Plan Options:

The district’s medical plans are offered through Blue Cross Blue Shield. All plans include:

  • $0 Copay Clinic available to insureds and covered dependents on all health plans*
  • $0 Copay Generic Prescriptions**
  • Living Better Diabetes Program***
  • Hospital Income Plan (HIP)****

Expand plans below for details.

*Excludes the Hospital Income Plan.
**Prescriptions must be from a $0 Copay Clinic provider, filled at a United Pharmacy, and listed on the $0 Copay Generic list.
***Program participation required for reimbursement of up to $2,500 of diabetic program eligible expenses annually.
****
Supplemental policy, zero cost to the employee, pays $250 for each day billed during an employee hospital stay. Waives major medical.

HMO Plans

  • $5,000 Individual/$10,000 Family In -Network Deductible
  • $5,000 Individual/$10,000 Family Out-of-Pocket Maximum
  • Must meet deductible before plan pays for non-preventive care
  • Plan pays at 100% post-deductible
  • Participants must select a primary care provider who will make referrals to specialists
  • Deductible applies to medical and pharmacy
  • No out-of-network coverage unless emergency
  • Not compatible with Health Savings Account (HSA)
  • Bronze Plan Maternity Reimbursement Caps In-Network Deductible at $4,000 for covered maternity expenses
  • $60 Primary Care Office Copay
  • $100 Specialist Office Copay
  • $4,000 Individual/$8,000 Family In -Network Deductible
  • $7,050 Individual/$14,100 Family Out-of-Pocket Maximum
  • Plan pays at 80% until Out-of-Pocket met
  • Participants must select a primary care provider who will make referrals to specialists
  • No out-of-network coverage unless emergency
  • Not compatible with Health Savings Account (HSA)
  • $100 prescription deductible
  • $60 Primary Care Office Copay
  • $100 Specialist Office Copay

PPO Plans

  • $6,650 Individual/$13,300 Family In-and-Out of Network Deductible
  • $6,650 Individual/$13,300 Family In-Network Out-of-Pocket Maximum
  • $10,000 Individual/$20,000 Family Out-of-Network Out-of-Pocket Maximum
  • Plan pays at 100% post-deductible In-Network
  • Bronze Plan Maternity Reimbursement Caps In-Network Deductible at $4,000 for covered maternity expenses
  • No requirement for PCP or referrals
  • Deductible applies to medical and pharmacy
  • Compatible with health savings account (HSA)
  • $4,000 Individual/$8,000 Family In-and-Out of Network Deductible
  • $7,050 Individual/$14,100 Family In-Network Out-of-Pocket Maximum
  • $8,000 Individual/$16,000 Family Out-of-Network Out-of-Pocket Maximum
  • Plan pays at 80% until Out-of-Pocket met
  • No requirement for PCP or referrals
  • $100 prescription deductible

Zero Copay Clinics Including Telehealth

UMC Physicians is proud to partner with Lubbock ISD to provide the best in care. Whether you are trying to get healthy, or just want to keep yourself healthy, UMC is here for you! 

UMC Clinic Locations and Services

Lubbock ISD also offers telehealth (video and telephone) services through the UMC Health System as part of its $0 Copay Clinics for covered (health plan members) employees and dependents.  See the link above for more information.

Contact Risk Management for the service key/code for telehealth services offered to health plan members and their covered families.

BUYING HEALTH INSURANCE