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Start saving money on certain medical procedures and earn rewards through HealthSelectShoppERS

09/02/2020

If you are a HealthSelect of Texas®, HealthSelectSM Out-of-State or Consumer Directed HealthSelectSM participant, you can now take advantage of HealthSelectShoppERSSM.

HealthSelectShoppERSSM is a health care shopping and savings program that allows you to:

  • Compare costs for many health care services and 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 or procedures, you can earn up to $500 in TexFlex flexible spending account (FSA) rewards each plan year.

Medicare primary participants, COBRA members, HealthSelectSM Secondary participants and retirees are not eligible for the HealthSelectShoppERS program.

Why are ERS and BCBSTX offering HealthSelectShoppERS?

In addition to earning HealthSelectShoppERS rewards, comparison shopping for medical services and procedures can help you make the most of your benefits and save money on your health care. It also helps the HealthSelect plans save money, which makes it easier for the State of Texas to continue to offer employee and retiree health benefits and keep members’ costs—like copays, coinsurance and monthly premiums—low. Comparison shopping is one way you can support the state’s efforts to provide competitive health benefits to state employees, retirees and their families.

How does it work?

Step 1 – After your primary care provider (PCP) or specialist recommends a HealthSelectShoppERS-eligible medical procedure or service, you can:

  • Log in to Blue Access for Members at www.healthselectoftexas.com, click on the “Doctors and Hospitals” tab, and then the “Find a Doctor or Hospital” link.
  • In Provider Finder®, type in the name of your procedure to search; or select “select “Cost Estimates” and then “All Rewarded Procedures.”.
  • Compare the health care providers (facilities) that perform the procedure and select a lower-cost, quality provider that qualifies for a HealthSelectShoppERS reward.

You also have the option of calling a BCBSTX Personal Health Assistant to shop and compare costs for medical services over the phone if you prefer. You can contact a BCBSTX Personal Health Assistant toll-free by calling (800) 252-8039 Monday - Friday 7 a.m. - 7 p.m. and Saturday 7 a.m. - 3 p.m. CT.

Step 2 - Have the procedure at the HealthSelectShoppERS-eligible facility. Remember, a referral or prior authorization may be required for your procedure. To confirm referral and prior authorization requirements, contact a BCBSTX Personal Health Assistant.

Step 3 – 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 if you are still eligible, ERS will deposit your reward into your TexFlex health care FSA. If you are enrolled in Consumer Directed HealthSelect, the incentive will go to your limited purpose FSA. If you do not have a TexFlex health care FSA or limited-purpose FSA account, one will be opened for you.

For you (and/or your enrolled dependent) to be eligible to earn an incentive, you will have to be actively employed (not retired):

  • when you shop for the service or procedure,
  • when you get the service or procedure,
  • when Blue Cross and Blue Shield of Texas (BCBSTX) processes the claim,
  • and when ERS receives your reward amount for processing.

If you aren’t eligible at any point in the process, you will not earn an incentive. Depending on the time between shopping and getting care, the entire process could take months.

Learn more

Program details and resources can be found on www.healthselectoftexas.com on the HealthSelectShoppERS page. You can also call a BCBSTX Personal Health Assistant toll-free at (800) 252-8039, Monday - Friday 7 a.m. - 7 p.m. and Saturday 7 a.m. - 3 p.m. CT.

A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association.

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