CommercialAdministrativeMedium impact
Reminder on Specialist Referrals for Teacher Retirement System Plans
BCBS Texas·TX·General
We identified it
Jan 12, 2026
Summary
This is a reminder clarifying specialist referral requirements for Teacher Retirement System (TRS) plans in Texas. TRS-ActiveCare Primary and Primary+ plans require referrals for most specialists except emergency care, OB-GYN, mental health, dermatology, physical therapy, and eye exams, while TRS-ActiveCare HD and TRS-ActiveCare 2 plans do not require referrals.
Action Required
Immediately: Front desk staff should verify TRS plan type before scheduling specialist appointments. For TRS-ActiveCare Primary and Primary+ members, obtain referrals from their PCP except for emergency care, OB-GYN visits, mental health specialists, dermatologist visits, physical therapy, and eye exams. No referrals needed for TRS-ActiveCare HD or TRS-ActiveCare 2 members. Update scheduling protocols to reflect these requirements.