There is no coverage for nonnetwork services under the trs activecare select plan or trs activecare select whole health. This doesnt include your districts contribution to your premiums. It includes definitions of terms you should know and detailed information about your trsactivecare plan. This handbook has been written in nontechnical terms wherever possible. Innetwork on t he trs medical plans active care 1 hd and activecare 2, you do have out ofnetwork benefits if decide. We are here to guide you through the open enrollment process, and to help you understand your plan so you can save time and money when your benefits plan starts. Tips on how to use the plan effectively, answers to frequently asked questions, and a comprehensive table of contents to help you locate information you need are also included. Trs activecare medical plan business services tomball. Pos the summary of benefits and coverage sbc document will help you choose a health plan. Lewisville isd offers health insurance through trsactivecare.
This booklet is a guide to your trsactivecare health benefits. Trsactivecare, the health benefit program for eligible active public school employees and their eligible dependents, and trs group longterm care insurance, available to eligible trs members, retirees and certain members of their families. Trs activecare select trs activecare select whole health. Members can nominate a doctor or hospital to be included in the aetna network by calling trs activecare customer service at 18002229205 and speak to an aetna concierge, and provide the following information. This enrollment guide provides an overview of the trsactivecare program benefits. Here are the basics regarding the 201920 trsactivecare health care benefits. Trs board adopts new trsactivecare, trscare premium rates. This website provides an overview of the 2014 2015 trsactivecare plans. The benefits booklet will be available online before september 1, 2010, and is the official trsactivecare statement on benefits.
Trsactivecare provides health care coverage for you and your family in case of illness or injury. This booklet is a guide to your trs activecare health benefits. Coinsurance after any applicable deductible, your share of the cost of a covered health care service, calculated as a percentage for example, 20%of the allowed amount for the service. On friday, june 2, the trs board of trustees adopted the activecare, hmo and trs care plan design changes and premium rates for the upcoming year. Trs laws and regulations and this online benefits booklet are trs activecare s official statement about the trs activecare program and supersede any other statement or representation made concerning trs activecare, regardless of the source of. This booklet is a guide to your trsactivecare health bene fits. Aetna member eob guide flyer understanding your claims aetna 24.
Scott and white health plan is proud to partner with trs to offer health care coverage to trs activecare members. Aetna administers health benefits for the trs activecare ppo plans and provides access to its broad network of doctors and hospitals. About this plan the trs care program is designed uniquely for retired texas public school employees. The sbc shows you how you and the plan would share the cost for covered health care services. Spouses and children up to age 26 are eligible to be enrolled as dependents. Whether youre enrolled through trs activecare or trs care, our health plan options provide comprehensive benefits for your medical and prescription drug needs, as well as programs to help you achieve optimal health. Trs retirees and employees who are not contributing trs members that are regularly scheduled to work less than 10 hours per week are not eligible to participate in trs activecare. Your trsactivecare benefits booklet or your hmos evidence of coverage provides a detailed description of your plan. This guide provides an overview of trsactivecare plan benefits. Aetna choice pos ii trsactivecare 2 coverage period. This enrollment guide applies to the 201920 trsactivecare.
The medical insurance plan year is from september 1 through august 31. However, each version of the enrollment guide remains. It includes definitions of terms you should know and detailed information about your trs activecare plan. There is no coverage for nonnetwork services under the trs activecare select plan.
For a listing of preventive care services, please view the benefits booklet at. Working with your benefits plan sponsor, cvs caremark provides convenient and flexible options for the prescription drugs you and your family may need. Major medical insurance is a type of health care coverage that provides benefits for a broad range of medical expenses that may be incurred either on an inpatient or outpatient basis. Trsactivecare select trsactivecare select whole health. Benefits booklet 2019 new trs active care health insurance cisd employees may choose between three different health insurance plans. For more information, please view the benefits booklet at. Included is detailed information about your trs care standard plan, tips on how to use the plan effectively, and a comprehensive table of contents to help you locate information you may need. Quick guide to 201920 trsactivecare health benefits. The plan provides comprehensive health care coverage when youre not activated click to close called or ordered to active duty service for more than 30 days in a row. Benefits information jarrell independent school district. The benefits booklet will be available online before september 1, 2015 and is the official trsactivecare statement on benefits. This website provides an overview of the trs activecare plans.
Depending on the coverage you choose, this insurance will help pay toward or completely annual physicals, doctor visits, hospitalization and emergency room visits. Call trs activecare customer service at 18002229205 and speak to an aetna health. Name of provider address phone number provider specialty for example. Trs activecare provides health care coverage for you and your family in case of illness or injury. For detailed information on benefits offered by swhp, a map showing our service area, a presentation on what swhp offers trs activecare members, and other resources, please see the following links below to assist you with all. Aetna administers health benefits for the trsactivecare ppo plans and provides access to its broad network of doctors and hospitals. Trsactivecare benefits will be paid according to the benefits booklet or your hmos evidence of coverage and other legal documents governing the program. To be eligible for trs active care you must either be an active, contributing trs member or employed 10 or more regularly scheduled hours each week. If you need help, were always just a phone call away. Retirees eligible for trscare are not eligible for trs activecare. This enrollment guide applies to the 20142015 trsactivecare plan year and supersedes any prior version of the enrollment guide. The funds of trscare and trsactivecare are maintained in separate trust funds. The plan covers many health care needs, including preventive care and physician office visits, inpatient and outpatient services, behavioral health, prescription drugs, and more. A substitute who is enrolled in trs active care and who is then removed from the substitute roster becomes ineligible for health coverage and will be provided notice regarding continuation coverage under cobra if eligible.
At trs, were committed to offering our members quality health care coverage. Only participants presently enrolled in ac2 are eligible to remain on this plan for 201920. Enrollees selecting family coverage in the higher lev. Eagle mountainsaginaw is fully accredited by the texas education agency. For a detailed description of your program, see your trsactivecare benefits booklet or your hmos evidence of coverage. Trs activecare medical plans to be eligible for trs active care, you must be an active, contributing trs member or a regular parttime employee. Health benefits abilene independent school district. Trsactivecare is administered by aetna life insurance. Welcome to aetnas participating provider directory for trs. Included is detailed information about your trs care plan, tips on how to use the plan effectively, and a comprehensive table of contents to help you locate information you may need. Based on this recent analysis, trs staff recommended moderate benefit and premium changes for trs activecare and health maintenance organizations hmos. Eagle mountainsaginaw isd is not responsible for the content of sites hosted on outside webservers.
Trs activecare premiums 20172018 mgm benefits group. Aetna choice pos ii trsactivecare 1 hd coverage period. Benefit choices for the above plans with the exception of the hsa cannot be changed during the plan year except in the event of a qualified irs section 125 event or trs activecare special enrollment event. Please refer to the trs activecare enrollment guide for details. This booklet is your guide to your trs care health benefits. To be eligible to enroll in these programs you must be an active.798 264 892 1322 793 336 1226 1477 527 311 704 1263 572 396 1544 1642 1656 410 1211 823 635 984 244 1216 342 1388 878 1296 346 459 1622 1002 1642 836 782 662 874 400 844 489 1137 673 925 1433 469 94 342