September 20, 2022

WELCOME TO TML HEALTH

Hello new Benefit Coordinator! This is your first of many monthly Benefit Coordinator Newsletters, designed to help you stay up-to-date on your employees’ benefits. You will find important benefit updates, helpful handouts, and educational trainings made with the intention of helping you be the best Benefit Coordinator you can be.

Be sure to read the entire newsletter every month and know that it will come out roughly two weeks before the monthly Member Newsletter to give you time to review the information inside before it will be shown to your employees. 

Welcome to TML Health!

Congratulations to Marie Garland from the City of Meridian for winning August’s $25 Amazon gift card! 



Want to increase your chances of winning in September? Every time you attend a training, you add one submission into the raffle!

TML Health is rewarding members who help the Pool save money. As you may know, different doctors and hospitals can offer the same treatments (with the same level of quality) for radically different prices. The good news is, we can all play a role in choosing more cost effective providers, and now your employees can get rewarded for doing so!  

To earn their Member Reward, employees need to either do a provider search online in Blue Access for Members website or call BCBSTX Customer Service (855-762-6084) to find local options and the potential savings for common “shoppable” services. 

There are hundreds of shoppable services eligible for Member Rewards, such as non-emergency MRIs, colonoscopy, labs, or outpatient surgery. If your employee chooses one of the more cost-effective options, BCBSTX will send them 25% of the savings 4-6 weeks after the claim is processed! All the way up to $500!

We are hosting an educational webinar to walk you through the program and how to access it on September 22 at 3:00 pm.

CORRECTION TO EMPLOYEES’ EMERGENCY ROOM BENEFITS

TML Health has recently discovered an error on your employees’ Summary of Benefits & Coverage (SBC) and we are notifying you about the correction.

What is the Change: 

The ER benefit was misstated on the SBC. For Emergency Room facility services, the member will be responsible for a $500 Emergency Room Fee (which is waived if admitted) plus 20% of the costs after the deductible is met. 

How will this affect your employees? 

When they receive care at an Emergency Room, employees will usually get one bill from the facility and separate bills for any doctors that see them (or other services such as reading your X-rays). The ER benefit will now apply the deductible and 20% coinsurance to the facility bill and/or the separate physician bills in the order in which the claims are processed. 

When does this change take place? 

This change will impact any ER visits after your anniversary date. 

This change does not require any action on your part.

We simply want to keep you informed!

Remember that the ER is typically the most expensive route for medical care and there are many options you have to see a doctor that’s more cost-effective. One of those options if your remote telehealth provider MDLIVE!

Sincerely,

TML Health

TML Health Benefits Pool is a non-profit trust organization created by political subdivisions to provide group benefits services to participating political subdivisions and is not an insurance company. This contains proprietary and confidential information of TML Health. Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association.