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Health Benefits

TML Health Benefits Group – BCBSTX

Plan Year is from September 1 through August 31

Deductible Year is from September 1 through August 31

 

Customer Service: 800-282-5385

BCBSTX Helpline: 855-762-6084

Medical Prior Authorization Helpline: 800-441-9188

24 Hour Nurseline: 877-351-8392 or 800-386-4424 (for those with hearing or speech loss)

Benefits Value Advisor: 855-762-6084 (call if you are on the PPO plan or HMO plan and need to change your primary care physician)

 

How to Find if Your Doctor is in Network Flyer

 

TML Health Benefits Group Website: – tmlhealthonline.org

  • Once you login to the TML Health Benefits website, you can access:
    • The BAM portal
    • Easily track your benefits
    • View your health plan benefits and summaries

 

Blue Access for Members (BAM) Website: bcbstx.com/member

  • BAM Flyer – How to Create Your BAM Account
  • Once you login to the BAM portal (use the information on your BCBSTX ID card to sign in), you will be able to:
    • Search for providers, hospitals, and pharmacies in network
    • Request or print your ID card
    • Check your deductibles
    • Check the status or history of a claim
    • View and print your explanation of benefits statements
    • Use the cost estimator took to find pricing for hundreds of tests, treatments, and procedures
    • Sign up for text or email alerts

 

Navitus – Pharmacy Plan

Navitus Customer Care Number: 855-673-6504 (English and Spanish Speaking)

Member Portal: navitus.com

 

MDLive/TeleHealth

($0 copay on the HMO and Copay plans – $44/call on the HSA until the deductible is met)

  • How to Find MDLive Through Your BAM Portal
  • MDLive/TeleHealth Website: mdlive.com
  • Phone Number: 888-680-8646
  • Set up your MDLive account through the Blue Access for Members Portal – MDLive can be used for:
    • Connecting with a board-certified doctor to help with minor conditions (allergies, cold, flu, cough and sore throat, headaches and sinuses, etc.)
    • Connecting with a licensed therapists for behavioral health counseling (addiction, anxiety, depression, loss, relationships, stress, trauma, PTSD, and life changes)
    • Can also send some prescriptions to nearby pharmacies

 

Deer Oak Employees Assistance Program (EAP)Free, 24/7 live access to a nationwide network of mental health professionals specializing in work/life balance and skill development.

Deer Oaks Toll-Free Helpline: 866-327-2400

  • In-person, telephone, and video counseling
    • 6 free sessions per issue
    • Employee and all residing in employee’s household can use this service, even if you and/or dependents are not enrolled in your medical plan
  • Referrals to community services
  • Advantage Legal Assistance
  • Advantage Financial Assistance
  • Identity Recovery
  • Take the High Road Reimbursement Service

 

TML Well – Earn $150 cash incentive for engaging in your health

  • Open to employees and spouses enrolled in the medical plan
  • As easy as taking a wellbeing survey and completing a biometric screening or participating in your choice of activity or nutrition challenges
  • Navigate Wellbeing Solutions – track your progress with the Navigate app – use the TML Well portal or sync with your favorite fitness tracker
  • Catapult – Get a preventative screen (in-person or virtual) that counts towards your $150 incentive
  • TML Well Incentive Flyer