telemedicine
FOR CONVENIENT, 24/7 CARE
Telemedicine from MDLIVE is available if you are enrolled in one of our medical plans. It is a convenient way to obtain care if you are traveling, away from home, or are unable to see your regular doctor. Connect anytime day or night with a boardcertified doctor via your mobile device or computer for free or about the same cost as a visit to your regular physician.
Skip the Hassle
Skip the hassle, travel, and waiting room with virtual care! Register for an account on MDLIVE so you can speak to a doctor in a few minutes or schedule a virtual appointment that is most convenient for you. Doctors will diagnose non-emergency medical issues and prescribe medication, if needed.
When to Use MDLIVE
While telemedicine does not replace your primary care physician, it is a convenient and cost-effective option when you need care and:
• Have a non-emergency issue and are considering an after-hours health care clinic, urgent care clinic, or emergency room for treatment
• Are on a business trip, vacation, or away from home
• Are unable to see your primary care physician
Use telemedicine services for minor conditions such as:
• Sore throat
• Headache
• Stomachache
• Cold/Flu
• Mental health issues
• Allergies
• Fever
• Urinary tract infections
Do not use telemedicine for serious or life-threatening emergencies.
Registration is Easy
Register with MDLIVE so you are ready to use this valuable service when and where you need it.
Visit www.mdlive.com/bcbstx
Call 888-680-8646
Download the app to your smartphone or mobile device
health care options
Becoming familiar with your options for medical care can save you time and money.
Non-emergency Care
Telemedicine
Access to care via phone, online video, or mobile app whether you are home, work, or traveling; medications can be prescribed.
24 hours a day, 7 days a week
Doctor’s Office
Generally, the best place for routine preventive care; established relationship; able to treat based on medical history.
Office hours vary Infections
Retail Clinic
Usually lower out-of-pocket cost than urgent care; when you can’t see your doctor; located in stores, and pharmacies.
Sore and strep throat
Hours vary based on store hours Common infections
Urgent Care
When you need immediate attention; walk-in basis is usually accepted.
Generally includes evening, weekend, and holiday hours
Emergency Care
Hospital ER
Life-threatening or critical conditions; trauma treatment ; multiple bills for doctor, and facility.
24 hours a day, 7 days a week
Freestanding ER
Services do not include trauma care; can look similar to an urgent care center, but medical bills may be 10 times higher 24 hours a day, 7 days a week
Sprains and strains
Chest pain
Difficulty breathing
Severe bleeding
Blurred or sudden loss of vision
Major broken bones
Most major injuries except trauma Severe pain
Note: Examples of symptoms are not inclusive of all health issues. Wait times described are only estimates. This information is not intended as medical advice. If you have questions, please call the phone number on the back of your medical ID card.
and other dental work. Coverage is provided through BCBSTX
DPPO Plans
You have two dental plans to choose from, the Base Plan and a Buy-Up Plan. Two levels of benefits are available with the DPPO plans: in-network and outof-network. You may see any dental provider for care, but you will pay less and get the highest level of benefits with in-network providers. You could pay more if you use an out-of-network provider.
vision FOR YOUR PEEPERS
Our vision plan offers quality care to help preserve your health and eyesight. Regular exams can detect certain medical issues such as diabetes and high cholesterol, in addition to vision and eye problems. You may seek care from any vision provider, but the plan will pay the highest level of benefits when you see in-network providers. Coverage is provided through BCBSTX using the EyeMed network.
Vision Summary
copay
Lenses
• Single vision
• Lined bifocal
• Lined trifocal
• Lenticular
Frames
Lens Options
• Tints (Solids and gradient)
• Scratch-resistant coating
• Polycarbonate lenses
• Ultraviolet coating
• Standard anti-reflective coating
• High index lenses
• Polarized lenses
• Photochromic/transitions plastic
Contacts
In lieu of frames and lenses
• Conventional
• Disposable
• Medically necessary
Other
Laser Vision Correction
$25 copay
$25 copay
$25 copay
$25 copay
$150 allowance; 20% off balance over $150
$15
$0 $0 kids; $40 adults $15
$45 copay
of retail 20% of retail $75
$0 copay, $150 allowance; 15% off balance over $150 $0 copay, $150 allowance; plus balance over $150 Covered in full
off retail price or 5% off promotional price
Additional Pairs Benefit 40% off purchase of a complete pair of eyeglasses; and 15% off conventional contact lenses once the funded benefit has been used
Amplifon Hearing Discount 40% off hearing exams; and a low-price guarantee on discounted hearing aids
Addtional Discounts
Benefit Frequency
Exam
Lenses
Frames
Contacts
off non-covered items (with limitations)
Once every 12 months
Once every 12 months
Once every 12 months
Once every 12 months