TRS- ActiveCare 2021-2022
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Beginning Sept 1


Need to ask questions about a specific medication?

Call the CVS Personal Health Guide line at 866-355-5999 and use the prompt to connect to CVS.





Coverage and Benefits

TRS-ActiveCare Primary

This plan has the lowest monthly costs, $30 copays for primary care, and $0 TRS Virtual Health. It also works with a Member Rewards Program, where you can earn credit toward future health care services.

Participants (and spouses/dependents) will need a Primary Care Provider (PCP) who’s in the Texas network of providers. PCPs can help you avoid unnecessary medical costs and refer you to quality specialists.

 Coverage Tier  2021-22 Rate
 Employee Only  $117
 Employee/ Spouse  $876
 Employee/ Children  $451
 Employee/ Family  $1,105

TRS-ActiveCare HD

This plan works with a Health Savings Account (HSA), has out-of-network coverage, and coinsurance rates instead of copays. The deductible for your tier must be met before you have out-of-network coverage or use coinsurance.

You don’t need a Primary Care Provider and can choose any provider or specialist who’s in the U.S. network of providers.

 Coverage Tier  2021-22 Rate
 Employee Only  $129
 Employee/ Spouse  $909
 Employee/ Children  $472
 Employee/ Family  $1,145

TRS-ActiveCare Primary+

Similar to TRS-ActiveCare Primary, this plan has the lowest deductibles, maximum out-of-pocket costs and coinsurance rates.

It has $30 copays for primary care and $0 TRS Virtual Health. It also works with a Member Rewards Program, where you can earn credit toward future health care services.

Participants (and spouses/dependents) will need a Primary Care Provider (PCP) who’s in the Texas network of providers. PCPs can help you avoid unnecessary medical costs and refer you to quality specialists.

 Coverage Tier  2021-22 Rate
 Employee Only  $242
 Employee/ Spouse  $1,034
 Employee/ Children  $579
 Employee/ Family  $1,375

HMO

If you live or work in certain counties, you may enroll in an HMO. While TRS does not set HMO rates and benefits, the TRS board must approve or reject their proposals each year.

Central and North Texas Scott & White Health Plan Rates

Participants (and spouses/dependents) will need a Primary Care Provider (PCP) who’s in the Texas network of providers. PCPs can help you avoid unnecessary medical costs and refer you to quality specialists.

 Coverage Tier  2021-22 Rate
 Employee Only  $242.48
 Employee/ Spouse  $1,062.70
 Employee/ Children  $572.16
 Employee/ Family  $1,268.42

Prescription Drugs

All TRS-ActiveCare plans include prescription drug benefits administered by CVS Caremark. TRS-ActiveCare and CVS Caremark work together to provide you with convenient and flexible options for prescription drugs you and your family may need.

We're here to guide you through your prescription drug benefits and help you understand your plan so you can save time and money.

Check Drug Costs:

Drug Lists and Other Information:

Find a Pharmacy in your Area

Doctors and Hospitals

Primary Care Provider

TRS-ActiveCare Primary and TRS-ActiveCare Primary+ plans require a Primary Care Provider (PCP). A PCP is also required if you need a referral to a specialist. This helps your PCP keep track of your treatment plans and make sure they’re easy to manage.

TRS-ActiveCare HD does not require a PCP or referrals.

Find a Provider

  • Participants enrolled in TRS-ActiveCare Primary or TRS-ActiveCare Primary+ plans can follow these steps to select or change their PCP:
  • Select the plan you enrolled in below to go to the Provider Finder directory.
  • Browse by Category and select Medical Care from the drop-down menu.
  • Next, select Primary Care.
  • Choose Family Practice, General Medicine, Internal Medicine, Obstetrics & Gynecology or Pediatrics to narrow your search.
  • Pick a PCP from the providers listed and click on View Profile.
  • Locate the 10-digit provider ID number at the very top of the page under Provider Highlights. You will need this number.
  • Contact a Personal Health Guide at 1-866-355-5999 to change your PCP.

Primary Primary+Primary+ Primary+

Support and Resources

Questions?

The NISD Benefits and Risk Management Department has compiled a list of frequently asked questions to assist with the transition process to TRS-ActiveCare. View FAQs here.

If you do not find the answer you need, please submit your question using this form.

Contact Your NISD Benefits Department

Kitty Poehler
Executive Director of Benefits and Risk Management
817.215.0071
817.698.2297 (fax)
kpoehler@nisdtx.org
 
Karla Von Diezelski
Benefits Specialist
817.215.0096
817.698.6687 (fax)
karla.vondiezelski@nisdtx.org

Tracy Schutz
Risk Management Specialist
817.215.0043
817.698.6687
tschutz@nisdtx.org

Sylvia Urias
Administrative Asisstant
817.215.0037
surias@nisdtx.org

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