As a result of recent legislation passed by the 85th Texas Legislature, all TRS-Care retirees and covered spouses and dependents who are not eligible for Medicare will be transitioned to a new health plan.
Once you meet your annual deductible, the 2018 health plan will pay 80 percent of your eligible in-network medical and prescription expenses.
Preventive services, such as your annual physical, cancer screenings, immunizations and flu shots, will still be available at no cost to you.
*TRS-Care will no longer offer a $0 premium health plan option for retiree-only coverage. Retirees will pay $200 for retiree-only coverage beginning Jan. 1, 2018.
In addition, the plan year is changing to a calendar year, with the new plan beginning on Jan. 1, 2018 (instead of Sept. 1, 2017), providing you an additional four months to prepare for the change. This also means that your deductibles and maximum out-of-pocket amounts will not start over until Jan. 1, 2018.
The vendor for our prescription drug plan is also changing. Beginning Sept. 1, 2017, CVS Caremark will become the new administrator for pharmacy benefits. Stay tuned for more information on this transition in the coming months.
Aug. 16, 2017
The Texas Legislature convened on July 18, 2017 for a special legislative session. On Aug. 15, 2017, the Legislature passed HB 21 that will add $212 million in funding to TRS-Care over the coming biennium. TRS is finalizing plan designs now. We will communicate the updates after the TRS Board of Trustees meets on Aug. 25, 2017. The additional funding will have a positive impact on the plan designs and premiums.
TRS-Care is a self-funded health benefits program, which means the cost of every member’s health care is paid by premiums, and funds from schools, the state and active employees. Due to rising health care costs, TRS-Care was in danger of becoming too expensive to continue. These changes to the program — as well increases to premiums and additional funding from the Texas Legislature — help ensure its sustainability for you, as well as for future retirees.
We understand your doctors are important to you and have worked to insure you still have the same broad choice of quality doctors, useful tools and resources that can help you get the most from your health plan.
If you are planning to retire due to a disability, you will pay the premium listed on this page.
If you retired prior to Jan. 1, 2017, receive TRS disability benefits, and are not eligible for Medicare, you won't pay a premium in the 2018 plan year (Jan. 1 - Dec. 31, 2018).