Health Maintenance Organizations (HMOs) for Active Employee
Comparison Chart for Different Health Care Plans
Scott and White Care Plans (SWCP) and Community First Health Plans (CFHP) will no longer be offered in the Texas Employees Group Benefits Program (GBP) starting September 1.
Employees and non-Medicare retirees enrolled in SWCP or CFHP are automatically enrolled in HealthSelect of Texas® (or Consumer Directed HealthSelectSM if they have chosen that plan during Summer Enrollment), administered by Blue Cross and Blue Shield of Texas (BCBSTX) and will have their prescription drug coverage administered by OptumRx on September 1, 2021.
Your out-of-pocket expenses that go towards your out-of-pocket maximum amounts while you are enrolled in the HMO plan will carry over to your HealthSelect plan. Your of-pocket maximum amounts start over on January 1, 2022.
Both SWCP and CFHP will be available for several months after September 1 to answer any questions you may have and support your transition to HealthSelect plan. The plan websites, your account information and the ERS dedicated call center will be available as follows:
HMO | Participant's online account (to see claims for services before September 1, 2021) | Plan website | Call Center |
---|---|---|---|
Scott and White Care Plans | Available indefinitely | Available through August 31, 2022 http://ers.swhp.org/ | Available indefinitely (800) 321-7947 |
Community First Health Plans | Available through February 28, 2022 | Available through August 31, 2022 http://members.cfhp.com/ | Through February 28, 2022: (210) 358-6262; Starting March 1, 2022: (210) 358-6070 |