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Welcome to HealthSelect of Texas

Health maintenance organization (HMO) plans will no longer be offered through the Texas Employees Group Benefits Program (GBP) after August 31, 2021.

All participants who do not have Medicare as their primary insurer will be automatically enrolled in HealthSelect of Texas® administered by Blue Cross and Blue Shield of Texas (BCBSTX) beginning September 1, 2021.

You have another option

You can also choose Consumer Directed HealthSelectSM or waive GBP health coverage during Summer Enrollment.

Consumer Directed HealthSelect is a high-deductible health plan with health savings account, and is very different from the HMOs. Eligible members who enroll in Consumer Directed HealthSelect will get a contribution from the state into their health savings account (HSA) every month, but could have higher out-of-pocket costs.

Your prescription benefits

HealthSelect of Texas and Consumer Directed HealthSelect both have prescription drug coverage through the HealthSelect Prescription Drug Plan.

Important Information About Primary Care Providers (PCPs)

HealthSelect of Texas requires all participants to have a PCP on file with BCBSTX and get referrals to see some specialists. Most HMO network providers — more than 90% — participate in the HealthSelect network, and most current HMO participants will find that their current PCP is already in the network.

You must choose a PCP in this plan. If you do not choose a PCP within 60 days of your September 1 effective date, you will pay for any services you get at the out-of-network level. Members pay more – sometimes a lot more – for out-of-network care. If you see any specialist without a referral from your PCP, even during that 60-day window, you pay for that care at the out-of-network level.

If you enroll in Consumer Direct HealthSelect, you don’t need to have a PCP on file with BCBSTX, but will benefit from seeing an in-network PCP. A PCP knows you and your medical history and often can help you make good health care choices. Learn more about choosing a PCP.

To find out if your current health care providers are in the HealthSelect network or to find a PCP near you, use Provider Finder or call a BCBSTX Personal Health Assistant toll-free at (800) 252-8039 (TTY: 711), Monday – Friday, 7 a.m. - 7 p.m. and Saturday, 7 a.m. - 3 p.m. CT. If your provider is not in the network, you can nominate your providers to the network.

You pay more if you visit an out-of-network provider

Unlike HMOs, HealthSelect plans cover medical and mental health services and prescription drugs from providers who are not in the network, but you will pay more if you choose out-of-network providers.

For more information about your transition to HealthSelect of Texas, visit the ERS website.

To get an overview of HealthSelect benefits, check out this benefits flier for those currently enrolled in an HMO.

Get to know your new HealthSelect benefits

 

 

 

 

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