBanner-705x95.png 705w\" sizes=\"(max-width: 1500px) 100vw, 1500px\" \/><\/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'     ><section  class='av_textblock_section av-dd8hi-c603fbe3067319bfa8ababe0773d150b'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h2>TRS Plan Information<\/h2>\n<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. Certain specialists such as a gynecologist or pediatrician can be chosen as PCP. Claims may be denied if a covered person does not use their PCP. Must obtain a PCP referral for specialty care.<\/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 RediMed for $0 co-pay per visit.<\/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 80% of covered charges and participant pays 20% co-insurance.<\/li>\n<li>Includes zero cost generic preventive medications.<\/li>\n<li>Includes telemedicine through Teledoc and RediMed for $30 co-pay per visit.<\/li>\n<li>Compatible with Health Savings Accounts (HSA\u2019s).<\/li>\n<\/ul>\n<h4>TRS-ActiveCare Primary+<\/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. Certain specialists such as a gynecologist or pediatrician can be chosen as PCP. Claims may be denied if a covered person does not use their PCP. Must obtain a PCP referral for specialty care.<\/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 RediMed for $0 co-pay.<\/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 RediMed for $0 co-pay.<\/li>\n<\/ul>\n<\/div><\/section><\/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-4  el_after_av_two_third  el_before_av_heading  flex_column_div av-zero-column-padding column-top-margin'     ><section  class='av_textblock_section av-11y2q-544b9b6ae305f32ae276c61587ef551b'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h2 style=\"text-align: left\">TRS Plan Resources<\/h2>\n<p style=\"text-align: left\">TRS District Group Number : <strong>D0638<\/strong><\/p>\n<h3>Visit the following links for:<\/h3>\n<ul>\n<li><a href=\"\/wp-content\/uploads\/sites\/2403\/2024\/07\/2024-GP-Rates-Medical-Dental-Vision-Chart.pdf\" target=\"_blank\" rel=\"noopener\">2024-2025 Plan Year Rate Chart<\/a><\/li>\n<li><a href=\"\/wp-content\/uploads\/sites\/2403\/2024\/07\/2024-TRS-GP-plan-highlights-with-Rates_-region_4.pdf\" target=\"_blank\" rel=\"noopener\">TRS Plan Highlights and Rates<\/a><\/li>\n<li><a href=\"https:\/\/www.bcbstx.com\/trsactivecare\/coverage\">Plan Details<\/a><\/li>\n<li><a href=\"https:\/\/www.bcbstx.com\/trsactivecare\/doctors-and-hospitals\">Doctor &amp; Hospital Searches<\/a><\/li>\n<li><a href=\"https:\/\/www.bcbstx.com\/trsactivecare\/tools-and-resources\">Tools &amp; Resources<\/a><\/li>\n<\/ul>\n<p><a href=\"https:\/\/www.bcbstx.com\/trsactivecare\" target=\"_blank\" rel=\"noopener\">Blue Cross Blue Shield Website for TRS-ActiveCare<\/a> <a href=\"https:\/\/info.caremark.com\/trsactivecare\" target=\"_blank\" rel=\"noopener\">CVS\/Caremark Website for TRS-ActiveCare<\/a><\/p>\n<h3><span style=\"font-size: 18.72px\"><b>ID Cards<\/b><\/span><\/h3>\n<h5>BCBSTX (medical)<\/h5>\n<ul>\n<li><a href=\"https:\/\/www.bcbstx.com\/trsactivecare\" target=\"_blank\" rel=\"noopener\">BCBSTX for ActiveCare Website<\/a><\/li>\n<li>Call BCBSTX: 1-866-355-5999<\/li>\n<\/ul>\n<h5>EXPRESS SCRIPTS (pharmacy)<\/h5>\n<ul>\n<li><a href=\"https:\/\/info.express-scripts.com\/trsactivecare\" target=\"_blank\" rel=\"noopener\">Express Scripts Website for ActiveCare<\/a><\/li>\n<li>Call Express Scripts: 1 (844) 367-6108<\/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\"><strong>Download the BCBSTX App<\/strong><\/a> Use the app to find providers, access coverage information, and view your member ID card.\u00a0Text BCBSTXAPP to 33633.<\/p>\n<\/div>\n<h5><\/h5>\n<\/div><\/section><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-14fnq-61a78755a8dc22336238c4461a41b6b7\">\n#top .av-special-heading.av-14fnq-61a78755a8dc22336238c4461a41b6b7{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-14fnq-61a78755a8dc22336238c4461a41b6b7 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-14fnq-61a78755a8dc22336238c4461a41b6b7 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-14fnq-61a78755a8dc22336238c4461a41b6b7 av-special-heading-h3  avia-builder-el-6  el_after_av_one_third  el_before_av_video  av-linked-heading'><h3 class='av-special-heading-tag'  itemprop=\"headline\"  >BUYING HEALTH INSURANCE<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><\/p>\n<div  class='avia-video av-jv8ozkwj-ceb834b4ee1bd2582c9000015f45aba0 avia-video-16-9 av-no-preview-image avia-video-load-always av-lazyload-immediate av-lazyload-video-embed'  itemprop=\"video\" itemtype=\"https:\/\/schema.org\/VideoObject\"  data-original_url='https:\/\/ffga.wistia.com\/medias\/1zaw922gso'><script type='text\/html' class='av-video-tmpl'><div class='avia-iframe-wrap'><iframe loading=\"lazy\" class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" title=\"Buying Health Insurance Video\" src=\"https:\/\/fast.wistia.net\/embed\/iframe\/1zaw922gso?dnt=1#?secret=fGWd6Diwmm\" data-secret=\"fGWd6Diwmm\" frameborder=\"0\" scrolling=\"no\" width=\"640\" height=\"360\"><\/iframe><\/div><\/script><div class='av-click-to-play-overlay'><div class=\"avia_playpause_icon\"><\/div><\/div><\/div>\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-34","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/ffbenefits.ffga.com\/galenaparkisd-2\/wp-json\/wp\/v2\/pages\/34","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ffbenefits.ffga.com\/galenaparkisd-2\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/ffbenefits.ffga.com\/galenaparkisd-2\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/ffbenefits.ffga.com\/galenaparkisd-2\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/ffbenefits.ffga.com\/galenaparkisd-2\/wp-json\/wp\/v2\/comments?post=34"}],"version-history":[{"count":138,"href":"https:\/\/ffbenefits.ffga.com\/galenaparkisd-2\/wp-json\/wp\/v2\/pages\/34\/revisions"}],"predecessor-version":[{"id":3533,"href":"https:\/\/ffbenefits.ffga.com\/galenaparkisd-2\/wp-json\/wp\/v2\/pages\/34\/revisions\/3533"}],"wp:attachment":[{"href":"https:\/\/ffbenefits.ffga.com\/galenaparkisd-2\/wp-json\/wp\/v2\/media?parent=34"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}