Your Health, Your Way
Choosing a health plan that will help you move toward better health isn’t always easy. Sometimes it’s hard to even know where to start! That’s why this year’s theme is Your Health, Your Way. It starts with understanding your options during Summer Enrollment so you can choose the HealthSelectSM medical plan that’s right for you and your eligible dependents. If you change medical plans, enroll in a new plan or add a dependent during the two-week Summer Enrollment phase assigned to you, your election for Plan Year 2023 will be effective on September 1, 2022.
Use these resources to choose Your Health, Your Way.
Your Health, Your Way Brochure: Explains health plan options, changes to medical benefits and how to access important resources. QR codes and links throughout the brochure will give you easy access to important information on the HealthSelect website.
Your Health, Your Way webpage: Your best resource for HealthSelect Summer Enrollment information.
HealthSelect of Texas® Summer Enrollment Presentation: Provides an overview of the HealthSelect of Texas or HealthSelectSM Out-of-State plan benefits.
Consumer Directed HealthSelectSM Summer Enrollment Presentation: Provides an overview of the Consumer Directed HealthSelect plan.
Here’s what’s new for Plan Year 2023:
Increase in Total In-Network Out-of-Pocket Maximum
Effective January 1, 2023, the total in-network annual out-of-pocket maximum will increase for all HealthSelect plans, including Consumer Directed HealthSelectSM. The out-of-pocket maximum will increase to $7,050 for employee-only coverage and $14,100 for family coverage. The out-of-pocket maximum includes expenses you pay toward medical and prescription drug copays, coinsurance and deductibles (in-network deductibles apply only to the Consumer Directed HealthSelect plan).
Remember: It pays to stay in-network! There is no out-of-pocket maximum for out-of-network care.
Update to Benefits for Colonoscopies
As a reminder, preventive care, including colonoscopies and stool-based screenings, are covered at no cost to you. Starting September 1, 2022, a follow-up colonoscopies and related services received after a positive screening are covered at no cost to you when you use an in-network provider and facility.
Update to Benefits for Diagnostic Breast Imaging
Effective September 1, 2022, in-network breast imaging services covered at no cost to those enrolled in HealthSelect of Texas, HealthSelect Out-of-State and HealthSelectSM Secondary will include screening and diagnostic mammograms, ultrasounds and MRIs. Out-of-network services will continue to be covered at 40% after the annual deductible is met. Additionally, Breast MRIs will no longer require prior authorization.
If you are enrolled in the Consumer Directed HealthSelect plan, deductible and coinsurance will apply unless the breast imaging is billed as preventive by your provider.
Find more information about HealthSelect medical plans and benefits changes on the HealthSelect website.
Summer Enrollment In-Person Fairs and Live Webinars
In keeping with the Your Health, Your Way theme, you can choose to attend an in-person Summer Enrollment fair hosted by the Employees Retirement System of Texas (ERS), attend a live webinar or review a recorded presentation at your convenience. Summer Enrollment events are where you can learn about HealthSelect medical plan benefits and changes for Plan Year 2023.
Whether you prefer to meet in-person at a fair or avoid the crowds on a live webinar, you will have the opportunity to ask questions directly to ERS and Blue Cross and Blue Shield of Texas (BCBSTX) representatives. You can find the benefits fair and webinar schedule posted on the Full Events Calendar on the ERS website. Please check the calendar regularly for updates.
You can also call HealthSelect customer service at BCBSTX toll-free at (800) 252-8039 (TTY: 711). BCBSTX Personal Health Assistants are available to answer your questions Monday-Friday, 7 a.m. - 7 p.m. and Saturday, 7 a.m. - 7 p.m. CT.