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.
BCBSTX Plans (medical) & Express Scripts (pharmacy)
TRS Active-Care Primary
- Copays for doctor visits and generic prescriptions before you meet deductible
- Statewide Network
- Participants must select a primary care provider who will make referrals to specialists
- No out-of-network coverage
EMPLOYEE WILL RECEIVE 2 ID CARDS (BCBS & EXPRESS SCRIPTS)
Website: https://www.bcbstx.com/trsactivecare/
Phone: 866-355-5999
PHARMACY – EXPRESS SCRIPTS
Website: https://www.express-scripts.com/trsactivecare
Phone: 844-367-6108
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/trsactivecare/tools-and-resources
HEALTH AND WELLBEING
View information on Health and Wellbeing.
- Well on Target
- Women’s and Family Health
- Ovia Health (app available through Google/Apple stores)
- Focus on Fitness
- Talk to a Nurse 24/7
ActiveCare HD
-
- 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)
EMPLOYEE WILL RECEIVE 2 ID CARDS (BCBS & EXPRESS SCRIPTS)
Website: https://www.bcbstx.com/trsactivecare/
Phone: 866-355-5999
PHARMACY – EXPRESS SCRIPTS
Website: https://www.express-scripts.com/trsactivecare
Phone: 844-367-6108
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/trsactivecare/tools-and-resources
HEALTH AND WELLBEING
View information on Health and Wellbeing.
- Well on Target
- Women’s and Family Health
- Ovia Health (app available through Google/Apple stores)
- Focus on Fitness
- Talk to a Nurse 24/7
ActiveCare Primary Plus
- Copays for many services and drugs
- Statewide Network
- Participants must select a primary care provider who will make referrals to specialists
- No out-of-network coverage
EMPLOYEE WILL RECEIVE 2 ID CARDS (BCBS & EXPRESS SCRIPTS)
Website: https://www.bcbstx.com/trsactivecare/
Phone: 866-355-5999
PHARMACY – EXPRESS SCRIPTS
Website: https://www.express-scripts.com/trsactivecare
Phone: 844-367-6108
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/trsactivecare/tools-and-resources
HEALTH AND WELLBEING
View information on Health and Wellbeing.
- Well on Target
- Women’s and Family Health
- Ovia Health (app available through Google/Apple stores)
- Focus on Fitness
- Talk to a Nurse 24/7
ActiveCare 2 - CLOSED TO NEW ENROLLEES
-
- Copays for many drugs and services
- Nationwide network with out-of-network coverage
EMPLOYEE WILL RECEIVE 2 ID CARDS (BCBS & EXPRESS SCRIPTS)
Website: https://www.bcbstx.com/trsactivecare/
Phone: 866-355-5999
PHARMACY – EXPRESS SCRIPTS
Website: https://www.express-scripts.com/trsactivecare
Phone: 844-367-6108
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/trsactivecare/tools-and-resources
HEALTH AND WELLBEING
View information on Health and Wellbeing.
- Well on Target
- Women’s and Family Health
- Ovia Health (app available through Google/Apple stores)
- Focus on Fitness
- Talk to a Nurse 24/7
Prescription Benefits
Express Scripts | https://www.express-scripts.com/trsactivecare | 1-844-367-6108
When you enroll in one of the BCBSTX PPO medical plan options, you automatically receive prescription drug coverage through Express Scripts which gives you access to a large, national network of retail pharmacies.
HMO Plans
South Texas Blue Essentials HMO
- Copays for doctor visits and prescriptions before you meet deductible
- In-Network only – no out-of-network benefits
ALL COVERED MEMBERS WILL RECEIVE AN ID CARD FOR MEDICAL & PRESCRIPTION.
Website: www.bcbstx.com/trshmo
Service (including prescriptions): 888-378-1633
Provider directory link: https://my.providerfinderonline.com/?ci=tx-blueessentials
TRS Virtual Health Information
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://members.hcsc.net/wps/portal/bam
HEALTH AND WELLBEING
View information on Health & Wellbeing.
- Well on Target
- Fitness Program
- Special Beginning
- Talk to a Nurse 24/7
West Texas Blue Essentials HMO
- Copays for doctor visits and prescriptions before you meet deductible
- In-Network only – no out-of-network benefits
ALL COVERED MEMBERS WILL RECEIVE AN ID CARD FOR MEDICAL & PRESCRIPTION.
Website: www.bcbstx.com/trshmo
Service (including prescriptions): 888-378-1633
Provider directory link: https://my.providerfinderonline.com/?ci=tx-blueessentials
TRS Virtual Health Information
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://members.hcsc.net/wps/portal/bam
HEALTH AND WELLBEING
View information on Health & Wellbeing.
- Well on Target
- Fitness Program
- Special Beginning
- Talk to a Nurse 24/7
