HMOs

Health Maintenance Organizations (HMOs) for Retirees

HMOs are network-restricted health plans available only to members and their eligible dependents that live in certain Texas counties. HMO provider networks are much smaller than the statewide network in the HealthSelectSM plans. Members typically pay full cost for care received from providers outside the network (except emergency care). HMO premiums are usually lower than HealthSelect premiums. Each HMO includes comprehensive prescription drug coverage administered by the HMO directly.

Comparison Chart for Different Health Care Plans

HMOs for retirees

Community First Care Plans

Community First Care Plans

Serving the San Antonio area

Note: This plan will no longer be available through the Texas Employees Group Benefits Program (GBP) starting September 1, 2021

10/23. update SW  . rn

<p>KelseyCare Advantage</p>

KelseyCare Advantage

Serving only Medicare-enrolled retirees in Houston-area counties

Note: This plan will no longer be available through the Texas Employees Group Benefits Program (GBP) starting January 1, 2021. Learn more about coverage options for current KelseyCare Advantage participants.

Scott and White Care Plans

Scott and White Care Plans

Serving central Texas

Note: This plan will no longer be available through the Texas Employees Group Benefits Program (GBP) starting September 1, 2021.