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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.
To use Member Rewards:
You can get more information about Member Rewards by calling a Personal Health Guide at 1-866-355-5999.
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.
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.
You can use HCA funds for:
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.
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.
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.