Opciones del plan:

Los planes médicos del distrito se ofrecen a través de Blue Cross Blue Shield. Todos los planes incluyen:

  • $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

Amplíe los planos más abajo para ver los detalles.

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. 

Lubbock ISD offers teleHealth (video and telephone) services through the UMC Health System as part of its Zero Copay Clinics for covered (health plan members) employees and dependents who are on the health plan also. The subscriber number required is the identification number listed on your BCBS medical card.  Additional information may also be required. Additional charges for laboratory tests, x-rays, and other testing are generally NOT covered by the District as part of this program and may require additional payment from the insured; the zero copay program relates primarily to clinic visit copays that are covered by the District for employees and their dependents who are part of one of the District’s health insurance plans.

Planes de HMO

  • $6,650 Individual/$13,300 Family In -Network Deductible
  • $7,600 Individual/$15,200 Family Out-of-Pocket Maximum
  • Debe cumplir con el deducible antes de que el plan pague la atención no preventiva
  • Plan pays at 80% until Out-of-Pocket met post deductible
  • Los participantes deben seleccionar un proveedor de atención primaria que los remita a especialistas
  • Deducible se aplica a la medicina y farmacia
  • No hay cobertura fuera de la red a menos que sea una emergencia 
  • $60 primary care office fee copay/$100 specialist office fee copay
  • 4.000 $ individuales / 8.000 $ familiares Deducible dentro de la red
  • $8,000 Individual/$16,000 Family Out-of-Pocket Maximum
  • Plan pays at 80% until Out-of-Pocket met post deductible
  • Los participantes deben seleccionar un proveedor de atención primaria que los remita a especialistas
  • No hay cobertura fuera de la red a menos que sea una emergencia 
  • Deducción de 100 dólares por receta
  • $60 primary care office fee copay/$100 specialist office fee copay

Planes PPO

  • $6,650 Individual/$13,300 Family In-Network Deductible
  • $10,000 Individual/$20,000 Family Out-of-Network Deductible
  • $7,600 Individual/$15,200 Family In-Network Out-of-Pocket Maximum
  • 10.000 $ individuales/ 20.000 $ familiares fuera de la red
  • Plan pays 80% until Out-of-Pocket met In-Network
  • Plan pays at 60% until Out-of-Pocket met Out-of-Network
  • No se requiere la presencia de PCP o de remisiones
  • Deducible se aplica a la medicina y farmacia
  • $3,500 Individual/$7,000 Family In-Network Deductible
  • $7,050 Individual/$14,100 Family Out-of-Network Deductible
  • $8,000 Individual/$16,000 Family In-and-Out-of-Network Out-of-Pocket Maximum
  • Plan pays at 80% until Out-of-Pocket met for In-Network post deductible
  • Plan pays at 50% until Out-of-Pocket met for Out-of-Network post deductible
  • No se requiere la presencia de PCP o de remisiones
  • $100 Prescription Deductible

  • BASIC HMO

    • Grupo 324956-1000
    • Servicio de atención al cliente: 1-877-299-2377

  • PLUS HMO

    • Grupo 251496-2000
    • Servicio de atención al cliente: 1-877-299-2377

  • BASIC PPO

    • Grupo 107576-0010
    • Servicio de atención al cliente: 1-800-521-2227

  • PREMIER PPO

    • Grupo 220289-0000
    • Servicio de atención al cliente: 1-800-521-2227

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