Consumer Directed HealthSelectSM for Active Employees
Consumer Directed HealthSelectSM is a high-deductible health plan with health savings account (HSA) for people not enrolled in Medicare. When you enroll in Consumer Directed HealthSelect, you will have to pay for non-preventive care until you meet the annual deductible. You can save money, tax-free, in your HSA to help cover your out-of-pocket health costs.
One of the key benefits of Consumer Directed HealthSelect is the ability to save money, tax-free, in an HSA for health costs now or far in the future. There is also a monthly state contribution from the state to your HSA (if you’re eligible).
- Learn more by reading the Consumer Directed HealthSelect benefits overview.
- See the Master Benefits Plan Document for detailed information about your health plan benefits.
- You do not need to designate a PCP or get a referral to see a specialist under Consumer Directed HealthSelect, but you probably will pay less for care – sometimes a lot less – if you stay in the HealthSelect network. There are more than 50,000 doctors and other providers in the statewide network.
- In-network preventive services, like vaccinations and annual checkups, are covered at 100%.
- Except for in-network preventive services, you would pay the full cost of doctor visits, prescriptions and other health care until you reach the annual deductible.
- To protect you from catastrophic health costs, there is also an out-of-pocket maximum that limits the amount you would have to pay out of pocket each year. (All ERS health plans have an annual out-of-pocket maximum.)
Eligibility and Enrollment
- The plan is available to Texas Employees Group Benefits Program-eligible employees and dependents not enrolled in Medicare. Evidence of insurability is never required to enroll in this or any GBP health 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 enroll during Summer Enrollment and coverage will begin on September 1 of that year.
- You can also enroll when you have a qualifying life event (QLE) such as a birth or marriage and coverage will begin on the date of birth or the first of the month following the event.
Note: After you leave employment, you and/or your covered dependents may be eligible to continue health insurance coverage under COBRA. However, you will no longer be eligible for state contributions to your health savings account (HSA). You will pay only the premium for the high-deductible health plan (HDHP) plus the 2% administrative fee to ERS. You can still contribute to your HSA, but you must make any contributions directly to Optum Bank, which administers the HSAs for the Consumer Directed HealthSelect plan. You will also be responsible for any administrative fees to Optum Bank.