Plan Information
Plans administered by BCBSTX (medical)
PPO BUY UP PLAN
- Blue Choice PPO network
- Includes telemedicine through MDLive for $45 co-pay per visit.
- $75 co-pay for urgent care.
- Lowest deductibles and premiums of all BCBSTX plan options.
- $45 PCP co-pay
Summary of Benefits & Coverage
Spanish Summary of Benefits & Coverage
PPO BASE PLAN
- Premiums are lower than the PPO Buy Up plan.
- Blue Choice PPO network.
- Includes telemedicine through MDLive for $45 co-pay per visit.
- $70 Specialist co-pay
Summary of Benefits & Coverage
Spanish Summary of Benefits & Coverage
BLUE EDGE HSA/HDHP
- Compatible with Health Savings Accounts (HSA’s).
- $0 copay for urgent care after deductible is met.
- Blue Choice PPO network.
Summary of Benefits & Coverage
Spanish Summary of Benefits & Coverage
BLUE CROSS BLUE SHIELD OF TEXAS
Account #389492
1-800-521-2227
PLAN RESOURCES:
Splendora ISD Summary of Benefits 2025 ENGLISH
Splendora ISD Summary of Benefits 2025 SPANISH
Blue Access for Members Registration
Blue Access Members – Mobile APP
BCBS Specialty Pharmacy Medications
Behavioral and Mental Health Member Flyer
Behavioral and Mental Health Virtual Visits
BCBS Tobacco Cessation Program Flyer
BCBS Health and Wellness Programs
BCBS Omada Health Program for Weight Loss



