TRS-ActiveCare

It is important to us that you know your benefits and the options available to you. The TRS website  provides great information about the health plans offered through TRS-ActiveCare and the Scott and White Health Plan (SWHP.) Additional information about the SWHP HMO option is provided within the 2022-23 TRS SWHP HMO Member Guide.

Please ensure that you review the benefit summaries provided within the 2022-23 Benefits Guidebook and all other material available to help you make the best choice for your medical coverage. The 2022-23 TRS ActiveCare & SWHP HMO Plan-Highlights summarize the plan changes that were made for the 2022-23 plan year. For information on how to select a BCBSTX TRS ActiveCare provider click here or if you need to select a SWHP provider click here.

 

The 2022-23 TRS-ActiveCare plans offer:

• enhanced benefits
• a wider network of providers and hospitals
• many wellness-focused tools and resources

There are four TRS-ActiveCare health plans administered by Blue Cross and Blue Shield of Texas, including two new statewide physician-directed plans. There are also three regional HMO plans. Below are brief overviews explaining each plan.

Brief highlight of each TRS-ActiveCare plan:

TRS-ActiveCare Primary –  You must actively enroll to be in this plan. This new physician-directed, statewide plan has a lower monthly premium and lower copays for doctor visits before your deductible is met, so you can lower your out-of-pocket costs sooner. You’ll have to choose a PCP with this plan when you enroll. You’ll have a statewide network of providers to choose from. There are no regional network boundaries with this plan. Diagnostic labs, preventive care, and TRS Virtual Health visits are provided at no charge.

If TRS-ActiveCare HD is your plan of choice, just remember everything is subject to your deductible.  This means doctor’s visits, prescription drugs, hospital stays, surgeries, lab work, and outpatient procedures.  It is important to be a wise consumer when on this plan.  For members of this plan, Uplift Education provides the option of participating in a Health Savings Account.  If you don’t remember how your Health Savings Account works, or if you would like to learn more, please visit the Health Savings Account page.

TRS-ActiveCare Primary+ – This physician-directed, statewide plan has a higher premium and lower deductible and copays for many health care services and medications. You’ll have to choose a PCP with this plan when you enroll and you’ll have a statewide network of providers to choose from. There are no regional network boundaries with this plan. Diagnostic labs, preventive care, and TRS Virtual Health visits are provided at no charge.

TRS-ActiveCare 2 – Effective 9/1/2018 ActiveCare 2 is a Closed Plan. Only participants presently enrolled in ActiveCare2 are eligible to remain in this plan. No new enrollments will be allowed.

TRS- Scott & White Health Plan (SWHP) is an Open Access HMO. Meaning, members can see any network provider without a referral and still receive in‐network benefits. The SWHP has the lowest deductible, and primary copays. There is no primary visit copay for children 19 and under. The plan is only available in certain counties (Tarrant, Dallas, Collin, Denton, Johnson, Hood, Somervell, Ellis, and Hill.) For the full list of counties in the Service Area, click here.