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.

Administered by Aetna (medical) & CVS/Caremark (pharmacy)

  • High deductible plan – must meet deductible before plan begins cost share
  • In-network and out-of-network benefits – separate out-of-network deductible/out-of-pocket maximum
  • Provider network is Aetna Choice POS II
  • Deductible applies to medical and pharmacy
  • There is no individual deductible. Should only one member of a family incur major expenses, that family member would have to meet the full family deductible.
  • Employee is eligible to set up/contribute to a Health Savings Account

Plan Highlights – two page comparison of Aetna plans, including covered preventive care services

Benefits Booklet – 100+ pages of Aetna plan details including a detailed comparison of Aetna plans, list of covered services, limitations and exclusions, important terms and plan provisions

ALEX Benefits Counselor – interactive tool for choosing an Aetna plan that talks you through choices

Find a Doctor or Facility – search for network providers

Aetna Navigator – access medical ID cards, medical claims payments and Explanations of Benefits

Mobile Apps – get ID cards and plan information on the go

Resource Guides – one for each plan explaining what is offered with website links for more info:

  • How the plan works – deductibles, co-pays, co-insurance, out-of-pocket maximums
  • Choosing network providers and what happens if you go out-of-network
  • Routine and emergency care options and costs
  • Teladoc – doctors available 24/7 to diagnose, treat and prescribe medications
  • 24-Hour Nurse Information Line – registered nurses answer questions and advise on care
  • Aetna member discounts – save on health related products and services
  • Wellness programs and services
  • Care Advocate Team – trained nurses who can help you understand confusing medical conditions and treatments, and coordinate complex medical care
  • Beginning Right Maternity Program – obtain support during your pregnancy and receive a $100 gift card for participation
  • Finding participating retail pharmacy providers
  • Maintenance medications and Specialty medications – options for obtaining them
  • How to receive savings on glucose meter and supplies
  • Drug Cost Tool – see what medications cost under your plan

Summary of Benefits & Coverage – for each plan, a summary of what you pay/what the plan pays for medical/pharmacy

  • Co-pay plan – pay flat fees for office visits and prescriptions
  • Network-only – no out-of-network benefits
  • Provider network is determined by the county in which the employee lives
  • Note: If you obtain mail through a P.O. Box you must also list the street address at which you live.
  • Dependents who temporarily or permanently live outside the network area would only have benefits in the event of a “true medical emergency” as defined by the plan and determined by Aetna.

Plan Highlights – two page comparison of Aetna plans, including covered preventive care services

Benefits Booklet – 100+ pages of Aetna plan details including a detailed comparison of Aetna plans, list of covered services, limitations and exclusions, important terms and plan provisions

ALEX Benefits Counselor – interactive tool for choosing an Aetna plan that talks you through choices

Find a Doctor or Facility – search for network providers

Aetna Navigator – access medical ID cards, medical claims payments and Explanations of Benefits

Mobile Apps – get ID cards and plan information on the go

Resource Guides – one for each plan explaining what is offered with website links for more info:

  • How the plan works – deductibles, co-pays, co-insurance, out-of-pocket maximums
  • Choosing network providers and what happens if you go out-of-network
  • Routine and emergency care options and costs
  • Teladoc – doctors available 24/7 to diagnose, treat and prescribe medications
  • 24-Hour Nurse Information Line – registered nurses answer questions and advise on care
  • Aetna member discounts – save on health related products and services
  • Wellness programs and services
  • Care Advocate Team – trained nurses who can help you understand confusing medical conditions and treatments, and coordinate complex medical care
  • Beginning Right Maternity Program – obtain support during your pregnancy and receive a $100 gift card for participation
  • Finding participating retail pharmacy providers
  • Maintenance medications and Specialty medications – options for obtaining them
  • How to receive savings on glucose meter and supplies
  • Drug Cost Tool – see what medications cost under your plan

Summary of Benefits & Coverage – for each plan, a summary of what you pay/what the plan pays for medical/pharmacy

  • THIS PLAN IS CLOSED TO NEW ENROLLEES
  • Co-pay plan – pay flat fees for office visits and prescriptions
  • In-network and out-of-network benefits – separate out-of-network deductible/out-of-pocket maximum
  • Provider network is Aetna Choice POS II
  • Highest cost plan

Plan Highlights – two page comparison of Aetna plans, including covered preventive care services

Benefits Booklet – 100+ pages of Aetna plan details including a detailed comparison of Aetna plans, list of covered services, limitations and exclusions, important terms and plan provisions

ALEX Benefits Counselor – interactive tool for choosing an Aetna plan that talks you through choices

Find a Doctor or Facility – search for network providers

Aetna Navigator – access medical ID cards, medical claims payments and Explanations of Benefits

Mobile Apps – get ID cards and plan information on the go

Resource Guides – one for each plan explaining what is offered with website links for more info:

  • How the plan works – deductibles, co-pays, co-insurance, out-of-pocket maximums
  • Choosing network providers and what happens if you go out-of-network
  • Routine and emergency care options and costs
  • Teladoc – doctors available 24/7 to diagnose, treat and prescribe medications
  • 24-Hour Nurse Information Line – registered nurses answer questions and advise on care
  • Aetna member discounts – save on health related products and services
  • Wellness programs and services
  • Care Advocate Team – trained nurses who can help you understand confusing medical conditions and treatments, and coordinate complex medical care
  • Beginning Right Maternity Program – obtain support during your pregnancy and receive a $100 gift card for participation
  • Finding participating retail pharmacy providers
  • Maintenance medications and Specialty medications – options for obtaining them
  • How to receive savings on glucose meter and supplies
  • Drug Cost Tool – see what medications cost under your plan

Summary of Benefits & Coverage – for each plan, a summary of what you pay/what the plan pays for medical/pharmacy

Administered by Scott & White

  • Co-pay plan – pay flat fees for office visits and prescriptions
  • Network-only – no out-of-network benefits
  • Provider network: Scott & White Health Plan
  • Dependents who temporarily or permanently live outside the network area would only have benefits in the event of a “true medical emergency” as defined by the plan and determined by Scott & White.
  • Specialty benefits can be obtained without a referral

Benefits Brochure – one page summary of HMO benefits

Service Area Map – counties where network providers can be found

Summary of Benefits & Coverage (SBC) – a summary of what you pay/what the plan pays for medical/pharmacy

Wellness Brochure

  • Nurse Advice Line – talk to a nurse
  • Wellness Assessment – digital health survey with action steps
  • Lifestyle Management Programs – help for common health & wellness concerns
  • Disease Management – assistance dealing with chronic conditions
  • Case Management – assistance with complex care needs
  • MOMS program – resources and support for new parents

Other Options

  • Search for a network provider or facility
  • Find urgent care centers
  • Order an ID card
  • View covered medications
  • Search for a preferred pharmacy
  • Frequently asked questions
  • Tools and resources
  • MyBSWHealth app
  • Covered Preventive Services

  • Plan Information

ID Cards

AETNA (medical)
CAREMARK (pharmacy)
SWHP HMO (medical/pharmacy)
DocFind

BUYING HEALTH INSURANCE