Did you know that prices for the same quality medical services can differ by thousands of dollars within the same region and health plan network? Blue Cross and Blue Shield of Texas provides Member Rewards, a program that rewards you when you choose a lower-cost, quality option for certain medical services.
How do you use Member Rewards?
Compare the Member Rewards program to where you park your car — the $30 lot or the $15 one just a few blocks away. Member Rewards lets you shop for health care services in a similar way.
Below is an example of how much you could pay for a medical procedure depending on the provider.*
Procedure | Provider A Cost | Provider B Cost |
X-Ray of Chest | $29 | $102 |
MRI of Lower Spine | $620 | $1,389 |
Mammogram | $194 | $370 |
Colonoscopy | $1,412 | $2,239 |
*Examples shown are for illustration purposes and aren’t intended to represent costs for procedures in your area.
Best of all, shopping with Member Rewards could help lower your out-of-pocket costs and help you get credit toward future medical expenses.
Member Rewards Benefits
There are several benefits to using Member Rewards. This includes:
compare costs and quality for many procedures such as screenings, scans, surgeries and more
estimate out-of-pocket costs
earn credit toward future medical expenses
save money and make the most efficient use of your health care benefits
consider treatment decisions with your doctors
You can earn up to $599 per person, per year. Unused rewards roll over to the next plan year. However, you’ll lose your reward if you cancel your health plan or if you switch to TRS-Care Standard.
What Can I Use My Reward For?
All TRS-ActiveCare plans have Member Rewards, but what you can use your rewards for varies by plan.
TRS-ActiveCare Primary, TRS-ActiveCare Primary+ and TRS-ActiveCare 2:
Your rewards may apply toward the costs of future medical or pharmacy expenses by reducing copays or coinsurance for you and your covered dependents.
If you’d like to use your reward toward pharmacy expenses, you need to fill out TRS-ActiveCare Member Rewards Health Care Account Expenses form and include a copy of the receipt for reimbursement.
TRS-ActiveCare HD:
You can use your rewards toward dental and vision expenses.
Once you incur dental and vision expenses, fill out and submit the TRS-ActiveCare Member Rewards Limited Purpose form.
How do I get my Reward?
Once you’ve had your procedure at a reward-eligible location, Member Rewards will match your paid claim to your search. It’ll then be deposited into your Health Care Account.
Your Health Care Account, or HCA, is:
set up by Blue Cross and Blue Shield of Texas
different from your district’s Flexible Spending Account and Health Savings Account
available by logging into your Blue Access for MembersSM account or by calling a Personal Health Guide at 1-866-355-5999
Choose a Quality Primary Care Physician (PCP) or Specialist
Providers who are highly rated for quality, cost-efficient care and appropriate treatment plans have a Top Performing Physician badge in Provider Finder®. Below, you can see how much you’re rewarded per specialty service. This growing list of reward-eligible specialties includes:
PCP | Surgical | Medical |
Family Medicine: $25 | Cardiothoracic Surgery: $150 | Cardiology: $50 |
Internal Medicine: $25 | Ophthalmology: $50 | Gastroenterology: $50 |
Pediatrics: $25 | Orthopedic Surgery: $150 | OB/GYN: $25 |
| Urology: $50 |
|
Get Started
Shop online by going to www.bcbstx.com/trsactivecare and clicking on the Doctors and Hospitals tab and selecting your plan in the Provider Finder section.
Next, log in with your BAMSM account. If you don’t have a BAM account, there’s an option to create one.
Click on the Member Rewards tile to search for a reward-eligible provider or procedure.
Once you’ve made a selection, schedule an appointment and get the procedure or service. If you have TRS-ActiveCare Primary or TRS-ActiveCare Primary+, you must get a referral from your PCP before you schedule your appointment.
Get rewarded! If you have TRS-ActiveCare Primary, TRS-ActiveCare Primary+ or TRS-ActiveCare 2, you can use the reward that’s deposited into your HCA for future copays, coinsurance and other medical expenses.
If you have TRS-ActiveCare HD, you can use the reward that’s deposited into your HCA for incurred dental and vision expenses. Once expenses are incurred, fill out an HCA reimbursement form found at www.bcbstx.com/trsactivecare.
A Personal Health Guide can help you find a reward-eligible provider or answer questions about Member Rewards. Call a PHG at 1-866-355-5999 or chat in the BCBSTX App.