Medical Plans

QUICK RESOURCES
PLAN OPTIONS
WHAT IS AN EOB

The Liaison plan offers a choice of two (2) medical plans designed to help you and your family maintain good health and financial well-being. Deciding which plan is best for you depends on your specific health care needs, preferences, budget, and lifestyle.

Quick Resource Links:

Provider Search
  • Blue Cross Blue Shield of Texas - using Blue Choice network
  • 2 plans (Base HSA, 1 PPO Buy Up)
BCBSTX Member Account
  1. Find care and compare costs for providers and services in your network
  2. View what’s covered under your plan and explore your unique benefit programs
  3. See your claim details and view progress toward your deductible
  4. View and share your health plan ID card with your doctor’s office
Telemedicine
RX Formulary

Plan Options

BCBSTX

5,500 HDHP
2,500 PPO
Network Name
Blue Choice
(In-Network)
Blue Choice
(In-Network)
Calendar Year Deductible
  • Individual
  • Family
$5,500
$11,000
$2,500 $7,500

Out-of-Pocket Maximum

  • Individual
  • Family
$6,900 $13,800
$7,500 $15,000

PCP Copay

$30 per visit after deductible
$40 per visit
Specialist Copay
$60 per visit after deductible
$80 per visit
Telemedicine Copay
$30 per visit after deductible
$0 per visit
Lab and X-ray *Dr Office & Lab Facilities
20% coinsurance after deductible
30% coinsurance after deductible
Advanced Imaging
20% coinsurance after deductible
30% coinsurance after deductible
In Network Prescription (preferred retail drugs)
$5 / $15 / $50 / $100 / $250 / $350 after deductible
$0 / $10 / $50 / $100 / $150 / $250
Urgent Care Copay
20% coinsurance after deductible
$75 per visit
Emergency Room Copay
20% coinsurance after deductible
$500 copay, then 30% coinsurance
Inpatient Hospitalization
20% coinsurance after deductible
30% coinsurance after deductible
Outpatient Surgery
20% coinsurance after deductible
30% coinsurance after deductible

EMPLOYEE COST PER PAY PERIOD (BI-WEEKLY)

EE ONLY
$0.00
$96.85
EE + SPOUSE
$233.28
$393.84
EE + CHILD(REN)
$205.98
$329.86
FAMILY
$503.88
$709.92

Click the button below for additional information regarding your medical plan options.

Additional Resources

Where To Go For Care:

When you’re feeling sick or are injured, there are several places you can go for medical care:

  • a doctor’s office
  • an urgent care center
  • a retail health clinic
  • the emergency room

Your primary care doctor should be your first call in non-emergency situations. Your doctor knows you and your health history, including what medications you are taking and what chronic conditions might need to be considered in your treatment. Plus, the co-pay for a visit to your doctor’s office will cost far less than a trip to the emergency room.

If you can’t reach your doctor or need care outside of regular office hours, urgent care centers and retail health clinics are good options. Retail health clinics are walk-in clinics found in many large pharmacies and retail stores. They are staffed by nurse practitioners and physician assistants and are designed to treat simple conditions, like cold and flu, ear infections and skin conditions. Telemedicine is another great alternative.

Emergency rooms are designed to treat urgent, acute and life threatening conditions and aren’t the place for routine care or minor ailments. If you feel you are dealing with a health emergency, call 911 or go to the emergency room right away.

What Is An EOB?

EOB stands for Explanation of Benefits.

This is a document sent to you by your insurance administrator to let you know that a claim has been processed.

The most important thing to remember is that an EOB is NOT a bill, and you should not pay an in-network provider without receiving a matching EOB.

An EOB lets you know which healthcare provider has filed a claim on your behalf, what it was for, whether it was approved, and for how much.

You should always review your EOB to make sure it is correct.

Continue to HSA