Premium increases for the three HMOs made available through TRS ActiveCare range from 5% to 13%. For all HMOs, there will be an increase in the monthly administrative fee from $7.50 to $10. See below for the new premium rates and benefit changes.

FirstCare

FirstCare is increasing premiums around 12.5 percent overall, with minor variations between coverage tiers. 

Coverage tier 2015-2016 Premiums 2016-2017 Premiums
Employee Only $418.80 $472.50
Employee & Spouse $1,050.44 $1,180.50
Employee & Child(ren) $664.74 $748.50
Employee & Family $1,060.84 $1,190.50
Benefit 2015-2016 Plan Year 2016-2017 Plan Year
Deductible Individual: $450
Family: $1,125
Individual: $500
Family: $1,500
Out-of-Pocket Maximum Individual: $5,000
Family: $10,000
Individual: $6,000
Family: $12,000
Emergency Room Copay 25% after deductible $500 copay after deductible
Advanced Imaging Copay
(MRI, CT Scan, PET Scan)
25% after deductible $250 copay after deductible

Scott & White 

The premium increases for Scott & White average around 5 percent, with minor variations between coverage tiers. 

Coverage tier 2015-2016 Premiums 2016-2017 Premiums
Employee Only $503.60 $530.16
Employee & Spouse $1,135.62 $1,192.82
Employee & Child(ren) $798.30 $839.16
Employee & Family $1,259.76 $1,322.98
Benefit 2015-2016 Plan Year 2016-2017 Plan Year
Deductible Individual: $800
Family: $2,400
Individual: $1,000
Family: $3,000
Out-of-Pocket Maximum Individual: $5,000
Family: $10,000
No change
Primary Care
Office Visit Copay
$20 $20; copay for the first visit
for illness waived, does not apply
to wellness or preventive visits
Durable Medical
Equipment Coinsurance
50% after deductible 20% after deductible
Manipulative Therapy N/A New benefit; 20% without office visit
$40 plus 20% with office visit
(5 visits max per month, 35 max visit per year)
Prescription Drugs
Specialty Medications
Tier I: 10% after deductible
Tier II: 20% after deductible
Tier III: 30% after deductible
Tier IV: 50% after deductible
20% after deductible

Allegian

Overall, rates for the Allegian HMO will increase approximately 8.5 percent, with the exception of a 12.7 percent increase for family coverage. 

Coverage tier 2015-2016 Premiums 2016-2017 Premiums
Employee Only $413.38 $449.08
Employee & Spouse $1,001.88 $1,085.74
Employee & Child(ren) $647.94 $702.84615.00
Employee & Family $1,022.16 $1,151.60
Benefit 2015-2016 Plan Year 2016-2017 Plan Year
Deductible Individual: $500
Family: $1,000
No changes
Out-of-Pocket Maximum Individual: $4,500
Family: $9,000
No changes