Publications, Forms and Presentations
Find information about your benefits and wellness resources by clicking on the categories below.
Medical Plan Overview
- 2024 Guide to Medical Benefits Brochure PDF I Flip Book
- 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
- Model Disclosure - Your Rights and Protections Against Surprise Medical Bills
- Machine Readable Files - Transparency in Coverage Rule
Master Benefit Plan Documents
- 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
- Plan Year 2023 HealthSelect of Texas In-Area MBPD
- Plan Year 2023 HealthSelect of Texas Out-of-State MBPD
- Plan Year 2023 Consumer Directed HealthSelect MBPD
- Plan Year 2023 HealthSelect Secondary MBPD
- Plan Year 2022 HealthSelect of Texas In-Area MBPD
- Plan Year 2022 HealthSelect of Texas Out-of-State MBPD
- Plan Year 2022 Consumer Directed HealthSelect MBPD
- Plan Year 2022 HealthSelect Secondary MBPD
- Archive
Summary of Benefits and Coverage Documents
- 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)
- Plan Year 2023 HealthSelect SBC I (Spanish version)
- Plan Year 2023 HealthSelect Out-of-State SBC I (Spanish version)
- Plan Year 2023 Consumer Directed HealthSelect SBC I (Spanish version)
- Plan Year 2023 HealthSelect Secondary SBC I (Spanish version)
- SBC Glossary of Health Coverage and Medical Terms
- Archive
- 24/7 Nurseline Flier
- Adult Wellness Guidelines Flier
- Childhood Immunization Schedule Flier
- Fitness Program Flier
- Maternity Wellness Guidelines Flier
- Breastfeeding Flier
- On the Road to Wellness | Print-ready version | (Spanish version)
- Preventive Services Flier
- Self-Management Programs Flier
- Blue Points Member Journey Flier
- Workout In your Workspace 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