Publications, Forms and Presentations
Find information about your benefits and wellness resources by clicking on the categories below.
Click here to sign up for upcoming wellness webinars and access recordings of past presentations.
Medical Plan Overview
- 2025 Guide to Medical Benefits Brochure PDF
- Adult Wellness Guidelines Flier
- Childhood Immunization Schedule Flier
- Diabetes Member Journey Flier
- Maternity Wellness Guidelines Flier
- Preventive Services Flier
- Virtual Visits Flier
- Mental Health Resources Flier
- HealthSelectShoppERS FAQ
- HealthSelectShoppERS Flier
- Mental Health Virtual Visits Participant Journey Flier
- PCP Selection Participant Journey Flier | (Spanish Version)
- Model Disclosure - Your Rights and Protections Against Surprise Medical Bills
- Machine Readable Files - Transparency in Coverage Rule
Master Benefit Plan Documents
- Plan Year 2025 HealthSelect of Texas In-Area MBPD
- Plan Year 2025 HealthSelect of Texas Out-of-State MBPD
- Plan Year 2025 Consumer Directed HealthSelect MBPD
- Plan Year 2025 HealthSelect Secondary MBPD
- Plan Year 2024 HealthSelect of Texas In-Area MBPD
- Plan Year 2024 HealthSelect of Texas Out-of-State MBPD
- Plan Year 2024 Consumer Directed HealthSelect MBPD
- Plan Year 2024 HealthSelect Secondary MBPD
- Archive
Summary of Benefits and Coverage Documents
- Plan Year 2025 HealthSelect SBC I (Spanish version)
- Plan Year 2025 HealthSelect Out-of-State SBC I (Spanish version)
- Plan Year 2025 Consumer Directed HealthSelect SBC I (Spanish version)
- Plan Year 2025 HealthSelect Secondary SBC I (Spanish version)
- Plan Year 2024 HealthSelect SBC I (Spanish version)
- Plan Year 2024 HealthSelect Out-of-State SBC I (Spanish version)
- Plan Year 2024 Consumer Directed HealthSelect SBC I (Spanish version)
- Plan Year 2024 HealthSelect Secondary SBC I (Spanish version)
- SBC Glossary of Health Coverage and Medical Terms
- Archive
- Wellness Benefits Flier with QR Codes
- 24/7 Nurseline Flier
- Adult Wellness Guidelines Flier
- Childhood Immunization Schedule Flier
- Fitness Program Flier
- Maternity Wellness Guidelines Flier |(Spanish version)
- Breastfeeding Flier
- Preventive Services Flier
- Workout In your Workspace Flier
- Healthy Eating Flier
- Intuitive Eating Flier
- Participant Medical and Mental Health Claim Form | (Mental health services for HealthSelect of Texas and Consumer Directed HealthSelect: Use this form only for services after September 1, 2020) Submitting a Claim
- Continuity of Care Request Form (Request for Continued Access for Providers)
- International Claim Form
- Standard Authorization Form with Instructions
- Nominate a Provider
- Benefit/Wellness Fair Presentation Request Form