WHAT’S NEW IN PLAN YEAR 2021 EFFECTIVE SEPTEMBER 1, 2020HealthSelectShoppERSSM HealthSelectShoppERS is a new program that allows HealthSelectSM participants to save money and earn rewards for making cost-effective choices when shopping for certain medical services and procedures.

Prescription Benefits for Diabetes Supplies are ChangingCertain diabetic supplies will be covered at no cost to participants under the HealthSelect prescription drug plan (PDP) when you use an in-network pharmacy and present your prescription drug ID card. (Consumer Directed HealthSelectSM deductibles still apply.) For more information, contact HealthSelect PDP customer care toll-free at (855) 828-9834 (TTY:711). This HealthSelect PDP benefits change does not change the diabetic supply benefits available under the BCBSTX medical plan.

Diagnostic Mammogram Benefits In-network diagnostic mammograms will be covered with no out-of-pocket cost, the same as preventive screening mammograms.

New Medical ID Cards All HealthSelect participants will get new medical ID cards in the mail by mid-August. Be sure to show your new ID card to your health care providers when you visit them after September 1.

Learn More Learn more about these benefit changes and other plan benefits by viewing the 2020 Summer Enrollment Guide at www.healthselectoftexas.com.

Mental Health Benefit Services Blue Cross and Blue Shield of Texas (BCBSTX) will manage mental health benefits for all HealthSelect participants, replacing Magellan Healthcare®. Your benefits and covered services for mental health and substance use will not change as a result of this transition.

Most providers who were in-network for Magellan will also be in the HealthSelect network. Check Provider Finder® or call a BCBSTX Personal Health Assistant for the most up-to-date information on the network status of your provider.

Call a BCBSTX Personal Health Assistant

If you have any questions about your benefits, call a BCBSTX Personal Health Assistant toll-free at (800) 252-8039, Monday - Friday 7 a.m. - 7 p.m. and Saturday 7 a.m. - 3 p.m. CT.

Sapphire Digital is an independent company that administers the HealthSelectShoppERS program for Blue Cross and Blue Shield of Texas (BCBSTX) . BCBSTX makes no endorsement, representation or warranty regarding Sapphire Digital ’s administration of the HealthSelectShoppERS program. Information received through the HealthSelectShoppERS program is not meant to replace the advice of a health care professional, and decisions regarding the course and place of treatment remain with the member and his or her health care provider. Eligibility for rewards is subject to the terms and conditions of the HealthSelectShoppERS program. Active HealthSelect of Texas®, HealthSelectSM Out-of-State and Consumer Directed HealthSelectSM participants may be eligible for rewards.

Until the contract ends, Blue Cross and Blue Shield of Texas will continue to contract with Magellan Behavioral Health, Inc. (“Magellan”) , an independent company administering BCBSTX managed mental health program.

Blue Cross and Blue Shield of Texas is not the administrator of pharmacy benefits. Please contact your employer for information.

Under the Affordable Care Act, certain preventive and women’s health services are paid at 100% (at no cost to the participant) dependent upon physician billing and diagnosis. In some cases, the participant will still be responsible for payment on some services. Effective September 1, 2020, diagnostic mammograms are covered at no cost to the participant.

Blue Cross and Blue Shield of Texas is the third-party administrator for HealthSelect of Texas® and Consumer Directed HealthSelectSM.

Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

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