There are currently three PPO plans offered through TRS-ActiveCare:TRS-ActiveCare 1-HD, 2 or 3. Here you will find specific information about each of the three plans. You can also use the Provider locator, link directly to Blue Access for Members, view the current online Enrollment Guide and Benefits Booklet, and link directly to the Blue Cross and Blue Shield website. You can also link to the Medco Pharmacy (which is part of the Express Scripts family of pharmacies) website for a list of Maintenance RX's and Formulary.
TRS-ActiveCare Plans Information
2014-2015 TRS-ActiveCare COBRA Rates *New!
2014-2015 TRS-ActiveCare Plan Highlights *New!
2014-2015 TRS-ActiveCare POS II Rates and Benefits Changes *New!
2014-2015 Contact Information for the TRS-ActiveCare Medical
and Prescription Drug Plans *New!
Recent TRS-ActiveCare Changes
2013 – 2014 TRS-ActiveCare Plan Highlights and List of Covered Preventive Care Services
TRS-ActiveCare 1-HD and Health Savings Accounts
Blue Cross and Blue Shield of Texas (Enrollment Application & Change Form, TRS-ActiveCare publications, Forms and Resources, Summary of Benefits (SBC), etc.)
Provider Locator For PPO Plans
Blue Access for Members (TRS-ActiveCare 1-HD, 2, and 3 only: Registration Required)
Blue Cross Blue Shield Medical Policy Guidelines ATTENTION: As the TRS-ActiveCare health plan administrator, Blue Cross and Blue Shield of Texas (BCBSTX) makes many decisions on behalf of TRS. Many of these decisions, such as medical necessity and status of experimental procedures, are based on the BCBSTX Medical Policy Manual. This guide is available to medical providers and plan participants alike. You will be asked to agree to the conditions for use.
Express Scripts (for PPO) (Register for Mail Order Prescription, Find Local Participating Pharmacy, Compare Prescription Medication Costs, Access Claims & Balances, etc.)
TRS-ActiveCare Plan 1-HD Prescription Benefits for 2013-2014
TRS-ActiveCare Plan 2 Prescription Benefits for 2013-2014
TRS-ActiveCare Plan 3 Prescription Benefits for 2013-2014
TRS-ActiveCare Standard Maintenance Drug List (for PPO Plans)
Preferred Prescriptions Formulary (for PPO plans)
Prescription Coverage Review Programs (for PPO plans)
2012-2013 Notice of Creditable Coverage The attached TRS-ActiveCare 2012 Notice of Creditable Coverage was mailed to all TRS-ActiveCare Plan 1-HD, 1, 2, and 3 participants identified as Medicare beneficiaries or age 64 and older. If you are a TRS-ActiveCare participant in Plans 1-HD, 1, 2, or 3 and need a Notice of Creditable Coverage for your records, you may print and retain the attachment. If your TRS-ActiveCare coverage is through one of the participating health maintenance organizations, your HMO will send you their Notice of Creditable Coverage, or you may contact them directly to obtain one.
Claim Form (Medical Claim Reimbursement Form)
Claim Form C (Pharmacy Claims) – Medco Pharmacy Reimbursement