Coverage and Benefits

Medical Plan Benefits

Looking for retiree Medicare options?

Summary of Benefits and Coverage

2022-2023

• PPO Network Summary of Benefits and Coverage English Spanish
• Out-of-Area Network Summary of Benefits and Coverage English Spanish
• J-Visa Summary of Benefits and Coverage English Spanish

2021-2022

• PPO Network Summary of Benefits and Coverage English Spanish
• Out-of-Area Network Summary of Benefits and Coverage English Spanish

Plan Guides

• 2022-2023 Plan Guide
• 2021-2022 Plan Guide

Prescription Drug Benefits

BCBSTX does not administer your prescription drug plan – it is administered by Express Scripts^®. For questions about your pharmacy benefits, call Express Scripts customer service toll-free at 1-800-818-0155 or visit www.express-scripts.com.

Preauthorization Requirements

UT SELECT requires advance approval (preauthorization) by BCBSTX for certain services. Preauthorization establishes in advance (or within 48 hours following an emergency hospital admission) the medical necessity of certain care and services covered under UT SELECT.

Learn more about preauthorization requirements

Additional Benefit Resources

• Office of Employee Benefits
• View all wellness programs and services for UT SELECT plan participants
• View medical policy guidelines