UT SELECT Medical Plan - Active Employee

UT SELECT Medical Plan Monthly Premium

Basic Coverage*: Full-Time Employees

PLAN YEAR
2022-2023		 EMPLOYEE EMPLOYEE 
& SPOUSE		 EMPLOYEE 
& CHILD(REN)		 EMPLOYEE 
& FAMILY
UT SELECT 
Medical FULL-TIME 		$0 $290.70 $304.04 $572.46
UT SELECT  
Medical PART-TIME 		$337.58 $805.22 $754.84 $1,201.26

 

*Basic Coverage includes UT SELECT (medical and prescription coverage), plus the cost of employee $50,000 Basic Life and employee $50,000 Basic Accidental Death and Dismemberment.

Summary of Benefits and Coverage

UT offers one medical insurance plan, UT SELECT, a self-funded PPO plan, administered by Blue Cross and Blue Shield of Texas. If you use a network doctor, you will receive the highest level of benefits, pay much less out-of-pocket, and will usually not have to file any claims. If you use an out-of-network doctor, you will still be covered, but your out-of-pocket costs for health care services will be substantially higher.

Comprehensive Benefits

  • Low $30 Primary Care and $50 Specialist Office Visit Copayments for In-Network In-Area services
  • $600 individual in-network deductible (although most services are only subject to a copayment)
  • $0 Lab and X-Ray Services associated with office visits
  • $0 Preventive Care

Telemedicine

UT SELECT telemedicine visits will remain a plan benefit with an applicable copay. However, effective September 1, 2021, telemedicine benefits will cover services consistent with and determined by CMS and the American Medical Association (AMA) as clinically appropriate for telemedicine. BCBSTX providers are aware of the CMS and AMA service guidelines. Members may contact BCBSTX Customer Service at (866) 882-2034 with any questions.

Medical Plan Benefits

View key plan features:

PPO Network Summary of Benefits and Coverage Out-of-Area Network Summary of Benefits and Coverage

If you or any of your dependents are eligible for Medicare or will be soon, please also see UT SELECT and Medicare.

If you have questions about how this plan relates to your appointment for employment, to update your insurance, or change your address, contact your institution’s Benefits Office.

If you are a Retired Employee or you are planning your retirement, please see the Retired Employee Insurance and Getting Ready to Retire sections of this website.

Resources

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