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SUMMER ENROLLMENT SCOTT & WHITE HEALTH PLAN BENEFITS

Scott & White Health Plan (SWHP) offers enhanced health plan benefits to TRS members in Central and North Texas. With access to online tools, a wide network of providers, and affordable prescription coverage, SWHP is the long-term partner you need. Enroll now for a healthier and happier school year!

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SUMMER ENROLLMENT SCOTT & WHITE HEALTH PLAN BENEFITS

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  1. SUMMER ENROLLMENT • SCOTT & WHITE HEALTH PLAN BENEFITS • TRS-ActiveCare September 1, 2017 – August 31, 2018 Lifting your spirit

  2. Long-Term Partner Lifting your spirit SWHP has served TRS members in Central Texas since 2003 SWHP expanded to include North Texas in 2015 SWHP covers more than 22,000 TRS members 2

  3. SWHP Enhancements Lifting your spirit SWHP member information available via computer at trs.swhp.org or through the MyBSWHealth app More than 1,300 pharmacies in North Texas $0 copay for first sick visit per member Wellness Assessment and Digital Health Coaching 3

  4. Online Tools Lifting your spirit Through the member portal at trs.swhp.org, members can: • See required copays • Print an ID card or request a new one • Check the status of deductibles and out-of-pocket max • See claims and Explanations of Benefits (filtered by member/dependent) • Get information on specific providers • Review prescription usage Members can also send an e-mail to customer service advocates and receive responses through the portal’s secure messaging feature. 4

  5. 2017-18 SWHP/TRS Plan Year Service Area Map Counties in orange include additional network providers available to deliver in-network care to members who live or work in our TRS/SWHP HMO network (counties in blue). Lifting your spirit 5

  6. Scott & White Health Plan Summary of Benefits for TRS 2017-18 SWHP/TRS Plan Year Benefits$20 PCP Office Visit/$50 Specialty Office Visit See trs.swhp.org for full list of benefits

  7. Unlimited Rx Benefit plus, only $5 for Preferred Generic Drugs! Rx copays and coinsurance apply to Out-of-Pocket Maximum. * If a brand name prescription is dispensed when a preferred generic is available, a copay of 50% applies after deductible. 7

  8. Prescription Coverage Lifting your spirit Is my prescription covered and what will I have to pay?Calling or Emailing our Scott & White Health Plan Pharmacy Team will help you with your questions: prescriptionservices@sw.orgor 1-800-728-7947 8

  9. Our provider search tool allows you to: • Search by name, specialty, and/or ZIP code • Add filters for gender, board certification, accepting new patients, and more • See practice locations, contact information, and maps • Get details, including network participation and hospital affiliations You can also: • Customize your own profile • Create custom directory results Try it out! Go to trs.swhp.org and click on the “Find a Provider” link located on the bottom of the TRS home page, and you will be on your way. And remember, you are not required to select a Primary Care Physician. You may see any network physician without a referral. Lifting your spirit Finding a provider has never been easier! 9

  10. Lifting your spirit Thank you for your interest in Scott & White Health Plan. We look forward to being your health care provider. And, we wish you all the best in your 2017-2018 school year! 10

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