Our Benefits & Partners
Because the Texas Health Benefits Pool (TXHB) is a risk pool, we’re able to gather Texas’ leading innovators in the healthcare industry together into a customizable package for a rate groups wouldn’t typically be able to achieve on their own.
Medical Benefits
Powered By Blue Cross and Blue Shield of Texas™
TXHB partners with Blue Cross and Blue Shield of Texas (BCBSTX) to expand our members’ access to providers through the broadest network in Texas with exceptional rates to keep out-of-pocket costs to a minimum.
- Every member gets a Benefits Value Advisor (BVA) to help them find and compare in-network doctors, their costs, and schedule appointments. BVAs can be reached Mon-Fri from 8am-6pm at 855-762-6084.
- Members also have access to the Member Rewards Program. Whenever members use their BVA to find a more cost-effective doctor, we send them a percentage of the savings in the mail.
- For members unable to get to a doctor’s office, they also have access to MDLive, a telehealth option for 24/7, remote access to medical expertise.
FILES FOR TRANSPARENCY IN COVERAGE COMPLIANCE
The Transparency in Coverage Final Rule requires group health plans to publish machine-readable files containing in-network rates and out-of-network allowed amounts starting July 1, 2022. TX Health Benefits provides these files for your convenience. ASO groups may use these files to satisfy their Transparency in Coverage requirements as a group health plan.
Pharmacy Benefits
Powered By Navitus
Navitus is our optional pharmacy benefit manager with industry-leading cost-effectiveness and 24/7 customer service. They negotiate better prices on prescription drugs and pass those savings on to our members.
Surgery Benefits
Powered By SurgeryPlus™
If our members have an upcoming, non-emergency surgery coming up, they can use their benefits provided by SurgeryPlus to access a premium network of surgeons with the lowest complication rates in the nation for little-to-no cost to them.
Vision Benefits
Powered by Eyemed
TXHB members have the option of receiving vision benefits through the Pool as well. These benefits come from EyeMed, who has a network of partners all across the state to provide members with discounted frames, lenses, and eye exams.
Dental Benefits
Powered by BCBSTX
TXHB members can receive dental coverage through the Pool. Our partnership with BCBSTX allows our members access to Blue’s network to receive dental care for in-network discounts.
Spending Accounts
Powered by TX Health Benefits Pool
TXHB members have the option to use a consumer spending account to set aside pre-tax money that can be used specifically for future health or dependent care expenses, minimizing their out-of-pocket costs in the long run.
- Flexible Spending Account (FSA)
- Health Saving Account (HSA)
- Health Reimbursement Arrangement (HRA)
- Retirement Reimbursement Arrangement (RRA)
- Dependent Care Account (DCA)
Life Insurance Benefits
Powered by The Standard
TXHB also offers optional life insurance benefits to our members to protect themselves and their families through our partnership with The Standard. All eligibility and member-specific coverage details are accessed by logging in and going to your Benefit Summary section.
