AmeriTex Brokerage Group, LLC AmeriTex Brokerage Group, LLC

 

Texas Individual & Family High Deductible Health Insurance Plans


Unicare

Unicare - a Wellpoint company (recently named the most admired health company in the nation by Fortune magazine for the unprecedented 6th year in a row), has an excellent reputation and have consistently been growing at a rapid pace over the past several years.  Texas and Illinois are among the strongest states for Unicare, which also does business in Indiana, Nevada and Virginia.  In most cases, Unicare offers the best value for an HSA plan in each of these states.

UNICARE Life & Health Insurance Company is rated "A+" by Standard & Poor's Financial Strength Rating Analysis and "A-" (excellent) for claims-paying ability by A.M. Best, an independent insurance industry analyst that bases its rating on operating performance and financial stability.

UNICARE Life & Health Insurance Company is a separately capitalized and incorporated subsidiary of WellPoint Health Networks Inc.  WellPoint is one of the largest managed care companies in the United States and one of the most financially sound. WellPoint and its family of companies provide health coverage for over 6.5 million people and have over 12.9 million pharmacy customers.

UniCare offers a variety of High-Deductible Health Plans, each with a different annual deductible amount for both individuals and families.

Plans At a Glance

 


BlueCross BlueShield of Texas

BlueCross BlueShield is one of the most widely known and trusted names in the health insurance industry.  Blue Cross Blue Shield has one of the most competitive HSA plans in Texas, and unlike most other HSA plans, the Blue Cross Blue Shield HSA plan also includes a Prescription Drug Co-Payment.

Blue Cross and Blue Shield of Texas is the largest insurer in the state of Texas, offering traditional plans that can include co-payments for doctor visits and prescriptions, economical major medical plans, and coverage that qualifies to work with a Health Savings Account (HSA). 

About Blue Cross Blue Shield:

Since 1939, Blue Cross and Blue Shield of Texas has worked to help keep Texans healthy.  The company's stated mission since its founding has been to provide financially sound health care coverage to as many Texans as possible.

A division of Health Care Service Corporation (HCSC), Blue Cross and Blue Shield of Texas is among the financially strongest health insurers in the nation providing its members with a high level of confidence and security.  For detailed financial reports, please visit the HCSC web site.

Blue Cross Blue Shield generally offers great value for full coverage.  They cover doctor visits, prescription drugs, vision, accident benefit, and of course, hospitalization.  Complete details can be seen by opening their "Outline of Coverage" brochure each plan:

You may also refer to the chart below for a coverage overview.

Plans At a Glance:                      Select a plan name below to view its brochure

Plans
Select Blue Advantage
PPO Select Choice
PPO Select Saver
Lifetime
Maximum
$5 Million per Member
$5 Million per Member
$5 Million per Member
Dr. Co-Pay
$30 - $45,
varies by deductible
$25
Subject to Deductible
and Co-insurance

Rx
  $2,500 per Calendar Year maximum for each Participant.
Co-payment is $20 for Generic Drug, $35 for Preferred Brand Name Drug, $50 for Non-Preferred Brand Name Drug.
  $2,500 per Calendar Year maximum for each Participant.
$300 deductible.
Co-payment is $15 for Generic Drug, $25 for Preferred Brand Name Drug, $40 for Non-Preferred Brand Name Drug.
  $2,500 per Calendar Year maximum for each Participant.
Deductible varies based on plan deductible.
Co-payment is $10 for Generic Drug, $50 for Preferred Brand Name Drug, $65 for Non-Preferred Brand Name Drug.

Wellness
Services
  100% of Allowable Amount subject to Physician office visit Co-payment.
$300 per Calendar Year maximum.

Childhood Immunization:
100% of Allowable Amount, through age 7.
  Benefits provided for routine physical examinations, well-child care, hemoccult test, pap smears, immunizations for Participants 8 years of age and over, routine lab, x-ray, vision and hearing examinations up to a $300 combined Calendar Year max for Network and Out-of-Network Benefits.
Subject to $25 co-pay.
  Immunizations through age 7 paid at 100%,
Annual mammogram screening for females over age 35, Test for detection of prostate cancer (at age 40 with a family history or routinely after age 50).

Deductibles
  $250, $500, $1,000, $1,500, $2,500, $5,000 per individual.

The family deductible is three times the individual deductible.

  $250, $500, $1,000, $1,500, $2,500, $5,000 per individual.

The family deductible is three times the individual deductible.

  $500, $1,000, $1,500, $2,500, $5,000 per individual.

The family deductible is three times the individual deductible.

Network
Co-insurance
85% after deductible
80% after deductible
75% after deductible
Non-Network
Co-insurance
Deductible doubles,
then 75% after deductible.
Deductible doubles,
then 75% after deductible.
Deductible doubles,
then 60% after deductible.

Out-of-Pocket Maximum
(in addition to the deductible)
 

$250 or $500 ded. = ind:$2,000, fam:$4,000

$1000 or $1500 ded. = ind:$3,000, fam:$6,000

$2,500 or $5,000 ded. = ind:$5,000, fam:$10,000

  $3,000 individual, $6,000 family
(in network).

$5,000 individual, $10,000 family
(out of network).
 

$3,000 individual

$9,000 family

All other
Services
85% after deductible
80% after deductible
75% after deductible

Rates:

Rates vary based upon zip code, age, and effective date. 

PPO Network:

Blue Cross of Texas gives you access to one of the largest networks in Texas, with thousands of health care providers throughout the state.  The large list of doctors and hospitals can be viewed at their online directory.

Underwriting:

Blue Cross has one of the easiest, most efficient underwriting teams in the industry.  The process is very fast if no medical records are needed.  While it is always a good idea to apply at least three weeks prior to the time you need your new coverage to take effect, some applications that are done online are approved by BCBS within 24 hours.  If medical records are needed, you may have to reapply, and include medical records.

The company does have the right to accept or decline any individual or family application.  Certain conditions may be waivered with a temporary rider (usually for one to two years), or an indefinite rider.  If you are currently being treated for depression, anxiety, or high cholesterol, please let us know before you apply so we can make sure there are no delays in getting you covered.

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Not all policies and product features are available in all states.
This is not an offer or solicitation in any jurisdiction where the policies are not approved for sale or where AmeriTex is not licensed to sell insurance.  AmeriTex is licensed to sell insurance in Texas only.

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