UT SELECT Medical Plan - Retired Employees

UT SELECT Medical Plan - Retired Employees
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Medical  UT SELECT Medical Plan Information
Effective September 1, 2015

 

UT SELECT Medical Plan Rates 2015-2016
PLAN Retiree                      
 
Retiree  
& Spouse 
Retiree  
& Child(ren) 
Retiree  
& Family 
UT SELECT 
Medical
$0 $244.10 $255.30 $480.71

*Basic Coverage includes UT SELECT (medical and prescription coverage), plus the cost of employee $6,000 Basic Life Insurance

A link to the 2015-2016 Plan Guide is included below.

Changes for the 2015-2016 plan year are:
Two Levels of Out-of-Pocket Limits
  • The UT SELECT Medical annual out-of-pocket maximum on coinsurance for in-network services is $2,150 for individuals and $6,450 for families.

  • New out-of-pocket maximum to include all in-network medical and prescription deductible, coinsurance, and copays offering additional protection. Eligible out-of-pocket expenses will not exceed $6,600 for an individual. Eligible expenses for a family, regardless of size, will not exceed $13,200.  

Copayments for Therapy Visits - $35 copayment for in-network physical, occupational, and speech therapy as well as chiropractic and Airrosti care. (Visit limits apply)

Change in ER Benefit - $150 copayment plus 20% coinsurance on the remaining allowable cost.

ABA Therapy Benefit - $30 copay for in-network services for children up to age 19 ($36,000 annual benefit limit)

Everyone enrolled in the medical plan effective September 1, 2015 will receive a new medical ID card from Blue Cross Blue Shield of Texas.

View the updated Summary of Benefits and Coverage

document RESOURCES


2015-2016 UT SELECT Medical Plan Guide

Summary of Benefits and Coverage

Benefits Summary Chart

Medical Plan Video

How to File a Medical Appeal

Find a Provider or Pharmacy

BCBSTX Website

Tobacco Premium Program



Mail CONTACT


Blue Cross and Blue Shield of Texas CUSTOMER SERVICE
(866) 882-2034

24/7 NURSELINE
(888) 315-9473

CONDITION MANAGEMENT
(800) 462-3275

CLAIMS ADDRESS
P.O. Box 660044
Dallas, TX 75266-0044


UT SELECT Medical Claim Form

As a retired employee, the way your UT SELECT Medical Insurance works will vary depending on you and your dependents' Medicare eligibility and your (the retired employee's) employment status.

For Benefits-Eligible Return to Work Retired Employees:
  • If you (or one of your dependents) is Medicare eligible, UT SELECT will be your primary insurance and work much the same as that of a regular active employee only with a secondary insurance through Medicare.

  • If you and your dependents are not Medicare eligible, your UT SELECT Medical plan works the same for you as it does for a regular active employee.

For Retired Employees no longer employed at UT in a benefits-eligible position:
  • If you (or one of your dependents) is Medicare eligible, UT SELECT Medical insurance will assume that you and any of your Medicare-eligible dependents are enrolled in Medicare Parts A and B regardless of your actual enrollment in Medicare. It is very important that you are enrolled in Medicare Parts A and B if you are eligible for it and your UT insurance is not through active employment. Please see the section on UT SELECT and Medicare  for Retired Employees.

  • If you and your dependents are not Medicare eligible, your UT SELECT Medical plan works the same for you as it does a regular active employee.

For detailed plan information, see the resources listed on the right side of this page. 

UT SELECT also provides Prescription Drug Coverage administered by Express Scripts.

The UT SELECT Medical Plan is a self-funded medical PPO plan administered by Blue Cross and Blue Shield of Texas, a Division of Health Care Services Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association.

If you are planning your retirement, please see  the   Getting Ready to Retire  section of this website. 

 

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