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Member Rewards

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    Welcome to Member Rewards! As a TRS-ActiveCare Primary or TRS-ActiveCare Primary+ plan participant, you can shop around for in-network medical care, compare prices, and even earn credit toward future medical expenses. It’s easy to get started. When your doctor recommends a treatment, you can search for a cost-effective, Member Rewards eligible facility. Think about it in three easy steps –Shop, Go, Earn.

    Shop

    1. Log into your Blue Access for Members℠ account and click on the Doctors and Hospitals tab, then on the Find a Doctor or Hospital link.

    2. Use Provider Finder to search for a rewards-eligible facility.

    3. When you find where you’d like to receive treatment, click View Profile and follow the prompts.

    4. Call your Primary Care Provider and ask for a referral to the facility you chose. Your provider will likely give you the referral and, if needed, send the preauthorization request to Blue Cross and Blue Shield of Texas for approval.

    5. Once your referral is approved, call and make an appointment.

    Go

    6. Get your treatment at the location you chose.

    Earn

    7. After Blue Cross and Blue Shield of Texas pays your claim, and the location is verified, a deposit will be made right into your Health Care Account or HCA. It’s that simple.

    There are many exciting features of Member Rewards!

    • Rewards may apply toward the costs of future medical services and prescriptions by reducing your copayments and coinsurance.

    • Rewards range from $25 to $500. The maximum amount you can earn per person, per plan year is $599.

    • Unused rewards roll over to the next plan year. You lose your rewards if you cancel your health plan.

    For questions or help getting the most out of Member Rewards, call a Personal Health Guide at 1-866-355-5999, 24 hours a day, seven days a week. Get started with Member Rewards today and shop, go, earn!

Participants who chose the TRS-ActiveCare Primary or TRS-ActiveCare Primary+ plan can take advantage of the Member Rewards program. However, if you have a Primary Care Provider (PCP) in the Kelsey Seybold group, you are not eligible for this program.

Prices for the same quality medical services can differ by thousands of dollars within the same region and network. Member Rewards uses Provider Finder® to help you save money on health care. With Member Rewards, you can shop for health care services to help lower your out-of-pocket costs and earn credit toward future health care expenses when you choose a lower-cost, quality provider.

  • Rewards may apply toward the costs of medical or pharmacy expenses, by reducing future copayments or coinsurance.
  • Rewards range from $25 to $500 with a maximum of $599 per family, per plan year.
  • Unused rewards roll over to the next plan year, but you will lose rewards if you cancel your health plan.

To use Member Rewards:

  1. Log into Blue Access for MembersSM
  2. Click on the Doctors and Hospitals tab then on the Find a Doctor or Hospital link.
  3. Use Provider Finder to search for a Member Rewards eligible facility.
  4. Once you have found an eligible facility where you would like to receive treatment, click View Profile.
  5. Call your Primary Care Provider (PCP) to ask for a referral to the Member Rewards eligible facility you chose. In many cases, your provider will give you the required referral and, if applicable, send the associated prior authorization request to BCBSTX for approval.
  6. Once approved, you're able to schedule your appointment with the facility you chose.
  7. When you've completed your treatment, your claim is paid and the location is verified as reward eligible, a deposit will be made into your Health Care Account (HCA).

You can get more information about Member Rewards by calling a Personal Health Guide at 1-866-355-5999.

Health Care Account (HCA) Frequently Asked Questions

Do you have questions about your HCA? Please review the list of FAQs below. If you don't see an answer to your question, please contact a Personal Health Guide at 1-866-355-5999.

  • 1. What is a Health Care Account (HCA)?

    An HCA is a health care spending account linked to Member Rewards. Funds are deposited into an HCA after you complete a Member Rewards-eligible procedure and Blue Cross and Blue Shield of Texas (BCBSTX) pays your claim and verifies its eligibility.

  • 2. What can I use my HCA funds for?

    You can use HCA funds for:

    • Procedures, treatment, equipment
    • Copay or coinsurance for medical, dental or vision services
    • Drugs
    • Assistance for the disabled, including braille books, household visual alert system, artificial limbs and walking aids
    • Corrective eye surgery
    • Preventative care
    • Long term care
    • Weight loss
    • Smoking cessation
    • Wellness copays
    • PCP copays
    • Specialists copays

    After your medical claim is submitted, BCBSTX determines what it will pay the provider. This process is referred to as claims adjudication.

    As part of this process, the Member Rewards’ funds you earn are put into an HCA that will apply toward your future coinsurance or copays.

    Most services process automatically when your medical claim is processed. However, if you need reimbursement that does not occur automatically, you’ll need to complete the TRS-ActiveCare Member Rewards Expense form.

    Claims will be processed within 30 days. Once the claim is processed, the funds will be issued within 45 days.

    Please call a Personal Health Guide at 1-866-355-5999, 24 hours a day, seven days a week, if you have questions or need assistance.

  • 3. How can I use my reward to pay for prescriptions?

    After you pay for your prescription drug at the pharmacy, you will need to complete the TRS-ActiveCare Member Rewards Expense form. and include a copy of the receipt for reimbursement.

  • 4. How can I check my HCA account balance?

    To check your Member Rewards balance, you can call a Personal Health Guide at 1-866-355-5999, 24 hours a day, seven days a week. You can also log in to Blue Access for MembersSM and click the My Coverage tab. Next, click on Health Care Account information to see your current balance and your spending summary.

The Member Rewards program is provided by Sapphire Digital, an independent company. Incentives available for select procedures only. Members with coverage under Medicaid or Medicare are not eligible to receive incentive rewards under the Member Rewards program.

Blue Cross and Blue Shield of Texas makes no endorsement, representation or warranty regarding Sapphire Digital’s administration of the Member Rewards program. Information received through the Member Rewards program is not meant to replace advice of a health care professional, and decisions regarding course and place of treatment remain with the member and his or her health care provider. Eligibility for rewards is subject to terms and conditions of the Member Rewards program.