UT CONNECT ACO Pilot Program Ends August 31, 2023
The UT CONNECT Accountable Care Organization (ACO) medical plan was an initiative between UT Southwestern Medical Center, Southwestern Health Resources and UT System. The pilot program, which began September 1, 2018, will end on August 31, 2023 and current UT CONNECT participants will be automatically transitioned to the UT SELECT Medical plan for coverage beginning September 1, 2023.
UT CONNECT ACO Medical Plan (for the Dallas / Fort Worth Area)
The UT CONNECT Accountable Care Organization (ACO), is available for Employees and certain Retirees living in the designated Dallas / Fort Worth (DFW) service area. This plan is an option that can be elected instead of UT SELECT during Initial or Annual Enrollment. By enrolling in the UT CONNECT ACO, participants will have access to excellent care managed through a designated primary care provider and will receive all of their medical services from a top-quality network of Southwestern Health Resources providers and facilities.
2022-2023 UT CONNECT Medical Plan Guide
Please review the details of the UT CONNECT plan below as well as a complete list of frequently asked questions.
To learn more about the plan, please visit the plan website maintained by Blue Cross Blue Shield of Texas (BCBSTX) where you can review the brochure and video with details about the plan and CONNECT, an enhanced customer service option to help make navigating healthcare simpler. Virtual doctor visits via MDLIVE are also offered under this plan, available 24/7/365 with a $0 copayment.
| 2022-2023 BENEFITS HIGHLIGHTS | UT CONNECT ACO | UT SELECT PPO |
| Administered by Blue Cross Blue Shield of Texas | Yes | Yes |
| Copay for Annual Primary Care Physician (PCP) Office Visit (Annually) | $0 | $30 (unless for preventive care) |
| Copay for PCP Office Visits (After the First Visit) | $5 (unless for preventive care) |
$30 (unless for preventive care) |
| Copay for Specialist Office Visit | $50 | $50 |
| Copay for Texas Health Urgent Care Facilities | $40 | $50 |
| Copay for All Other Urgent Care Facilities | $50 | $50 |
| Copay for First 5 Days of Inpatient Care for UT Southwestern, Texas Health, Children’s Health and Cook Children’s Hospital Locations | $100 per day ($500 maximum) |
$200 per day ($1,000 maximum) |
| Copay for Outpatient Facility (Plus Coinsurance) | $150 | $200 |
| Annual Deductible - Individual / Family | $500 / $1,500 | $600 / $1,800 |
| Coinsurance | 80% plan / 20% member | 80% plan / 20% member |
| Coinsurance Maximum - Individual / Family | $3,500 | $3,500 |
| Annual Out-of-Pocket Maximum for the 2021-2022 plan year - Individual / Family (includes medical and prescription drug deductibles, copayments and coinsurance) | $8,700 / $17,400 | $8,700 / $17,400 |
| Out-of-Network and Out-of-Area Benefits | Urgent Care and Emergency Care Only | Yes |
IMPORTANT NOTE: Due to the managed care model of the UT CONNECT ACO plan, there are no benefits for out-of-network or out-of-area services except for urgent care and medical emergencies.
The UT CONNECT ACO plan uses the prescription drug plan (administered by Express Scripts) that matches the UT SELECT prescription benefit. The UT CONNECT ACO plan includes Basic Life Insurance for employees and retirees, plus Accidental Death and Dismemberment Insurance for employees.
Customer Service
For more information about the UT CONNECT ACO plan or further assistance, please check the UT CONNECT ACO Medical plan frequently asked questions. or contact the CONNECT team at (888) 399-8889, for enhanced customer service designed to make navigating healthcare simpler.
