TRS BCBS Active Care Plan Information

Plans administered by BCBSTX (medical) & Express Scripts (pharmacy)

TRS-ActiveCare Primary

• Lowest cost plan.
• Statewide provider network with in-network benefits. No out-of-network benefits.
• Will be able to apply for out-of-state coverage for dependent college students.
• 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.
• Copays for doctor visits and generic prescriptions before deductible.

TRS-ActiveCare HD

• Premiums are higher than the Primary plan.
• Nationwide network with in-network and out-of-network benefits.
• No requirement for PCP or referrals.
• No copays. Participant must meet medical and pharmacy deductible before plan pays.
• New individual deductible for coverage tiers that include spouse and/or children.
• Compatible with Health Savings Accounts (HSA’s).

TRS-ActiveCare Primary+

• Premiums are higher than the HD plan.
• Statewide provider network with in-network benefits. No out-of-network benefits.
• Can apply for out-of-state coverage for dependent college students.
• 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.
• Copays for doctor visits and generic prescriptions before deductible.

TRS-ActiveCare 2 – plan is closed to new participants

• Highest cost plan.
• Nationwide network with in-network and out-of-network benefits.
• No requirement for PCP or referrals.
• No copays. Participant must meet medical and pharmacy deductible before plan pays.