You don’t have to wait until next year to take control of your 2017 health care coverage. You can start getting ready now. Whether you’re renewing with your current plan or wish to choose the plan we have selected for you, just keep paying your premium.
Your prescription drug benefit plan has a Preferred Pharmacy Network. When you go to a preferred pharmacy to fill a prescription, you’ll pay less out-of-pocket. You can find your Preferred Pharmacy Network locations on MyPrime.com – logged in or not*.
Preferred Pharmacies in your network are:
|One Month Supply**||You'll Pay|
|Preferred Pharmacy||Lowest Copay/ Coinsurance Amount|
|Non-preferred In-network Pharmacy||Higher Copay/ Coinsurance Amount|
* Preferred Pharmacy Network pricing isn’t available for 100% cost-sharing plans. These 100% cost-sharing plans don’t have a tiered structure for member out-of-pocket copay/coinsurance for prescription drugs.
** You can also fill up to a 90-day supply at a retail pharmacy in the preferred pharmacy network.
The letter you’ve received in the mail lists significant changes to your policy that can impact your:
Please see the “Significant Changes to your Policy” section for your full list of policy changes.
Based on your income and family size, you may be able to get a premium tax credit or other financial assistance to help pay for your coverage. Use the subsidy calculator to get an estimate.
If you are Native American, the cost-sharing amounts and income levels may be different.
Could you qualify for lower premiums on a Marketplace health plan?
Great news! You may qualify for a health care coverage subsidy. Use our Tax Credit Estimator to find out how much you can receive.
It looks like you might not qualify for a health plan subsidy. However, you can use our Tax Credit Estimator or healthcare.gov to get more information.Tax Credit Estimator
Based on your income, your possible tax penalty may be:
*Nurseline is not available with HMO plans.
** Blue365 is a discount program only for BCBSTX members. This is NOT insurance. Some of the services offered through this program may be covered under your health plan. Please check your benefit booklet or call the customer service number on the back of your ID card for specific benefit facts. Use of Blue365 does not change your monthly payment, nor do costs of the services or products count toward any maximums and/ or plan deductibles. Discounts are only given through vendors who take part in this program. BCBSTX does not guarantee or make any claims or recommendations about the program’s services or products. You may want to talk to your doctor before using these services and products. BCBSTX reserves the right to stop or change this program at any time without notice.
You can visit BCBSTX.com or contact your health care plan agent during open enrollment to compare health plans. Open enrollment starts November 1, 2016.
While shopping, be sure to check Provider Finder to see if your current doctors, hospitals and pharmacies are in the plan’s network.Compare Health Plans
Step 1: Start Here
Step 2: Fill in each required field then select “Next”
Step 3: Select “Find an Agent”
Step 4: Enter the first and last name of your agent
Step 5: “Select” your agent from the list
Step 6: Now, your agent can help you if you have questions