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 2 HMO’s, Standard and Enhanced and a High Deductible PPO option and includes prescription benefits offered by Prime Therapeutics, a division of Blue Cross Blue Shield of Texas.
Finding An In Network Provider:
- Go to BCBSTX.com
- Click on Find Care
- Select Find a Doctor or Hospital
- Under Basic Guest Search, click on Search or Doctors as Guest
- Input zip code
- Select Employer Plans
- Select Texas
- Select HMO or PPO (HMO select Blue Essentials/PPO select Blue Choice PPO)
- Type in the name of the doctor or hospital
BCBSTX Plans (medical) & Prime Therapeutics (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: 1-877-299-2377
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
Blue Choice PPO HDHP
- 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
Prescription Benefits
Prime Therapeutics www.myprime.com
Express Scripts Pharmacy (Mail Order)
1-833-715-0942 | www.express-scripts.com/rx
Accredo (Specialty Pharmacy)
1-833-721-1619 | www.accredo.com
When you enroll in one of the BCBSTX medical plan options, you automatically receive prescription drug coverage through Prime Therapeutics, a branch of Blue Cross Blue Shield, which gives you access to a large, national network of retail pharmacies.
Blue Cross Blue Shield of Texas
Blue Choice PPO HDHP (Group# 401496)
1-800-521-2227
Blue Essentials HMO Standard
(Group# 401497)
Blue Essentials HMO Enhanced
(Group# 401498)
1-877-299-2377
24/7 Nurseline
1-800-581-0393
Virtual Visits with MDLIVE
1-888-680-8646
www.MDLIVE.com/bcbstx
Pharmacy
Prime Therapeutics
Blue Choice PPO- 1-800-521-2227
Blue Essentials HMO- 1-877-299-2377
www.myprime.com
Express Scripts Pharmacy (Mail Order)
1-833-715-0942 | www.express-scripts.com/rx
Accredo (Specialty Pharmacy)
1-833-721-1619 | www.accredo.com
Away from Home Care
1-877-299-2377
Employees and covered dependents temporarily residing outside of Texas may be eligible to obtain covered services from a BCBS-affiliated HMO. To apply for the AFHC program you must call.
