Texas Medical Plans
Plan details for employees who work in Dallas or Tyler, Texas.
If you work in Dallas or Tyler, Texas, the National plans are not available to you. You choose among the three Local Texas plans.
A partir del 1 de enero de 2027
Your Texas plans change on January 1, 2027. On the PPO $850, deductibles and out-of-pocket maximums go up (the Tier 1 deductible becomes $1,000 / $3,000), and more services move from copays to coinsurance. On both CDHPs, Tier 1 office visits and emergency room care drop to 10% after the deductible. This page shows 2026 coverage. See all the 2027 Texas changes.
Para obtener información general sobre los requisitos de elegibilidad, la inscripción, cómo funciona la cobertura médica y los programas de atención médica disponibles a través de nuestros planes médicos, visite Médico.
Niveles de proveedores
Tendrás una sola tarjeta de identificación que incluirá la cobertura profesional, complementaria, hospitalaria, de instalaciones y de recetas médicas.
When services are provided in the Imagine Health , Partners Direct Health or HealthSmart networks, you receive richer benefits — lower out-of-pocket costs.
Open Access providers do not have set prices with the Dexter plan. To make sure you do not pay too much, the plan uses Price Protection.
Carrum Health is available. You must use Carrum for bariatric surgery, total joint replacement surgery and spinal surgery.
| Nivel | Proveedores |
|---|---|
| Nivel 1 | Imagine Health Partners Direct Health HealthSmart |
| Nivel 2 | Open Access — any provider |
Check Tier 1 coverage in your area
Enter a zip code to see whether Imagine Health Tier 1 providers serve that area. Tier 1 gives you lower out-of-pocket costs. You are covered either way — Tier 2 Open Access is available anywhere.
This tool shows provider network coverage only. It does not determine which medical plan you are eligible for — that is based on your work location.
Find a Tier 1 provider
Tier 1 care costs you less. Search the Imagine Health network, or use the zip code checker above to see whether Tier 1 providers serve your area.
Contacto:
Tier 1 Provider Network
Tier 1 Provider Network
Tier 1 Provider Network
Documentos relacionados:
Lo que pagas cuando recibes atención médica — dentro de la red
Los deducibles de los niveles 1 y 2 se acumulan entre sí: lo que gastes en un nivel cuenta para el otro.
¡Importante!
Your plan name refers to the plan family, not your Texas deductible. The Texas PPO $850 has a $500 Tier 1 deductible, and the Texas CDHP $3,500 has a $3,000 Tier 1 deductible. Check the tables below for the figures that apply to you.
CDHP $3,500 — Texas
| Tú pagas | Tier 1 (Imagine Health) | Tier 2 (Open Access) |
|---|---|---|
| Aportación anual a la cuenta de ahorros para gastos médicos (HSA) de Dexter (individual / familiar) | $250 / $500 | $250 / $500 |
| Deducible anual (individual / familiar) | $3,000 / $5,000 | $3,500 / $6,000 |
| Máximo anual de gastos de bolsillo (individual / familiar) | $4,500 / $9,000 | $6,000 / $12,000 |
| Atención preventiva | $0 | $0 |
| Consulta virtual de TextCare | $0 | $0 |
| Atención primaria | 20%¹ | 20%¹ |
| Especialista | 20%¹ | 20%¹ |
| Laboratorio y rayos X | 10%¹ | 20%¹ |
| Atención de urgencia | 10%¹ | 20%¹ |
| Sala de urgencias | 20%¹ | 20%¹ |
| Hospital de atención ambulatoria | 10%¹ | 20%¹ |
| Hospital para pacientes hospitalizados | 10%¹ | 20%¹ |
| Salud mental ambulatoria | 10%¹ | 20%¹ |
CDHP $2,000 — Texas
| Tú pagas | Tier 1 (Imagine Health) | Tier 2 (Open Access) |
|---|---|---|
| Aportación anual a la cuenta de ahorros para gastos médicos (HSA) de Dexter (individual / familiar) | $500 / $1,000 | $500 / $1,000 |
| Deducible anual (individual / familiar) | $1,700 / $3,400 | $2,000 / $4,000 |
| Máximo anual de gastos de bolsillo (individual / familiar) | $3,400 / $5,700 | $5,250 / $10,500 |
| Atención preventiva | $0 | $0 |
| Consulta virtual de TextCare | $0 | $0 |
| Atención primaria | 20%¹ | 20%¹ |
| Especialista | 20%¹ | 20%¹ |
| Laboratorio y rayos X | 10%¹ | 20%¹ |
| Atención de urgencia | 10%¹ | 20%¹ |
| Sala de urgencias | 20%¹ | 20%¹ |
| Hospital de atención ambulatoria | 10%¹ | 20%¹ |
| Hospital para pacientes hospitalizados | 10%¹ | 20%¹ |
| Salud mental ambulatoria | 10%¹ | 20%¹ |
PPO $850 — Texas
| Tú pagas | Tier 1 (Imagine Health) | Tier 2 (Open Access) |
|---|---|---|
| Aportación anual a la cuenta de ahorros para gastos médicos (HSA) de Dexter (individual / familiar) | N/A | N/A |
| Deducible anual (individual / familiar) | $500 / $1,500 | $850 / $2,500 |
| Máximo anual de gastos de bolsillo (individual / familiar) | $2,100 / $4,200 | $3,600 / $7,200 |
| Atención preventiva | $0 | $0 |
| Consulta virtual de TextCare | $0 | $0 |
| Atención primaria | $25 | $25 |
| Especialista | $50 | $50 |
| Laboratorio y rayos X | $0 | $0 |
| Atención de urgencia | $25 | $50 |
| Sala de urgencias | $300 | $300 |
| Hospital de atención ambulatoria | 10%¹ | 20%¹ |
| Hospital para pacientes hospitalizados | 10%¹ | 20%¹ |
| Salud mental ambulatoria | 10%¹ | 20%¹ |
¹ Una vez que se haya alcanzado el deducible del plan.