Apex Capital provides healthcare coverage for all full time employees. This plan is also available to qualifying dependents. It is administered by Blue Cross Blue Shield of Texas (BCBSTX). Please refer to your plan document in Workday for a full description.
Plan Highlights
Employee Contributions
Is your Doctor in the BCBS Network?
How to Contact BCBS?
Plan Highlights
PLAN DESIGN | In-Network | Out-of-Network |
---|---|---|
Office Visit (Primary Care Physicians) | $0 copay | Deductible + 50% coinsurance |
Office Visit (Specialists) | $15 copay | Deductible + 50% coinsurance |
Airrosti | $40 copay | Deductible + 50% coinsurance |
Urgent Care | $35 copay | Deductible + 50% coinsurance |
Emergency Room | 20% coinsurance after $300 copay | 20% coinsurance after $300 copay |
Preventive Services | You Pay 0% | Deductible + 50% coinsurance |
Deductible (Individual) | $300 | $2,000 |
Deductible (Family) | $600 | $6,000 |
Co-Insurance | 20% | 50% |
Out of Pocket Maximum (Individual) | $9,200 | $18,400 |
Out of Pocket Maximum (Family) | $18,400 | $36,800 |
Employee Contributions
Medical Plan – No Incentive
Medical Plan No Incentive | Employee Contribution |
---|---|
Employee Only | $37.82 |
Employee + Spouse | $87.47 |
Employee + Spouse (partial wellness credit) | $64.39 |
Employee + Child | $73.68 |
Employee + Family | $172.09 |
Employee + Family (partial wellness credit) | $149.01 |
Medical Plan – Wellness Incentive
Medical Plan Wellness Incentive | Employee Contribution |
---|---|
Employee Only | $14.74 |
Employee + Spouse | $41.32 |
Employee + Child | $50.60 |
Employee + Family | $125.94 |
Is your Doctor in the BCBS Network?
To find out if your doctor participates in the BCBS network, go to www.bcbstx.com.
Network name: Blue Choice PPO (BCA).
How to Contact BCBS?
Customer Service: 800-521-2227; Group #153601