TRS Plan Options:

Some of 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 Blue Cross Blue Shield (medical) & CVS/Caremark (pharmacy)

New for 2020-2021!

  • Only employees that choose this new plan during Annual Enrollment will be enrolled in it
  • Co-pay plan – pay flat fees for office visits and prescriptions before you meet deductible
  • State Network-only – NO out-of-network benefits
  • PCP Referrals required to see specialists
  • You must Select a PCP and enter a 10 digit number when you enroll
  • 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 Blue Cross Blue Shield
  • Not compatible with a health savings account (HSA)
www.bcbstx.com/trsactivecare/

TRS Activecare Plan Highlights 2020-21 – two page comparison of all plans, including covered preventive care services

EMMA Benefits Counselor – interactive tool for choosing an  plan that talks you through choices

Find a Doctor or Facility – search for network providers

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
  • 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

  • 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 a Nationwide network with out-of-network coverage
  • No requirement for PCPs or referrals
  • 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
www.bcbstx.com/trsactivecare/

TRS Activecare Plan Highlights 2020-21  – two page comparison of TRS plans, including covered preventive care services

Emma Benefits Counselor – interactive tool for choosing a medical plan that talks you through choices-

To access “Ask Emma” choose your district, click “Go to Log In Page” and then select the “First Time User” link and follow the instructions to set up your account. Once your account has been set up you can log in again using your username and password.

Find a Doctor or Facility – search for network providers

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
  • 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

  • If you’re currently in TRS-ActiveCare Select and you make no changes during Annual Enrollment, this will be your plan next year
  • Co-pay plan – pay flat fees for office visits and prescriptions
  • State Network-only – no out-of-network benefits
  • PCP Referrals required to see specialists
  • 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 Blue Cross Blue Shield
  • Not compatible with a health savings account (HSA)

TRS Activecare Plan Highlights 2020-21 – two page comparison of all plans, including covered preventive care services

Emma Benefits Counselor – interactive tool for choosing an  plan that talks you through choices

Find a Doctor or Facility – search for network providers or find your 10 digit PCP number that is required when you enroll in this plan

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
  • 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

  • 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
  • No requirement for PCPs or referrals
  • Highest cost plan
http://www.trsactivecareaetna.com/

TRS Activecare Plan Highlights 2020-21 – two page comparison of all plans, including covered preventive care services

Emma Benefits Counselor – interactive tool for choosing an Aetna plan that talks you through choices

Find a Doctor or Facility – search for network providers

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
  • 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

ID Cards

Blue Cross Blue Shield (medical)
CAREMARK (pharmacy)
DocFind

BUYING HEALTH INSURANCE