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Insurance

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1) Do I have vision coverage?

Through HealthSelect, you are allowed one routine eye exam per year.  Even though your eye doctor is a specialist, you are not required to obtain a referral from your Primary Care Physician (PCP) for a routine eye exam.  Your copay would be at the rate charged by specialist doctors.  In addition to this benefit, you can get discounted rates on lenses, glasses and frames through the UnitedHealthcare Vision Program. To find a provider near you visit https://www.uhcvision.com/uhcVision.html or call 1-800-638-3120 to speak with Customer Service.

 

2) When do I need a referral from my Primary Care Physician (PCP)?

You do not need a referral for routine eye exams or well-woman exams with a gynecologist.   Referrals are required for all other specialists.

3) Is the name of my insurance UHC?

UnitedHealthcare (UHC) is contracted by the state to administer the HealthSelect of Texas medical plan, including development and maintenance of provider networks and claims processing functions.

4) Where do I get a Caremark prescription drug mail order form?

You can come by the Texas State Benefit Office in JCK 360 or you can click on https://www.caremark.com/portal/asset/mof_ers.pdf  to print out a form.

5) I have not received my health or dental card, when can I expect them?

If you are a new hire or if you made changes, once your coverage or the changes are effective, it will normally take about 3-4 weeks to receive your card(s).  They will be mailed to you directly from the carrier to your home address.  If you have not received them and want to inquire about the status, you can contact the carriers directly.  You can find all carrier phone numbers at http://www.ers.state.tx.us/Customer_Support/Contact_Programs/.

6) How do I get a Provider Directory?

Provider directories are not available in print.  The reason they are not provided is because the document changes often.  Doctors are added or deleted from the list at any time.  The provider directories are located at http://www.ers.state.tx.us/Customer_Support/Contact_Programs/.  If you would like to see printed copies of the Health and Dental directories, we have one copy in the Benefit Office in JCK 360.

7) Who is my Primary Care Physician (PCP) or how do I change my PCP?

We do not have access to your PCP information.  In order to find out who your PCP is or to change your PCP, you must contact your insurance carrier directly to make the change or update it online.  You can find the carrier phone numbers and website information at http://www.ers.state.tx.us/support.