Deductibles for many plans restarted January 1

Deductibles for many plans restarted January 1

January 13, 2021

Welcome to the new year! Remember, it’s not just your calendar that started over—many medical and prescription drug deductibles in the Texas Employees Group Benefits Program (GBP) health plans restarted on January 1.

Use the table below to find out the restart dates for your GBP health plan’s deductibles.

If participant is enrolled in: When does the deductible restart?
HealthSelect of Texas® (your eligibility county on file with ERS is in Texas and you're not eligible for Medicare)
                                        -or-
HealthSelectSM Out-of-State (your eligibility county on file with ERS is outside Texas and you're not eligible for Medicare)
In network: There is no medical deductible to see in-network providers.

Out of network: The out-of-network medical deductible restarts on January 1.

The prescription drug deductible restarts on January 1.
Consumer Directed HealthSelectSM In network: The in-network combined medical and pharmacy deductible restarts on January 1.

Out of network: The out-of-network combined  medical and pharmacy deductible restarts on January 1.

NOTE: Consumer Directed HealthSelect has a combined medical and pharmacy deductible, which means that both medical and prescription drug expenses go toward meeting the deductible.
HMOs
Community First Health Plans
                         -and-
Scott and White Care Plans

There is no medical deductible.

The prescription drug deductible restarts on September 1.
HealthSelectSM Secondary (for Medicare-enrolled return-to-work retirees  with retiree benefits) The medical deductible restarts on January 1.

The prescription drug deductible restarts on January 1.
HealthSelectSM Medicare Advantage, a preferred provider organization (MA PPO), insured by UnitedHealthcare® (retirees enrolled in Medicare) There is no medical deductible.

The prescription drug deductible restarts on January 1.

Find information on the deductible reset in the HealthSelect Medicare Advantage Plan PPO, which is available only to Medicare-enrolled retirees.