Plan Information

Medicare Benefits Will Be Coordinated as Follows:

Medicare Part A - (Hospital Insurance)

• If you have been diagnosed with end-stage renal disease, benefits will be determined in accordance with Medicare guidelines for members with end-stage renal disease.
• When Medicare benefits are primary, claims must be filed with Medicare first.  If you have provided BCBSTX your Medicare Identification Number, Medicare will file your claims to BCBSTX for secondary processing.
• In general, if you are an active, working employee, HealthSelect is the primary payer for you and your dependents. 
• If you are a Group Benefits Program retiree enrolled in Medicare Part A, Medicare is the primary payer.  HealthSelect will pay the Medicare Part A deductible, and you may be responsible for copayments.
• If you are a Group Benefits Program retiree not enrolled in Medicare Part A, HealthSelect will be the primary payer.

Medicare Part B - (Supplemental Medical Insurance)

• If you were retired and became Medicare eligible before September 1, 1992 and are enrolled in Medicare Part B, HealthSelect will provide benefits secondary to Medicare.  If you are not enrolled in Medicare Part B, HealthSelect will pay primary benefits.
• If you were retired and became Medicare eligible on or after September 1, 1992 regardless of your Medicare Part B status, HealthSelect will provide benefits secondary to Medicare Part B.  If you choose not to enroll in Medicare Part B, you will be responsible for the amount Medicare Part B would have paid.

For more information about your benefits and coordination with Medicare, refer to the Benefits Book for Retirees Age 65 and Over.