HealthSelectShoppERSSM is an incentive program that allows you to save money and rewards when shopping for certain medical services and procedures.
HealthSelectShoppERS can help you:
- Compare costs for many health care procedures
- Estimate your out-of-pocket costs
- Earn incentives for shopping for certain medical services and procedures.
With HealthSelectShoppERS, when you and your eligible dependents choose lower-cost options for medical services, you could earn up to $500 in TexFlex flexible spending account rewards each plan year.
How does it work?
| After your primary care provider (PCP) or specialist recommends a HealthSelectShoppERS-eligible medical procedure or service, you can:
|Have your service or procedure at the HealthSelectShoppERS rewards-eligible location you chose. You can earn incentives on services like ultrasounds and mammograms, CT scans and MRIs, and procedures like knee, shoulder and hip surgery.
Note: a referral or prior authorization may be required for your procedure. To confirm if a referral or prior authorization is required, contact a BCBSTX Personal Health Assistant.
When your medical service or procedure is complete, the provider will submit the claim to BCBSTX. Once BCBSTX processes the claim (usually within 30-45 days), and as long as you are still eligible, ERS will deposit your reward into your TexFlex health care flexible spending account (FSA). If you are enrolled in Consumer Directed HealthSelect,your incentive will be deposited into a limited purpose FSA. If you do not have a TexFlex FSA or limited-purpose FSA, ERS will open one for you.
Who can participate?
In general, HealthSelectShoppERS is available to all benefits-eligible active employees enrolled in HealthSelect of Texas®, HealthSelectSM Out-of-State or Consumer Directed HealthSelectSM. Medicare primary participants, COBRA members, HealthSelectSM Secondary participants and retirees are not eligible for the HealthSelectShoppERS program.
To be eligible to earn an incentive, you have to be actively employed (not retired) at a state agency or higher education institution, or the enrolled dependent of an active employee:
- when you shop for the service or procedure,
- when you get the service or procedure and
- when BCBSTX processes the claim. and
- when ERS processes your reward.
To learn more about this program, check out the resources below: