Policy Number on Insurance Card Blue Cross Blue Shield Health Select

ERS Tools

We are proud to insure the Employees Retirement System of Texas (ERS) account as of Sept. 1, 2017. ERS administers insurance and related benefits for eligible employees and their dependents under the Texas Group Benefits Program (GBP).

ERS participants covered under HealthSelect of Texas^® and Consumer Directed HealthSelect^SM (HealthSelect) benefit plans access care through a custom point of service network usingBlue Essentials ^SM providers in all 254 counties in Texas.

Important Information About Participants Transitioning to HealthSelect of Texas

Effective Sept. 1, 2021, HMO plans will no longer be an enrollment option under the Texas GBP. All current subscribers and dependents enrolled in one of the HMO plans will be automatically enrolled in HealthSelect of Texas administered by Blue Cross and Blue Shield of Texas, unless they elect otherwise during their summer enrollment period. Learn more

ERS Participant Plans

HealthSelect of Texas (In Texas)

• Participants must select a PCP participating in the Blue Essentials provider network.
• Referrals are required to see Blue Essential providers for in-network benefits.
• Referrals are not required for the following:
  • Covered vision care, including routine and diagnostic eye exams
  • OB/GYN visits
  • Mental health counseling
  • Chiropractic visits
  • Occupational therapy and physical therapy
  • Virtual visits through MDLIVE and Doctor on Demand, urgent care centers and convenience care clinics.

Consumer Directed HealthSelect (In Texas)

• Participants have open access to providers in the Blue Essentials provider network for in-network benefits.
• PCP selection or referrals are not required when accessing Blue Essentials providers for in-network benefits.

HealthSelect of Texas and Consumer Directed HealthSelect Out-of-State

• ERS participants living outside of Texas have access to a PPO network under Blue Card.
• This plan does not require PCP selection and does not require referrals.

For the above plans, refer to the Prior Authorization Lists for Designated Groups page under Utilization Management - Prior Authorizations and Predeterminations for lists of services that require prior authorization or referrals (if needed).

HealthSelect Secondary 65+

• ERS Retirees and Participants are eligible for Medicare.

How to Identify ERS Participants

• The plan names HealthSelect of Texas and Consumer Directed HealthSelect will be printed directly on the ID card.
• Some ERS participantsin Texas will have a unique network ID labeledHME.

How to be an In-Network Provider for ERS Participants

• Must have privileges at one of the Blue Essentials/HealthSelect participating hospitals (unless inpatient admissions are uncommon or not required for the provider's specialty or provider has someone who will admit on their behalf)
• Must have a valid National Provider Identifier (NPI) number
• Must sign a Blue Essentials agreement

If you are interested in participating, please visit the Network Participation – How to Join page and follow the steps.

Mental Health Services

BCBSTX manages mental health benefits and services for HealthSelect plans, including network management. Learn more

Telemedicine and Virtual Visits

HealthSelect participants have benefits for telemedicine/telehealth and virtual visits.

Virtual Visits

Medical and mental health virtual visits are available through Doctor on Demand and MDLIVE. Use the Availity^® Provider Portal or your preferred vendor to check eligibility and benefits.

Telemedicine/Telehealth

Use the Availity^® Provider Portal or your preferred vendor to check eligibility and benefits. You can also refer to Section 5, Schedule of Benefits and Coverage, in the plan's Master Plan Benefits Documents for more information.

Submitting Telemedicine/Telehealth and Virtual Visit Claims

For details on submitting telemedicine/telehealth claims, refer to our Telemedicine and Telehealth Services page.

Outpatient Clinical Laboratory

All Plan providers should refer members to in-network lab providers for outpatient lab services. To locate participating labs in the Plan network, visit Provider Finder^® on the BCBSTX website.

Statewide In-Network Clinical Labs for HealthSelect Participants include:

Refer to Provider Finder for additional participating clinical laboratory providers.

Have Questions?

If you have any questions regarding the ERS plans, please contact your Network Management office.

Helpful Information

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Source: https://publicsitestx.hcsc.net/provider/ers-tools.html

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