Deductibles, coinsurance reset
December 11, 2024
1-minute read
Deductibles, other out-of-pocket costs reset Jan. 1
Jan. 1 marks a new year and fresh start. The same is true for your prescription drug deductibles and any medical deductibles for your Texas Employees Group Benefits Program (GBP) health plans. You’ll have to reach the deductible amount before the plan pays its share. Coinsurance and total out-of-pocket maximums also start over.
How do you know what your deductible is?
See deductibles and coinsurance amounts for each GBP medical and prescription drug plan on your plan ID card or call your plan.
Deductibles based on your plan
| Plan | In-network Deductible | Out-of-network Deductible | Prescription Drug Deductible |
|---|---|---|---|
| HealthSelect of Texas® and HealthSelect Out-of-State | None | 500 per individual $1,500 per family |
$50 per participant |
| Consumer Directed HealthSelect high-deductible plan | $2,100 per individual $4,200 per family (combined medical and prescription drug deductible) |
$4,200 per individual $8,400 per family (combined medical and prescription drug deductible) |
Combined with the medical deductible |
| HealthSelectSM Medicare Advantage Plan preferred provider organization | None | None | $50 per participant |
| HealthSelect SecondarySM (Medicare-eligible participants) | $200 per individual $600 per family |
$200 per individual $600 per family |
$50 per participant |