Medical
TRS ActiveCare Medical & Pharmacy Insurance
Coverage Effective Dates: September 1, 2025 – August 31, 2026
Pearland ISD contributes $337 towards the monthly medical contribution.
What's New & What's Changing?
Review the TRS Enrollment Guide for participants here: TRS Medical Insurance Guide-2025-26 Plan Year
Program and Service updates:
The Member Rewards program is expanding to include more than facilities and procedures. Now you can also get $rewards$ for choosing top-performing doctors for your health care. TRS-ActiveCare Primary and TRS-ActiveCare Primary+ plans: •
Starting Sept. 1, 2025, the following services won’t require a referral:
- dermatologist visits
- eye exams (both routine and diagnostic)
- physical therapist visits www.bcbstx.com/trsactivecare
NEW!! Airrosti Remote Recovery program gives you physical therapy services designed to relieve common aches and pains at no additional cost.
TRS MEDICAL
Insurance Coverage Begins 9/1/2025
Plan Details:
2025-26 Summary of Benefit & Coverage:
TRS ActiveCare - Medical:
Additional TRS Resources:
Blue Access for MembersSM
Through BAMSM, you and your family have access to online resources filled with practical and useful information. With BAM, you can:
- check the status or history of a claim
- view and print Explanation of Benefits (EOBs) statements
- search for an in-network health care provider, hospital, or pharmacy
- request a new or replacement ID card or print a temporary one
BCBSTX App
Download the BCBSTX App to easily access your account information, find a doctor and more! Get the app by texting BCBSTXAPP to 33633 or download the app in the Apple Store or Google Play.
Transition Of Care
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If you are currently receiving ongoing medical care from providers that are not In-Network under your new health plan or have recently terminated from the Blue Cross and Blue Shield of Texas network.
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In certain circumstances, the health plan may authorize the member to continue receiving medical care from an out-of-network provider at the in-network level of benefit for covered services.
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It may be necessary to request medical information from your current provider(s).
Transition of Care Form - English
Transition of Care Form - Spanish
PHARMACY
TRS VIRTUAL HEALTH
MEMBER WELLNESS
Mental Health:
Fitness Program:
Well on Target:
Women's & Family Health:
Wellness Coaching:
Blue 365:
Health Advisor:
Tips & Tricks:
Member Rewards
Participant Forms
The following forms are available to print, fill out, and fax or mail to BCBSTX.
- Disabled Dependent Authorization Form - English
- Disabled Dependent Authorization Form - Spanish
- Enrollment, Change and Declination Form - English
- Enrollment, Change and Declination Form - Spanish
- HIPAA Standard Authorization Form - English
- HIPAA Standard Authorization Form - Spanish
- Medical Claim Form (Domestic) - English
- Medical Claim Form (Domestic) - Spanish
- Medical Claim Form (International) - English
- Medical Claim Form (International) - Spanish
- Member Rewards HCA Expense Form - TRS-ActiveCare Primary, TRS-ActiveCare Primary+ and TRS-ActiveCare 2
- Member Rewards HCA Expense Form - TRS-ActiveCare HD
- Out-of-State Dependent/Attestation Form - English
- Out-of-State Dependent/Attestation Form - Spanish
- Transition of Care Form - English
- Transition of Care Form - Spanish
CONTACTS
TRS Active Care-BCBS
https://www.bcbstx.com/trsactivecare
(866) 355-5999
Mon-Fri 7AM-6PM
Learn more about Personal Health Guides
Pharmacy Coverage:
ESI- Express Scripts
(844) 367-6108
24/7
2024-25 Plan Year
SEPTEMBER 1, 2024 - AUGUST 31, 2025
Know The Terms
Coinsurance: The portion you pay for services after you meet your deductible. It’s often a percentage of the costs. For example, you pay 20%, and the health care plan pays 80%.
Copay: The set amount you pay for a covered service when you get it. The amount can vary by the type of service.
Deductible: The annual amount for medical expenses you must pay before your plan starts to pay its portion.
Emergency: A sudden and unexpected change in a person’s physical or mental condition that needs immediate medical care and could result in:
- placing the person’s health in serious jeopardy (including death)
- serious impairment to bodily function
- serious dysfunction of a body part or organ
- serious disfiguration
- serious jeopardy to the health of a fetus
Generic drug: A prescription drug that’s the generic equivalent of a brand-name drug on your health plan’s formulary and costs less than the brand-name drug.
Maximum out-of-pocket: The maximum amount you pay each year for medical costs. After reaching your MOOP, the plan pays 100% of allowable charges for covered services. Recommended Clinical Review: When you need approval from BCBSTX before they’ll cover certain services or medications.
Premium: The amount you pay monthly for health care coverage.
Preventive care services: Routine health care like screenings, checkups and patient counseling to prevent illnesses, diseases or other health problems.
Primary Care Provider: The provider you choose to be your first contact for medical care. With some plans, your PCP coordinates all your medical care, including hospital admissions and referrals to specialists. Not all health plans require a PCP, but we always recommend you have one.
Referral: A written authorization from your PCP to get care from a different in-network provider, specialist or facility.
Specialist: A health care professional whose practice is limited to a certain branch of medicine, like specific procedures, age categories, body systems or types of diseases.