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Start the Year Knowing Your Benefits

The Pulse
January 2024
 

TRS-ActiveCare & TRS-Care Standard​

TRS-ActiveCare and TRS-Care Standard offer so much more than coverage for doctors' visits.

Your health plan includes a variety of programs to help you take a well-rounded approach to your health and wellness. From diet and exercise to mental health and family planning, you have access to resources at little to no extra cost.​

The Fitness Program

Get affordable, no-contract memberships at gyms nationwide. Choose what works best for you based on location, budget or personal preference. There's even a virtual-only option! 

OptionsDigital OnlyBaseCorePowerElite
Monthly Fee$10$19$29$39$129
Gym Facility Network SizeDigital Access Only3,000​​7,50012,00012,400​

​            All plans, except the Digital Only option, include a $19 initiation fee

The Fitness Program includes:

  • A mobile app that keeps track of your activity with real-time data
  • Pay-as-you-go options for studio or boutique-style classes
  • Access to thousands of digital fitness videos and live classes including cardio, bootcamp, barre, yoga and more
  • Rewards for your hard work through Blue Points SM. Get points for joining The Fitness Program and when you work out. Use them in the online shopping mall when you're ready to treat yourself. 
  • Discounts on alternative medicine like acupuncture, massage, and personal training
  • Options for the whole family—you don't have to start your fitness journey alone. Your covered dependents, age 16 and older* can also sign up!

Sign up for the Fitness Program

Well onTarget ® Wellness Coaching 

What if you had access to a personal coach who could help you set and meet your health and wellness goals—at no added cost?

Wellness coaching from Well onTarget ® uses credentialed health experts, including dietitians, nurses, personal trainers, and other specialists. Coaches work one-on-one with you using evidence-based guidelines, proven motivational techniques and goal setting.

Your coach will:

  • learn about your lifestyle and habits
  • design a plan to help you achieve your goals
  • offer inspiration and ideas along the way

Well onTarget ® also offers self-guided digital courses on:

  • managing stress
  • improving fitness level and dietary habits
  • losing or maintaining weight
  • improving cholesterol and blood pressure

Start working with a wellness coach

Mental Health Care is Health Care

Did you know the average delay from when mental health issues start and when people finally get help is 11 years? 

Don’t wait another day. Get care for depression, stress, anxiety, alcohol or drug misuse and other conditions. ​​

  • In-Person—See an in-network therapist, psychiatrist, or other mental health professional. Headway is a new program that makes finding mental health providers and scheduling appointments easier.
  • Virtually—Use Teladoc to speak with a licensed mental health provider online or on the phone.
  • Digitally—Learn to Live is a free digital mental health program. Its programs can help you with stress, anxiety, depression, substance abuse and more.

Get help for your mental health

Women’s and Family Health​

Your plan provides support in every stage of life including pregnancy, parenting and menopause. 

An annual well-woman exam is crucial for your overall and reproductive health. During a well-woman visit, you'll get a physical exam that screens for cancers and other health issues specific to women. Your health plan covers it at 100%.

Get additional support at no added cost with Ovia HealthTM apps. Each app offers you daily personalized articles and tips to achieve your goals, unlimited messaging with registered nurses, and real-time health data.

  • Ovia—Health, Fertility and Menopause Support Track your health status and know when you're most likely to become pregnant. Or get support as you transition into menopause.
  • Ovia Pregnancy—Pregnancy and Postpartum Support Support a happy and healthy pregnancy. Look up food and medication safety, connect with a registered nurse, watch the baby grow week by week, and plan a return to work.
  • Ovia Parenting—Family and Working Parent Support for the early years of parenting, including tracking the baby's growth and milestones.

Download the Ovia Apps

Well onTarget also offers digital self-guided courses to support healthy pregnancies through every stage. Topics include healthy foods, body changes and labor.

Your plan also includes:

  • Support from a maternity specialist if your pregnancy is considered high-risk.
  • Electric breast pumps limited to two per plan year (your plan covers hospital-grade breast pump rentals at up to $150 of allowed amount)
  • Lactation counseling services, including six visits per plan year covered at 100%​

TRS Virtual Health

You and your family can get convenient, quality health care from home or on the go through Teladoc® or RediMDTM, 24/7. They treat conditions like colds, flu, allergies, asthma, skin issues, muscle strains, respiratory infections, and other acute illnesses. They can also send prescriptions to your pharmacy if needed.

Learn more about TRS Virtual Health

Health Advisors

After a significant health issue, you may need extra support. Health Advisors are nurses and other medical professionals who help you stay as healthy as possible. They may call to help you:
  • learn how to manage a chronic condition
  • get the care you need for serious illnesses or injuries
  • manage a high-risk pregnancy
  • if you were in the hospital or had a major surgery

A Health Advisor can also make appointments for you for things like follow-up appointments and physical therapy.

Learn more about Health Advisors

 Personal Health Guides​

  • Have a question? Call or chat with a plan specialist, 24/7. PHGs are your plan experts. They make it easy to understand your health plan and maximize your benefits

    A PHG can help you around the clock with:

    ·       claims and benefits questions·       cost estimates·       finding in-network providers·       pregnancy and parenting support·       mental health support·       medical and prescription drug benefits·       prior authorizations·       scheduling appointments·       transition of care (the movement of a patient from one setting of care to another, or one plan to another) ·       wellness benefits·       and much moreYou can connect with a PHG by calling 1-866-355-5999 or chatting through the BCBSTX App, available in the Apple App Store or Google Play Store.​

TRS-Care Medicare

  • TRS-Care Medicare Advantage offers so much more than coverage for doctors' visits. Your health plan includes a variety of programs to help you take a well-rounded approach to your health and wellness. From diet and exercise to mental health and family planning, you have resources at little to no extra cost.

    Maintain a Healthy Weight

    Real Appeal®

    Real Appeal® is an online weight management and healthy lifestyle program proven to help you achieve lifelong results, one step at a time. It includes:

    • Online group sessions (and one-on-one sessions for those who qualify) led by a coach ;
    • A health coach who will partner with you and guide you to a healthier, happier you;
    • A community of members to keep you motivated;
    • Goal-setting tools, trackers and weekly content to help you learn and stay engaged; and
    • A free Success Kit with all the tools you need—delivered right to your door.

     Call Real Appeal® at 1-844-924-7325, TTY 711 to get started!

    SilverSneakers®

    SilverSneakers® includes a free gym membership to participating locations, access to group exercise classes, an on-demand video library, live virtual classes and workshops, and activities outside the gym. Visit SilverSneakers.com/StartHere or call toll-free at 1‑888‑423‑4632, TTY 711.

    24/7 Nurse Support

    Speak with a registered nurse about your medical concerns and questions. Nurses are available anytime, day or night at 1-877-365-7949, TTY 711.

    UnitedHealthcare Hearing

    You can get routine hearing exams, customized care options, brand name and private label hearing aids, and professional national support for your hearing needs. Visit uhchearing.com/TRS‑CareMA[OS3]  or call 1‑888‑547‑1374, TTY 711. You must use a UHC Hearing contracted provider. 

    UnitedHealthcare HouseCalls

    This service offers yearly in-home check-in care between regular provider visits to help support your health. With no travel or waiting rooms required, a visit is quick to schedule, simple to complete and a great way to help stay on top of your health. Call 1-866-347-9507 to schedule your HouseCalls appointment. ​

Vision Coverage

  • TRS-Care Medicare Advantage includes some vision benefits through the UnitedHealthcare Medical network. Providers should contact the provider number on the back of your TRS-Care Medicare Advantage member ID card to confirm eligibility and benefits.  You may visit any vision service provider for routine vision services. Eye exams have a $0 copayment for one exam every 12 months. The Eyewear Plan pays up to $70 for eyeglasses, or up to $105 for contact lenses instead of eyeglasses, every 12 months.​

Over-the-counter (OTC) Care

TRS-Care Medicare Advantage includes OTC care at no added cost to you.Every three months, UnitedHealthcare adds $40 to your account to buy health and wellness products like toothpaste, pain relief, vitamins, cough drops and more. Credits expire Dec. 31, 2024. Call 1-866-347-9507 for more information and how to get started.​​

Find a Provider

  • For the most up-to-date information on TRS-Care Medicare Advantage network providers, visit retiree.uhc.com/TRS-CareMA or call the UnitedHealthcare Customer Service number on your member ID card.

    With TRS-Care Medicare Advantage, you can see providers inside or outside the UnitedHealthcare network. If you see a provider outside the network, make sure that provider accepts Medicare and agrees to bill UnitedHealthcare.

    Even though TRS-Care Medicare Advantage doesn't require you to have a primary care provider, it's important to have one.

    Get Vaccinated​​

    TRS-Care Medicare Advantage covers vaccines for flu, pneumonia, Hepatitis B (for people at high and intermediate risk), COVID-19 and certain reasonable, and necessary vaccines to treat an injury or exposure to a disease.  ​​