Deductibles, out-of-pocket maximums reset Jan. 1
December 11, 2023
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.
See annual deductible and coinsurance amounts on either the Health Plan Comparison Chart or the Medicare Health Plan Comparison Chart (for Medicare-enrolled retirees).
| Medicare-eligible plans | In-network deductible | Out-of-network deductible | Prescription Drug Deductible |
|---|---|---|---|
|
HealthSelect of Texas®, HealthSelectSM Out-of-State, HealthSelect Secondary participants
(Medicare-eligible plan)
|
None | None | $50 |
|
HealthSelectSM Secondary, administered by Blue Cross and Blue Shield of Texas
(Medicare-eligible plan)
|
$200 per individual $600 per family |
$200 per individual $600 per family |
$50 |
|
HealthSelect of Texas® and HealthSelectSM Out-of-State administered by Blue Cross and Blue Shield of Texas
(Non-Medicare plan)
|
None | $500 per individual $1,500 per family |
$50 |
|
Consumer Directed HealthSelect high-deductible plan administered by Blue Cross and Blue Shield of Texas
(Non-Medicare plan)
|
$2,100 per individual $4,200 per family |
$4,200 per individual $8,400 per family |
$50 |