{"id":2961,"date":"2021-06-24T18:55:06","date_gmt":"2021-06-24T18:55:06","guid":{"rendered":"http:\/\/ffbenefits.ffga.com\/garlandisd\/?page_id=2961"},"modified":"2021-07-12T18:56:59","modified_gmt":"2021-07-12T18:56:59","slug":"medical-2021-2022","status":"publish","type":"page","link":"https:\/\/ffbenefits.ffga.com\/garlandisd\/medical-2021-2022\/","title":{"rendered":"Medical 2021-2022"},"content":{"rendered":"\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-17sxdf9-d5e8c1307696f270e5ecf71b323dff0a\">\n.flex_column.av-17sxdf9-d5e8c1307696f270e5ecf71b323dff0a{\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-17sxdf9-d5e8c1307696f270e5ecf71b323dff0a 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-15vhdf9-e0b84bd9b1c6ab27668b71b60f3879e8\">\n.avia-image-container.av-15vhdf9-e0b84bd9b1c6ab27668b71b60f3879e8 img.avia_image{\nbox-shadow:none;\n}\n.avia-image-container.av-15vhdf9-e0b84bd9b1c6ab27668b71b60f3879e8 .av-image-caption-overlay-center{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-image-container av-15vhdf9-e0b84bd9b1c6ab27668b71b60f3879e8 av-styling- avia_animated_image av-animated-when-visible-95 right-to-left 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-350 avia-img-lazy-loading-not-350 avia_image ' src=\"\/wp-content\/uploads\/sites\/15\/2018\/04\/Medical.png-1500x202.jpg\" alt='Medical Insurance' title='Medical.png'  height=\"202\" width=\"1500\"  itemprop=\"thumbnailUrl\" srcset=\"\/wp-content\/uploads\/sites\/15\/2018\/04\/Medical.png.jpg 1500w, \/wp-content\/uploads\/sites\/15\/2018\/04\/Medical.png-300x40.jpg 300w, \/wp-content\/uploads\/sites\/15\/2018\/04\/Medical.png-768x103.jpg 768w, \/wp-content\/uploads\/sites\/15\/2018\/04\/Medical.png-1030x139.jpg 1030w, \/wp-content\/uploads\/sites\/15\/2018\/04\/Medical.png-705x95.jpg 705w, \/wp-content\/uploads\/sites\/15\/2018\/04\/Medical.png-450x61.jpg 450w\" 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-151rewl-956bad667a2f3b682afb1f65c2f59364\">\n.flex_column.av-151rewl-956bad667a2f3b682afb1f65c2f59364{\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-151rewl-956bad667a2f3b682afb1f65c2f59364 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-13jnyvp-c0bb40b76a4e1c4f81546de6767f2b7c'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h3><strong>Medical Plans are Offered through TRS-ActiveCare<\/strong><\/h3>\n<p>The district\u2019s medical plans are offered through TRS. There are five TRS-ActiveCare medical plans to choose from (one is closed to new participants).\u00a0From 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.<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-av_heading-787af62a3d814d65ee645fda15e0d4af\">\n#top .av-special-heading.av-av_heading-787af62a3d814d65ee645fda15e0d4af{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-av_heading-787af62a3d814d65ee645fda15e0d4af .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-av_heading-787af62a3d814d65ee645fda15e0d4af .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-av_heading-787af62a3d814d65ee645fda15e0d4af av-special-heading-h3  avia-builder-el-4  el_after_av_textblock  el_before_av_textblock '><h3 class='av-special-heading-tag'  itemprop=\"headline\"  >Garland ISD Premiums for TRS-ActiveCare<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-9mnoet-418583ba1d51aaea3f284d1ee5b2fea5'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p>Premiums are lower than TRS ActiveCare rates because Garland ISD contributes to TRS $325 per month per eligible* covered employee.<\/p>\n<\/div><\/section><br \/>\n<div  class='avia-button-wrap av-aywn9x-2f39cf9f2e25f018b550afc5b2cab11e-wrap avia-button-center  avia-builder-el-6  el_after_av_textblock  el_before_av_heading '><a href='https:\/\/ffbenefits.ffga.com\/garlandisd\/wp-content\/uploads\/sites\/15\/2021\/06\/TRS-ActiveCare-Premiums-2021-v2.pdf'  class='avia-button av-aywn9x-2f39cf9f2e25f018b550afc5b2cab11e avia-icon_select-yes-left-icon avia-size-medium avia-position-center avia-color-theme-color'  target=\"_blank\"  rel=\"noopener noreferrer\" ><span class='avia_button_icon avia_button_icon_left' aria-hidden='true' data-av_icon='\ue827' data-av_iconfont='entypo-fontello'><\/span><span class='avia_iconbox_title' >2021-22 TRS ActiveCare Premiums<\/span><\/a><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-av_heading-2bda0f90ecf24d8c283933a8ba370e71\">\n#top .av-special-heading.av-av_heading-2bda0f90ecf24d8c283933a8ba370e71{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-av_heading-2bda0f90ecf24d8c283933a8ba370e71 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-av_heading-2bda0f90ecf24d8c283933a8ba370e71 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-av_heading-2bda0f90ecf24d8c283933a8ba370e71 av-special-heading-h3  avia-builder-el-7  el_after_av_button  el_before_av_textblock '><h3 class='av-special-heading-tag'  itemprop=\"headline\"  >TRS-ActiveCare Plan Info<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-jx54iwfh-8add792298dee482281bc79e61f4a694'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p><em>Visit the following websites for:<\/em><\/p>\n<ul>\n<li>Plan Comparisons and Plan Details<\/li>\n<li>Doctor &amp; Hospital Searches<\/li>\n<li>Tools &amp; Resources<\/li>\n<\/ul>\n<p><a href=\"https:\/\/www.trs.texas.gov\/TRS%20Documents\/2021-22-TRS-ActiveCare-plan-highlights.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">2021-22 TRS ActiveCare plan highlights<\/a><\/p>\n<p><a href=\"https:\/\/www.bcbstx.com\/trsactivecare\" target=\"_blank\" rel=\"noopener noreferrer\">Blue Cross Blue Shield Website for TRS-ActiveCare<\/a><\/p>\n<p><a href=\"https:\/\/info.caremark.com\/trsactivecare\" target=\"_blank\" rel=\"noopener noreferrer\">CVS\/Caremark Website for TRS-ActiveCare<\/a><\/p>\n<p><a href=\"https:\/\/trs.swhp.org\/\" target=\"_blank\" rel=\"noopener noreferrer\">Scott &amp; White Health Plan Website for TRS-ActiveCare<\/a><\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-av_heading-72941b354b8c3768001ba4b5b87e71d0\">\n#top .av-special-heading.av-av_heading-72941b354b8c3768001ba4b5b87e71d0{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-av_heading-72941b354b8c3768001ba4b5b87e71d0 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-av_heading-72941b354b8c3768001ba4b5b87e71d0 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-av_heading-72941b354b8c3768001ba4b5b87e71d0 av-special-heading-h3  avia-builder-el-9  el_after_av_textblock  el_before_av_textblock '><h3 class='av-special-heading-tag'  itemprop=\"headline\"  >TRS-ActiveCare Plans<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-jx54iwfh-8add792298dee482281bc79e61f4a694'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h5><strong><em>Plans administered by BCBSTX (medical) &#038; CVS\/Caremark (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 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 $30 co-pay per visit.<\/li>\n<li>Compatible with Health Savings Accounts (HSA\u2019s).<\/li>\n<\/ul>\n<h4>TRS-ActiveCare Primary+ (PrimaryPlus)<\/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  class='hr av-2tcglb-67993d8e936cbe4370fe9d5d877784ee hr-short  avia-builder-el-11  avia-builder-el-no-sibling  hr-center'><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div>\n<h5><strong><em>Plans administered by Scott &#038; White Health Plan (medical &#038; pharmacy)<\/em><\/strong><\/h5>\n<h4>SWHP HMO for TRS-ActiveCare<\/h4>\n<ul>\n<li>Highest cost plan (other than AC2 which is closed to new participants).<\/li>\n<li>Must live OR work in certain DFW area counties to participate.<\/li>\n<li>Provider network is not statewide. Only in-network benefits. No out-of-network benefits.<\/li>\n<li>No requirement for PCP or referrals.<\/li>\n<li>Copays for doctor visits and generic prescriptions before deductible.<\/li>\n<li>No co-pay for primary care visits for dependents under age 19.<\/li>\n<\/ul>\n<\/div><\/section><\/p><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-but1v9-c58db91ac2f24cdf79b5cc3c9298fa9c\">\n.flex_column.av-but1v9-c58db91ac2f24cdf79b5cc3c9298fa9c{\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-but1v9-c58db91ac2f24cdf79b5cc3c9298fa9c av_one_third  avia-builder-el-12  el_after_av_two_third  avia-builder-el-last  flex_column_div av-zero-column-padding column-top-margin'     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-5tr9kl-723016e7d74c2268321128d185016921\">\n#top #wrap_all .iconbox.av-5tr9kl-723016e7d74c2268321128d185016921 .iconbox_content_title{\ncolor:#2d5c88;\n}\n<\/style>\n<article  class='iconbox iconbox_top av-5tr9kl-723016e7d74c2268321128d185016921  avia-builder-el-13  el_before_av_hr  avia-builder-el-first  main_color'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class=\"iconbox_content\"><header class=\"entry-content-header\"><div class=\"iconbox_icon heading-color\" aria-hidden='true' data-av_icon='\ue81e' data-av_iconfont='entypo-fontello'><\/div><h3 class='iconbox_content_title '  itemprop=\"headline\" ><a href='https:\/\/ffbenefits.ffga.com\/garlandisd\/s125-plan-information\/' title='S125 Plan Info'  >S125 Plan Info<\/a><\/h3><\/header><div class='iconbox_content_container '  itemprop=\"text\" ><\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article><br \/>\n<div  class='hr av-83wfwl-0c145f78aef49e5240b83edb7f2c2e7e hr-default  avia-builder-el-14  el_after_av_icon_box  el_before_av_icon_box '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-4fvcsl-36863546df7880b25c18547806dbb495\">\n#top #wrap_all .iconbox.av-4fvcsl-36863546df7880b25c18547806dbb495 .iconbox_content_title{\ncolor:#2d5c88;\n}\n<\/style>\n<article  class='iconbox iconbox_top av-4fvcsl-36863546df7880b25c18547806dbb495  avia-builder-el-15  el_after_av_hr  el_before_av_textblock  main_color'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class=\"iconbox_content\"><header class=\"entry-content-header\"><div class=\"iconbox_icon heading-color\" aria-hidden='true' data-av_icon='\ue812' data-av_iconfont='entypo-fontello'><\/div><h3 class='iconbox_content_title '  itemprop=\"headline\" ><a href='https:\/\/ffbenefits.ffga.com\/garlandisd\/eligibility-for-benefits\/' title='ELIGIBILITY FOR BENEFITS'  >ELIGIBILITY FOR BENEFITS<\/a><\/h3><\/header><div class='iconbox_content_container '  itemprop=\"text\" ><\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article><br \/>\n<section  class='av_textblock_section av-1vm8lx-773f59cda3b1b985c5120d3e017140db'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><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 noreferrer\">BCBSTX for ActiveCare Website<\/a><\/li>\n<li>Call BCBSTX:<br \/>\n1-866-355-5999<\/li>\n<\/ul>\n<h5>CAREMARK (pharmacy)<\/h5>\n<ul>\n<li><a href=\"https:\/\/fast.caremark.com\/mcontainer\/v0\/info-caremark-mobile\/index.html\" target=\"_blank\" rel=\"noopener noreferrer\">Caremark Mobile App<\/a><\/li>\n<li><a href=\"https:\/\/www.caremark.com\/trsactivecare\" target=\"_blank\" rel=\"noopener noreferrer\">Caremark Website for ActiveCare<\/a><\/li>\n<li>Call Caremark:<br \/>\n1-866-355-5999<\/li>\n<\/ul>\n<h5>SWHP HMO (medical\/pharmacy)<\/h5>\n<ul>\n<li>MyBSWHealth App\n<ul>\n<li><a href=\"https:\/\/itunes.apple.com\/us\/app\/healthsource\/id1000856979?mt=8\" target=\"_blank\" rel=\"noopener noreferrer\">App Store<\/a><\/li>\n<li><a href=\"https:\/\/play.google.com\/store\/apps\/details?id=com.baylorscottandwhite.healthsource&#038;hl=en\" target=\"_blank\" rel=\"noopener noreferrer\">Google Play<\/a><\/li>\n<\/ul>\n<\/li>\n<li><a href=\"https:\/\/portal.swhp.org\/#\/\" target=\"_blank\" rel=\"noopener noreferrer\">SWHP Member Portal<\/a><\/li>\n<li>Call Scott &#038; White HMO:<br \/>\n844-633-5325<br \/>\n7 days\/week, 7 a.m. to 8 p.m.<\/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 noreferrer\"><strong>Download the BCBSTX App<\/strong><\/a><\/p>\n<p>Use the app to find providers, access coverage information, and view your member ID card.\u00a0Text BCBSTXAPP to 33633.<\/p>\n<\/div>\n<\/div><\/section><\/p><\/div><\/p>\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-2961","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/ffbenefits.ffga.com\/garlandisd\/wp-json\/wp\/v2\/pages\/2961","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ffbenefits.ffga.com\/garlandisd\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/ffbenefits.ffga.com\/garlandisd\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/ffbenefits.ffga.com\/garlandisd\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/ffbenefits.ffga.com\/garlandisd\/wp-json\/wp\/v2\/comments?post=2961"}],"version-history":[{"count":6,"href":"https:\/\/ffbenefits.ffga.com\/garlandisd\/wp-json\/wp\/v2\/pages\/2961\/revisions"}],"predecessor-version":[{"id":3076,"href":"https:\/\/ffbenefits.ffga.com\/garlandisd\/wp-json\/wp\/v2\/pages\/2961\/revisions\/3076"}],"wp:attachment":[{"href":"https:\/\/ffbenefits.ffga.com\/garlandisd\/wp-json\/wp\/v2\/media?parent=2961"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}