Quick Reminders

Check your New Benefit Elections

This is a good time to take a look in Workday and print your Benefits Summary for your records. Your annual deductibles restarted September 1 with the new plan year. Your October paycheck should be the first deduction of your newly enrolled FY22 benefits if you are a monthly paid employee, and your first September paycheck should be the first deduction if you are a biweekly paid employee!

Medicare Part D – Annual Notification

As a participant of the A&M Care 65 Plus plan, you are enrolled in the Medicare Part D Prescription Drug Program. Each year, Medicare sends notification of enrollment and a quick reference guide which provides valuable information about your Medicare coverage. Expect to receive this packet around the end of November. You do not need to take any action upon receipt of these materials, simply keep them for your records. If you have questions about your Medicare Part D plan, visit the A&M System Benefits website, and review the Retiree Benefits page or call Express Scripts Medicare at 1-855-895-4647.

Flu Shot Clinics at Your Campus or Agency

It’s flu season! Now is the time to think about getting a flu shot. Some campuses and agencies are hosting on-site flu clinics.  It may even count as an eligible item on your MyEvive Two-Step Program Personalized Checklist to receive the lowest premium on your health insurance*.

If your campus or agency is hosting a flu clinic in October, it may be listed below. You can always check with your wellness champion or HR/Benefits Office about the best times of year to check for these!

Texas A&M University Corpus-Christi: The events are only open to current faculty, students, and staff and will occur from 10 am-1 pm. Persons attending must bring their SandDollar ID card for entry into the event along with their insurance card. If someone does not have insurance, the out of pocket cost is $42.49.

  • Date: October 13th          Lonestar Ballroom C
  • Date: October 27th          Location – TBD

Texas A&M University-Texarkana: The events are only open to current faculty, students, and staff.

  • Date; October 12th
  • Time: 9:30 am -12:30 pm
  • Location/Address: University Center 116

Texas A&M AgrLife Extension: The events are only open to current faculty, students, and staff.

  • October 6th
  • Time: 8:00 am -11:00 am
  • Location/Address: AgriLife Services Bldg. 1st Floor; 578 John Kimbrough Blvd., College Station, Texas 77843

Texas A&M University:  All Texas A&M University faculty, staff, retirees and dependents who are covered under the A&M Care plan with Blue Cross and Blue Shield of Texas are eligible to receive a seasonal influenza (flu) vaccine at one of our free flu vaccine pop-up clinics throughout October.* Additional information regarding times of service will be coming from the Texas A&M University Wellness Program office.

Flu Vaccine Clinics
Date Time Location Type
Saturday, October 9 10:00 am – 4:00 pm College Station High School  Drive-thru
Thursday, October 14 9:00 am – 3:00 pm Memorial Student Center (MSC)  Walk-in
Saturday, October 16 10:00 am – 4:00 pm Fan Field  Drive-Thru
Friday, October 22 11:00 am – 2:00 pm Health Science Center (HSC)  Walk-in
Saturday, October 23 10:00 am – 4:00 pm Bryan High School  Drive-thru
Friday, October 29 12:00 pm – 5:00 pm Fan Field  Drive-thru
Saturday, October 30 10:00 am – 4:00 pm Fan Field  Drive-thru

Registration Link

*To determine your eligibility for these clinics, check your Blue Cross Blue Shield insurance card. If your Identification number starts with either TXW or ZGB, you are eligible to participate. If you are not eligible to participate in these clinics, we encourage you to get a flu vaccine at your local pharmacy or medical provider. Students should contact Student Health Services for flu vaccines.

 

Texas A&M Engineering: Available to employees, retirees, and dependents of Engineering employees. Those located at RELLIS may visit the TTI clinic on location November 5th.

  1. Date: November 3, 2021
  2. Time: 1:00 pm – 4:00 pm
  3. Location: Zachary Bldg., 125 Spence St., Chevron Room (Zach 297)
  4. Vaccine Administration Record (VAR) – Fill out in advance and bring to Clinic

Texas Transportation Institute (TTI): Available to employees, retirees, and dependents.

  • Date: November 5, 2021
  • Time: 12:30 pm – 4:00 pm
  • Location/Address: 1111 RELLIS Pkwy, Bryan, TX 77807-3135, Room 1122
  • How to register: Email A-Brister@tti.tamu.edu for required forms or complete on site

Texas A&M University – Central Texas: Hosted by HEB pharmacy. Must be enrolled in the A&M System medical plan.

  1. Date: Wednesday, October 20th
  2. Time: 11:30 am – 1:00 pm
  3. Location/Address: Warrior Hall 403/1001 Leadership Place, Killeen, TX 76549
  4. How to register: https://www.signupgenius.com/go/409094FACAA28A5FF2-flue

Prairie View A&M University: All current faculty, staff, and dependents, remember to bring your BCBSTX Insurance Card, ESI Card, a completed consent form, a photo ID, and your mask!

  1. Date: October 13, 2021
  2. Time: 10:00 am – 2:00 pm
  3. Location: John B Coleman Library
  4. How to Register: https://qrco.de/bcPXlw 

Blue Cross and Blue Shield of Texas Settlement Information

There is an active class action settlement between Blue Cross and Blue Shield of Texas (BCBS) and Blue Cross and Blue Shield subscribers related to licensing agreements within the BCBS System.

You can read more about the settlement at the following link: Press Release by BCBS – https://www.bcbstx.com/newsroom/news-releases/2021/bsbs-settlement-update.html

A&M System Update

The firm responsible for the settlement with Blue Cross and Blue Shield has advised A&M System Benefits Administration that the A&M Care Plans are part of the settlement and that subscribers enrolled in either plan between February 2008 and mid-October 2020 may file a settlement claim.

Individuals who participated as a primary subscriber in another BCBS health plan outside of the A&M System benefits program dating as far back as February 2008 through as recently as mid-October 2020 may wish to verify whether they are eligible to participate in the settlement by following the instructions in the email notice or on the BCBS Settlement website.

This information is the extent of what A&M System Benefits Administration is able to share regarding this settlement. The best resource for additional information about the settlement itself, the applicable time frame in which it applies, who is eligible to make a claim, and how to proceed if you believe you may be eligible is the BCBS Settlement website.

Quick Reminders – June 2021

Grandchild Dependent Annual Re-certification

According to Texas Insurance Code Section 1251.151, in order to be considered an eligible dependent, your grandchild(ren) must be claimed as a dependent on your income tax return. If you are an employee or retiree covering your grandchild as a dependent, you should have received information regarding the re-certification of your grandchild. Be sure to submit your Certification Form along with documentation to your Human Resources Office. Accepted grandchild documentation is a copy of the portion of your most recent income tax return that states you are claiming your grandchild as a dependent. You may redact (cross out) any financial information. Contact your human resources office if you have any questions. You have until August 31 to submit your documentation.

Cigna Acquisition

New York Life Group Benefit Solutions acquired Cigna Group Insurance. Apart from the name change, you will see no changes to your Long-Term Disability coverage for plan year FY22. The service team will remain the same. Please continue to use the same contact information, phone numbers, and service sites.

 

Understanding Your Explanation of Benefits (EOB)

Your Explanation of Benefits (EOB) lets you know when and how your claims are processed by Blue Cross and Blue Shield of Texas. It isn’t a bill. It gives you a detailed look at the covered services and shows how much you may owe your provider after your benefits have been applied.

EOBs include confirmation of your policy ID, helpful contacts and a glossary of terms. It also provides the following information:

  • Covered patient
  • Provider (doctor, hospital, lab or other provider)
  • How your benefits are applied (amount billed, amount covered and health plan responsibility)
  • Your responsibility including any deductible, copays and coinsurance

Your Benefits Applied – This section shows your list of services and how they’re covered.

  • Amount Billed is the total amount your provider billed for the services.
  • Amount Covered (Allowed) is the amount billed (G) minus any discounts or reductions (H).
  • Health Plan Responsibility is the portion the plan paid to the provider.
  • Your Total Costs is the sum of your copay, deductible and coinsurance. You may owe less if your provider collected any of these payments before beginning services. It also includes any amounts not covered by your health plan. The total cost in this column details the amount shown in the claim summary. It does not include any amounts that a non-participating provider may bill you.

Save a copy of this EOB explanation flyer for your records!

You may sign-up to receive your EOBs online at Blue Access for MembersSM by logging in at bcbstx.com or Text* GOBCBSTX to 33633 to download the mobile app.

* Message and data rates may apply. See terms and conditions and our privacy policy at bcbstx.com/mobile/text-messaging. Source: BCBSTX

Announcement of Baylor Scott & White Health and BCBS Health Plan Discounts in the Brazos Valley

The Texas A&M University System and Baylor Scott and White Health, together with Blue Cross and Blue Shield of Texas (BCBSTX), announced a collaboration which provides discounts to the Brazos Valley. The purpose of the discount arrangement is to improve the Brazos Valley community’s access to health care.

As of February 15th, Texas A&M University System offers employees and retirees new, lower cost, copays and inpatient/outpatient services. Physicians and facilities contracted with Baylor Scott & White and located in the Brazos Valley feature a $15 copay for specialists and a 10% coinsurance for other costs such as hospitalization. Primary care physician copays remain the same.

You must be enrolled in a Blue Cross and Blue Shield of Texas health plan with the A&M System and use a Baylor Scott & White Health facility in the Brazos Valley to take advantage of these discounts. The discount is not available outside of the Brazos Valley. Individuals outside of the service area and those with established provider relationships outside of these facilities will continue to enjoy the same benefits they currently receive, and do not need to change their network plan to take advantage of these reductions.

Baylor Scott & White Health will be contacting their patients directly. Information regarding the discount will be available on the Health page on the A&M System Benefits Administration website, and in corresponding places on the plan rate sheets.

For any questions, employees and retirees are encouraged to speak with their provider, or reach out to our dedicated BCBSTX customer support team at 1-866-295-1212.