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 plans1
- Telemedicine Plan with UMC’s $0 Copay Clinics
- $0 Copay Generic Prescriptions2
- Living Better Diabetes Program3
Expand plans below for details.
1Excludes waived medical plan enrolled staff/family members.2Prescriptions must be from a $0 Copay Clinic provider, filled at a United Pharmacy, and listed on the $0 Copay Generic list. 3Program participation required for reimbursement of up to $2,500 of diabetic program eligible expenses annually.
HMO Plans
BASIC HMO (BRONZE HMO)
- $6,650 Individual/$13,300 Family In -Network Deductible
- $6,650 Individual/$13,300 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
- $60 primary care office fee copay/$100 specialist office fee copay
PLUS HMO (SILVER HMO)
- $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
- $100 prescription deductible
- $60 primary care office fee copay/$100 specialist office fee copay
PPO Plans
BASIC PPO (BRONZE PPO)
- $6,650 Individual/$13,300 Family In-Network Deductible
- $6,650 Individual/$13,300 Family In-Network Out-of-Pocket Maximum
- $10,000 Individual/$20,000 Family Out-of-Network Deductible
- $10,000 Individual/$20,000 Family Out-of-Network Out-of-Pocket Maximum
- Plan pays at 100% post-deductible In-Network
- Plan pays at 40% until Out-of-Pocket met for Out-of-Network
- No requirement for PCP or referrals
- Deductible applies to medical and pharmacy
PREMIER PPO (SILVER PPO)
- $3,500 Individual/$7,000 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 for In-Network
- Plan pays at 50% until Out-of-Pocket met for Out-of-Network
- 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.