HealthSelect plan participants: Welcome to Plan Year 2025

September 04, 2024

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Plan Year 2025 for active employees began Sept. 1 and runs through Aug. 31, 2025. Here we share some new condition management programs for the new plan year and highlight ways you can make the most of your medical benefits.

New HealthSelect^SM programs are now available

Several new condition management programs are now available at no additional cost to eligible HealthSelect medical plan participants. If you're dealing with heart health issues, need musculoskeletal-related help or want to proactively manage your mental health, these programs can help.

HealthSelect of Texas^® medical plan participants who are age 18 and older and living in the U.S., including those enrolled in Consumer Directed HealthSelect^SM or Medicare, are eligible to enroll in the new programs. For the Learn to Live program, covered dependents age 13 and over are also eligible.

The Hello Heart program aims to prevent or decrease the development or advancement of heart disease and other cardiovascular conditions. It includes a free Hello Heart blood pressure monitor that pairs directly to an app on your smartphone.

You must have one or more of the following conditions to participate in Hello Heart:

• Blood pressure readings of 130/80 mmHg or higher
• Taking medication to treat cardiovascular disease, including but not limited to blood pressure and/or cholesterol medication
• Increased risk for cardiovascular disease, such as family history
• A woman aged 52 or older who is going through or has gone through menopause.

Hinge Health^TM is a digital, physical therapist-led musculoskeletal care program. Hinge Health includes access to the Hinge Health mobile app and a care team including a board-certified health coach and physical therapist.

The program includes the following:

• Personalized exercise therapy to improve strength and mobility in short, 15-minute sessions
• One-on-one health coaching to provide motivation and support via text, email or phone
• Interactive education to teach you how to manage your specific condition and treatment options

Learn to Live is an online, on-demand, self-paced mental health service grounded in cognitive behavioral therapy. The program provides online, coach-supported programs to help you overcome depression, insomnia, panic, stress, anxiety and worry, social anxiety and substance use. You can also work with a Learn to Live Coach via your preferred communication method after completing an initial assessment.

Visit Condition Management Programs to find out more program details.

Prior authorizations are no longer required

All HealthSelect of Texas plans-including Consumer Directed HealthSelect, HealthSelect Out-of-State and HealthSelect Secondary-no longer require prior authorizations for medical services. Please note there are still prior authorization requirements for some prescription drugs.

Your providers may choose to ask Blue Cross and Blue Shield of Texas (BCBSTX) for an optional pre-service clinical review of your upcoming services to make sure they meet coverage guidelines and are medically necessary; however, this clinical review is optional. If your in-network provider chooses not to request a review before providing your service, you won't be responsible for any charges determined to be not medically necessary. If you receive care from an out-of-network provider, you may be responsible for more of the cost.

If you have any questions about your HealthSelect medical plan benefits, call a BCBSTX Personal Health Assistant toll-free at (800) 252-8039 (TTY: 711), Monday - Friday 7 a.m. - 7 p.m. and Saturday 7 a.m. - 3 p.m. CT. You can also chat with a BCBSTX Personal Health Assistant via Blue Access for Members^SM or via the BCBSTX App, Monday - Friday, 8 a.m. - 5 p.m. CT.