Health Benefit Comparison Chart

 

Health Benefit Comparison Chart 2013-2014 ( ERS Vs. TRS )

 

Feature WSD ERS TRS TRS TRS
  HealthSelect of Texas
United HealthCare
ActiveCare 3 ActiveCare 2 ActiveCare 1-HD
Employee only  $0.00 $796.00 $529.00 $325.00
Employee and Spouse  $288.02 $1,810.00 $1,203.00 $794.00
Employee and Child(ren)  $192.86 $1,269.00 $841.00 $572.00
Employee and Family  $480.88 $1,990.00 $1,323.00 $1,060.00
Plan Feature        
Individual Deductible In Network  $0.00 $300.00 $1,000.00 $2,400.00
Non Network  $500.00      
Out of Area  $200.00      
Family Deductible In Network  $0.00 $900.00   $4,800.00
Non Network  $1,500.00      
Out of Area  $600.00      
Out-of-Pocket Maximun Per Person In Network  $2,000.00 $1,000.00    
    Employee Only Out-of-Pocket Maximum     $3,000.00 $3,850.00
    Family Out-of-Pocket Maximum       $4,000.00 $4,200.00
Non Network  $7,000.00      
Out of Area  $3,000.00      
Tobacco User Premium        

Member or Spouse or

Children only 

$30.00      
Member + Spouse or Member + Children
or Spouse + Children 
$60.00      

Family (Member + Spouse + Children) 

$90.00      

  

 

Health Benefit Comparison Chart 2013-2014 (ERS HMO Vs. TRS HMO )

 

Feature  WSD ERS HMO  TRS HMO
   COMMUNITY FIRST HEALTH PLAN  SHA, L.L.C d/b/a FIRSTCARE
Employee only  $0.00 $391.50
Employee and Spouse  $256.22 $985.06
Employee and Child(ren)  $171.56 $622.62
Employee and Family  $427.78 $994.84
Individual Deductible  $0.00  
Family Deductible  $0.00  
Employee Only Out-of-Pocket Maximum Per Person $2,000.00  
SCOTT & WHITE HEALTH PLANS    
Employee only  $0.00 $418.02
Employee and Spouse  $280.96 $945.10
Employee and Child(ren)  $188.12 $664.00
Employee and Family  $469.08 $1,048.54
Individual Deductible  $0.00  
Family Deductible  $0.00  
Employee Only Out-of-Pocket Maximum Per Person $2,000.00  
Tobacco User Premium    
Member or Spouse or Children only  $30.00  
Member + Spouse or Member + Children or Spouse + Children  $60.00  
Family (Member + Spouse + Children)   $90.00  
VALLEY BAPTIST HEALTH PLAN INC    
Employee only    $387.06
Employee and Spouse    $941.04
Employee and Child(ren)    $607.86
Employee and Family    $960.14
Employee Only Out-of-Pocket Maximum   $4,000.00
Family Out-of-Pocket Maximum    $8,000.00

 

Additional Information:

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How to Apply 
Health Benefit Comparison Chart 
Application Request Form

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