HOW TO ENROLL
Using your desktop or mobile, you have access to our online benefits enrollment platform 24/7. In your Hill Country Payroll portal you can:
To get started, click on the link below to head to your enrollment portal!
Your premiums for medical, dental, and vision insurance are deducted through a Cafeteria Plan established under Section 125 of the Internal Revenue Code (IRC) on a pre-tax basis. Under Section 125, changes to an employee's pre-tax benefits can be made ONLY during the Open Enrollment period unless the employee or qualified dependents experience a qualifying event and the request to make a change is made within 30 days of the qualifying event.
Under certain circumstances, employees may be allowed to make changes to benefit elections during the plan year, if the event affects the employee, spouse, or dependent’s coverage eligibility. Any requested changes must be consistent with and on account of the qualifying event.
Examples Of Qualifying Events:
NETWORK: BlueChoice PPO
How do I find an In-Network Provider?
Did You Know?
Your available medical plan is shown on the chart below!
Summary of Benefits and Coverage (SBC)
Looking for more details about how items are covered? Please refer to the formal Summary of Benefits and Coverage (SBC) below.
With Virtual Visits, the doctor is always in. Get 24/7 non-emergency care from a board-certified doctor by phone, online video or mobile app from the privacy and comfort of your own home. Don’t risk crowded waiting rooms, expensive urgent care or ER bills, or waiting weeks or more to see a doctor, when you can speak with a Virtual Visits doctor within minutes.
Virtual Visits, provided by Blue Cross and Blue Shield of Texas (BCBSTX) and powered by MDLIVE® , are a convenient alternative for treatment of more than 80 health conditions, including allergies, cold, flu, fever, headaches, nausea, sinus infections, etc.
Virtual Visits with licensed behavioral health therapists are available by appointment. Get virtual care for anxiety, depression, stress management, and more.
Having a Virtual Visit
You may want to have a virtual visit:
EXTRAS FROM
As a BCBS member, you have access to a plethora of services and resources!
This is only a brief description of some of the plan benefits. For more complete details, including benefits, limitations and exclusions, please login to your BAM portal.
Through Blue Cross Blue Shield - Login (hcsc.net) our secure member website, you can access health plan information, resources and tools. The information can vary, depending on your plan.
Blue Access Mobile | Blue Cross and Blue Shield of Texas (bcbstx.com) makes it easy for you to access your information while on the go. You can view coverage details, health and wellness information, check claim status and access member ID card information. You can also sign up to get text or email alerts and tips
As a BCBSTX member, you have access to a range of programs that can help you get and stay healthy.
Prescription drugs are a vital part of your health care coverage. If you have prescription drug coverage through BlueCross and BlueShield of Texas (BCBSTX), this information can help you and your doctor get the most from your prescription drug coverage. The Pharmacy Benefit Manager for BCBS is Prime Therapeutics. You can access more information about your pharmacy coverage by visiting Home (myprime.com).
A drug list is a list of drugs that are covered under your prescription drug benefit. How much you pay out of pocket is determined by whether your drug is on the list and at what coverage level, or tier. A generic drug is often at the lower tier. See if your drug is covered by reviewing your formulary drug list using the link below!
Express Scripts® Pharmacy, the mail order pharmacy for members with BCBSTX prescription drug coverage, provides safe, fast and cost-effective pharmacy services that can save you time and money. With this program, you can obtain up to a 90-day supply of long-term (or maintenance) medications through Express Scripts® Pharmacy.
Getting Started Online
You have more than one option to fill or refill a prescription online or from a mobile device:
Order Over the Phone
Call 1-833-715-0942, 24/7, to refill, transfer a current prescription or get started with home delivery. Please have your member ID card, prescription information and your doctor’s contact information available.
NETWORK: BlueCare Dental
How do I find an In-Network Provider?
Did You Know?
Pre-treatment Estimate
Looking for more details about how items are covered? Click on the link below to view the formal Benefit Summary.
Network: EyeMed
How do I find an In-Network Provider?
Did You Know?
Looking for more details about how items are covered? Click on the link below to view the formal Benefit Summary.
Basic Life and Accidental Death & Dismemberment (AD&D)
Voluntary Life and AD&D
*Guaranteed Issue (GI) and Evidence of Insurability (EOI)
Short-Term Disability
This employer-paid benefit covers everyday illnesses or injuries can interfere with your ability to work. Even a few weeks away from work can make it difficult to manage household costs.
This employer paid Short Term Disability coverage provides financial protection for you by paying a portion of your income, so you can focus on getting better and worry less about keeping up with your bills.
Long-Term Disability
This employer-paid coverage pays a monthly benefit if you have a covered illness or injury and you can't work for a few months - or even longer! You're generally considered disabled if you're unable to do important parts of your job - and your income suffers as a result.
Accident Insurance
A serious injury can cost you a lot of money – not only in medical bills but in things like income from lost work hours. Some injuries are minor, but others are debilitating and require significant medical care. If you get hurt, accident insurance pays you money that you can use to cover personal expenses, bills, and out-of-pocket medical costs. Accident Insurance can pay a set benefit amount based on the type of injury you have and the type of treatment you need. It covers accidents that occur on and off the job. And it includes a range of incidents, from common injuries to more serious events
What Does it Cover?
Critical Illness Insurance
When a serious illness strikes, your finances can be endangered, along with your health. Even if you have health insurance, the out-of-pocket costs of treatment, hospitalization and missing work can add up fast. Critical Illness Insurance can help you weather a crisis without draining your savings.
What Does it Cover?
Who Gets Paid?
EMPLOYEE ASSISTANCE PROGRAM (EAP)
GuidanceResources® Online offers web-based services designed to help address the personal concerns and life issues you may be facing. Whether it’s depression, alcohol and drug abuse, or grief and loss, these services are available to you and members of your family at no cost—24 hours a day, 7 days a week.
Guide to using GuidanceResources.com:
If you have any problems logging in, you can contact: memberservices@guidanceresources.com or (877)-595-5289.