HealthSelect Out-of-State for Active Employees
HealthSelectSM Out-of-State is a network-based preferred provider network administered by Blue Cross and Blue Shield of Texas. HealthSelect Out-of-State is only available to employees who live or work outside the state of Texas. HealthSelect of Texas® is available to employees who live or work in Texas.
HealthSelect Out-of-State includes a comprehensive prescription drug plan. The HealthSelect Prescription Drug Program is administered by Express Scripts.
You will get two ID cards:
- one for medical and
- one for prescription drug benefits.
Enrollment in this plan also includes $5,000 of Basic Term Life Insurance.
Plan Benefits
- You do not need to select a primary care provider (PCP).
- You do not need a referral to see a specialist.
- HealthSelect Out-of-State benefits are the same as HealthSelect of Texas.
- There is no annual medical deductible if you stay in the network.
- You can elect to use out-of-network providers, but your out-of-pocket costs may be higher.
Benefits and wellness programs
- Preventive care services are covered at 100% when you see a provider in the HealthSelect network.
- You are responsible for copayments and/or coinsurance for some providers and some types of medical services, such as outpatient surgery and high-tech radiology.
- HealthSelect has a suite of wellness programs available to all participants.
- See the Master Benefit Plan Document for information about your health plan benefits.
Eligibility and Enrollment
- The plan is available to GBP eligible employees and dependents who live or work outside of Texas. Evidence of Insurability (EOI) is never required to enroll in this plan.
- You can enroll in this plan during your first 60 days of employment and coverage will begin the first of the month following your 60th day of employment.
- You can also enroll when you have a qualifying life event (QLE) such as a birth or marriage. Coverage will begin on the date of birth or the first of the month following the qualifying life event.
- See the Master Benefit Plan Document for information about your health plan benefits.