Insurance

• ERS - Texas Employees Group Benefits Program (GBP)
  • Update Beneficiaries
  • News About Your Benefits
  • New Employee Insurance Information
  • Evidence of Insurability
• Summaries of Benefits and Coverage (SBCs) for health plans
• Graduate Student Insurance Information
• New Employee Benefits Guide PY 2013
  • Guide Supplement for PY 2014
• HealthSelect Provider Directory
• Insurance and Other Benefits Contact Information
• Summary of Benefits:
  • Staff & Faculty
  • Graduate Assistants
• TexFlex (PayFlex)
  • Changes for TexFlex debit card users
• Tobacco User Premium
  • New Tobacco Policy - effective 9/1/2013

Understanding the difference between primary care physicians (PCPs) and urgent care centers

In areas of Texas where there are no urgent care centers available, some primary care physicians (PCPs) are calling their clinics “urgent care centers,” even though they are not credentialed as such. Members, most likely unaware of the difference, are utilizing these PCP clinics and offices as urgent care centers, only to find later that the services they received will not be paid at in-network benefit levels. Please let your employees know they need to either verify that the urgent care center they plan to use is truly a credentialed in-network urgent care center or change their designated PCP to the PCP operating the credentialed urgent care clinic prior to receiving services.

HealthSelect^SM of Texas members can get guidance on whether to visit a PCP, an urgent care center, or a hospital emergency room by calling myNurseLine^SM toll-free at (877) 731-8306. Registered nurses are available to help 24/7, at no extra cost to members. Community First Health Plans and Scott & White Health Plan also have nurse lines; information is available on their websites.