Spartacus Consulting

This year, you can choose from 6 health plan options from Blue Cross Blue Shield of Texas.

REQUIRED FORMS

Employee Election Form – All employees, whether they want coverage or not, must complete the employee election form.

BCBSTX Enrollment Form – If you are enrolling in or waiving coverage for the first time, adding or removing a spouse or dependents, or making changes to your current health or dental coverage, you must complete the BCBSTX enrollment form.

PLAN OPTIONS AND MONTHLY RATES

Spartacus Consulting pays $270.49 toward the employee premium for whichever plan you select. The cost for dependent coverage under any plan option is the employee’s responsibility.

Benefits shown below are individual in-network limits. Family deductibles and out-of-pocket limits are two to three times the individual amounts. For more details on up-front copayments and other benefits, see the Summaries of Benefits and Coverage.

Note that all deductibles and out-of-pocket limits run on a calendar-year basis, not plan year. They start over every January.

Employees electing Options 1, 2, or 3 can set up a Health Savings Account (HSA) and deduct their contributions when filing their income tax return.

If you do not have an HSA and want to establish one, you can click here for HSA Bank, or you can use any bank you wish. Click here for more information on HSAs and be sure not to contribute more than the maximum allowed per year.

Employees electing Options 4, 5, or 6 CANNOT set up a Health Savings Account or make tax-free deposits as these plans are not HSA-compliant.

Print employee cost sheet

HEALTH CARE PROVIDERS

All plans offered use the large BCBSTSX Blue Choice PPO network and require no Primary Care Physician (PCP) or referrals. Be sure to use in-network providers whenever possible (you can search for a provider here).

All health plans through BCBSTX include virtual visits through MDLive. The cost of the telehealth visits is $45 on the HSA plans or the same as the primary care physician copayment on the copay plans.

WELLNESS AND PREVENTIVE CARE

In-network preventive care is covered at no charge on all plans. See section 3 of the employee packet for more information.

ADDITIONAL PERKS

Health plan members have access to several additional perks through the Blue365 program. See section 5 of the employee packet for more information.

Spartacus Consulting offers dental coverage through Blue Cross Blue Shield of Texas. You are able to sign up for dental coverage without enrolling in health coverage.

REQUIRED FORMS

To sign up for or to waive dental coverage, please use the same employee election form and BCBSTX enrollment form that you use for your health coverage.

PLAN OPTIONS AND MONTHLY RATES

The DTXHR01 dental plan through Blue Cross Blue Shield of Texas pays 100% of the cost of preventive care, 80% of the cost of basic services, and 50% of the cost of major services with a $25 individual deductible and $75 family deductible and an annual cap of $3,000.

Employee Only: $62.33
Employee + Spouse: $124.67
Employee + Child(ren): $152.72
Employee + Family: $246.21

Print employee cost sheet

Click here for the Dental Summary of Benefits

FIND A DENTIST

The DTXHR01 dental plan allows you to visit any dental provider you like, but you will receive better benefits if you use a provider that participates in the BlueCare dental network.

Click here to locate a BlueCare dental provider

Spartacus Consulting offers vision coverage through Dental Select (don’t be fooled by the company name, this is the vision carrier). You are able to sign up for vision coverage without enrolling in health coverage.

REQUIRED FORMS

To sign up for or to waive vision coverage, please use the same employee election form that you use for your health coverage.

You’ll also need to complete the Dental Select enrollment form.

PLAN OPTIONS AND MONTHLY RATES

The Choice Vision 8 plan through Dental Select pays 100% of the cost of for in-network vision exams once every 12 months and provides an allowance for frames, lenses, and contacts.

Employee Only: $21.67
Employee + Spouse: $41.18
Employee + Child(ren): $43.34
Employee + Family: $65.01

Print employee cost sheet

Click here for the Vision Summary of Benefits

FIND A VISION PROVIDER

Click here to find a vision provider. Select the EyeMed Access network from the drop-down menu.