Round Rock ISD has partnered with Blue Cross and Blue Shield Texas (BCBSTX) and Prime Therapeutics to provide its employees with prescription benefits.
Starting with the 2025 plan year, your BCBSTX insurance card will now be used to verify medical visits and to verify coverage for prescriptions
Prescription plans correspond with the employees’ chosen Health Insurance plan. Your prescriptions will be based on the 2025 Balanced Drug List.
How to View your Digital ID card:
- Download the 4YOU Mobile APP from the Apple Store or Google Play. Registration of your 2025 benefit plan is required by logging into your Blue Access for Members (BAM) account in the BCBS Member Portal: mybam.bcbstx.com.
- Log in to your Blue Access for Members (BAM) account in the BCBS Member Portal: mybam.bcbstx.com.
- Call a Customer Service Advocate at 1-800-512-2227 to request a physical ID card be mailed to you. Verify your address is current in the Employee Self Service (ESS).
How to Check Prescription drug coverage and costs based on your health plan:
- Download the 4YOU Mobile APP from the Apple Store or Google Play). Registration of your 2025 benefit plan is required by logging into your Blue Access for Members (BAM) account in the BCBS Member Portal: mybam.bcbstx.com.
- Call a Customer Service Advocate at 1-800-512-2227.
Your Prescription benefits can cover:
Prescription Drugs
Insulin
Prescription Vitamins
Inhaler Assisting Devices
Smoking Cessation
Hemophilia Factors
Family Planning
Specialty Medications
Prescription Drug Comparison
HDHP HMO $3,500 |
Copay HMO $3,000 |
HDHP PPO $3,500 |
Copay PPO $2,500 |
|
---|---|---|---|---|
Employee Only | 30%* | $15 copay | 30%* | $15 copay |
Employee/Child(ren) | 30%* | 35% ($45 min – $80 max) | 30%* | 35% ($45 min – $80 max) |
Employee/Spouse | 30%* | 40% ($75 min – $120 max) | 30%* | 40% ($75 min – $120 max) |
Employee/Family | 30%* | 20% ($250 max) | 30%* | 20% ($250 max) |
Mail Order (Tiers 1-3 only): 90 days | 30%* | 3x copay | 30%* | 3x copay |
* After deductible | * After deductible |
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PHARMACY NETWORK – where to fill your prescriptions
To use your benefits, find a pharmacy in the Traditional Select Network and show your member ID card. Please
note: Walgreens, Walmart, CVS® pharmacies and many regional, local and independent pharmacies are
included in this network.
MANAGE YOUR MEDICATIONS:
We are on the Balanced Drug List with the Traditional Select Network. When you log onto the Blue Access
for Members (BAM) portal through the 4YOU App or online, the network and drug list will automatically be
loaded for you.
90-DAYMYWAY:
If you take a maintenance medication daily you will be required to get a 90-day supply of these drugs. You
can choose to fill the medication in person at a select retail pharmacy or through mail order.
FLEX ACCESS:
Available for certain specialty medications, this program helps to lower the cost of the medication for you
once you are enrolled.
MEDS YOUR WAY:
When you go to the pharmacy, this program will automatically check Drug Discount Card (DDC’s) to
ensure you get the best price for your medication. What you pay will be counted towards your out-of-pocket
maximum (and deductible if applicable).