Effective May 2027 an additional $50 premium differential applies to each active UT SELECT employee and spouse without a preventive care exam by February 28, 2027.
About the PCIP
The Preventive Care Incentive Program (PCIP) was designed to encourage members to have an annual preventive exam, which has been shown to improve overall health outcomes and is available with no copayment required.
Through the PCIP, each UT SELECT employee and spouse can qualify to waive the $50 Standard Premium Differential that applies to your monthly medical premium beginning later this plan year.
Why it Matters?
Your health plan is designed to support you in staying well, not just when you’re sick. Annual exams help you catch potential health concerns early, stay on track with recommended screenings, and build a relationship with your primary care provider.
What You Need To Do
Step 1
Schedule your Annual Preventive Exam
If you haven't had a Preventive Exam since February 1, 2026, make an appointment with your primary care provider or get help to find one through UT SELECT Concierge at 866-882-2034.
Employees and their spouses who are enrolled in the UT SELECT™ Medical plan must have a preventive exam on file by February 28, 2027, in order to waive a $50 monthly premium differential.
It does not apply to dependent children, UT System retirees, return-to-work retirees, individuals enrolled in the UT CARE™ Medicare plan, COBRA participants, or Surviving Dependents.
Step 2
Confirm your exam was coded as Preventive
Contact the UT SELECT Concierge at 866-882-2034, a specialized customer service unit for UT SELECT members.
They can verify whether your preventive exam has been recorded as complete.
Pro Tips for Completing the PCIP
What kind of doctor can perform a preventive exam?
A preventive exam can be performed by a primary care physician, family medicine physician, internal medicine physician, nurse practitioner, or gynecologist.
Pro Tip: If you’re not sure whether your provider offers preventive exams, contact their office before scheduling.
What kind of appointment do I request?
Ask specifically for an annual preventive exam.
Pro Tip: An office visit for a health concern, medication refill, or follow-up appointment is not typically considered a preventive exam
How do I make sure my exam counts towards the PCIP requirement?*
Your provider’s office uses specific billing codes to indicate that your visit included a preventive exam. If you see a Blue Cross Blue Shield (BCBS) provider, these codes are submitted as part of your claim, and no action is needed from you.
Pro Tip: Annual preventive exams are covered at no cost to you. If you are asked for a copay at check-in, confirm your appointment is scheduled as a preventive exam.
* For preventive exams received outside the United States
Have the physician complete the Preventive Care Incentive Certification Form and follow the submission instructions outlined on the form.
Who should I contact if I have questions?
Contact the UT SELECT Concierge at 866-882-2034, a specialized customer service unit for UT SELECT members. They can help:
- Find a provider that matches your preferences (such as gender or language spoken)
- Schedule your preventive exam
- Verify whether your preventive exam has been recorded as complete
Pro Tip: If you are checking whether your preventive exam appears in your records, allow two weeks for your claim to be received and processed.
Do I Need to Submit Any Documentation?
Most members do not need to submit documentation of their annual preventive exam. If you see a Blue Cross Blue Shield in-network provider, the billing codes for your exam are sent for processing as part of your claim and all verification is completed for you.
In some instances, people will need to submit documentation.
Fill out the Preventive Care Incentive Program Certification Form if:
- You received your preventive exam outside of the U.S.
- You received your preventive exam through the Veterans Affairs (VA) Healthcare System.
- You are a new UT SELECT member and received an annual preventive exam before you enrolled in UT SELECT.
- You are enrolled in more than one medical plan and your preventive exam processed under your other insurer (Coordination of Benefits).
- Your service was with an out-of-network provider and you don't have documentation of your exam. (Note: In this situation, your provider also needs to complete a portion of the form.)
Fill out the BCBSTX Medical Claims Form if:
- You received an out-of-network preventive exam that doesn't fall into any of the above categories.
Call the UT SELECT Concierge at 866-882-2034 if you have any questions.