Esta página puede tener documentos que no pueden leerse con el software del lector de pantalla. Para obtener ayuda con estos documentos, llame al número que figura en el reverso de su tarjeta de asegurado.
James was excited about his fresh start at Arlington ISD. After moving from East Texas, he was busy settling into his new home and exploring a new city. But just a few weeks later, persistent stomach issues started getting in the way.
He knew it was time to see a doctor and find a local Primary Care Provider. James opened the Blue Access for MembersSM on his phone to search for a PCP using Provider Finder®. A bigger city = more options. James used the Tier filter to tailor his search for providers that offer high-quality care and the best value.
He chose a Tier 1 provider and paid a $20 copay for his visit. If he chose a tier 2 provider, he’d have to pay a $40 copay for the same visit.
After reviewing his symptoms, his PCP suggests he follow up with a GI specialist for further evaluation. James opened the BCBSTX App again and used the Tier filter to search for an in-network Tier 1 provider with great reviews and asked his PCP for a referral.
He chose a provider and paid a $55 copay for his visit. If he chose a Tier 2 provider, he’d have to pay an $85 copay for the same care.
After he got the care he needed, James’ stomach issues went away, so he could get back to making new friends, cheering for his favorite sports teams and working up the courage to ride the rollercoasters in his backyard.
Even better, both providers were Top Performing Physicians, making him eligible for Member Rewards:
With his TRS-ActiveCare x Arlington ISD plan, James paid $75 for care and earned $75 in cash rewards once his claim was paid and providers were verified as reward-eligible, making it a win for his health and his wallet.
Gabriella had always been active, so when a nagging pain in her back started slowing her down, she knew something wasn't right. What began as a minor ache became a daily distraction, making work, errands and family time more challenging.
After talking about her symptoms with her Primary Care Provider, they recommended an MRI of her spine to help identify the cause of her pain.
Gabriella’s aunt suggested she go to an imaging center that she used before. Her TRS-ActiveCare Primary x Arlington ISD plan has a shop requirement for non-emergency high-tech imaging services, including MRIs. If she goes there and doesn’t shop for this service first, she’d pay $100 more out-of-pocket.
At first, that sounded like one more thing to do. But she quickly learned that shopping for care was fast, easy and good for her wallet.
Gabriella had three convenient ways to shop for her MRI:
In just a few minutes, she found a less expensive, in-network facility that was closer to her home. She asked her PCP for a referral and scheduled her MRI, allowing her to focus on getting answers and feeling better.
Even better, the imaging facility she chose was eligible for Member Rewards, earning Gabriella a $150 cash reward. So her total out-of-pocket cost for an MRI was just $216.