Consumer Directed HealthSelectSM
is a high-deductible health plan with health savings account (HSA) for people not enrolled in Medicare. Depending on your health needs, you could pay much more out of pocket for health care than in HealthSelectSM
of Texas or one of the regional health maintenance organizations (HMOs). But Consumer Directed HealthSelect also lets you save money to help cover your out-of-pocket health costs. For some people, an HSA could be a great way to save money and lower taxable income. But members are responsible for all their non-preventive health costs until they meet the annual deductible. (A deductible is the amount you’d pay before the plan starts paying anything.)
The key benefits of Consumer Directed HealthSelect are the ability to save money, tax free, in an HSA for health costs now or in the future.
- See the Consumer Directed HealthSelect benefits overview for more information about the health plan and HSAs.
- 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 tens of thousands of providers in the statewide network.
- Preventive services, like vaccinations and annual checkups, are covered at 100%.
- Except for 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 (GBP) participants who aren’t enrolled in Medicare. Evidence of insurability is never required to enroll in this or any other health plan.
: Once you are on COBRA, you are no longer eligible for state contribution to your 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 will make your contributions directly to Optum Bank. You will also be responsible for any administrative fees to Optum Bank.