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.
၂၀၂၇ ခုနှစ် ဇန်နဝါရီလ ၁ ရက်တွင် ထွက်ရှိမည်။
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.
For general information about eligibility, enrollment, how medical coverage works and the health care programs available through our medical plans, visit ဆေးဘက်ဆိုင်ရာ.
Provider tiers
You will carry one ID card covering professional, ancillary, hospital, facility and prescription coverage.
When services are provided in the ကျန်းမာရေးကို စိတ်ကူးကြည့်ပါ , 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.
| Tier | Providers |
|---|---|
| Tier 1 | ကျန်းမာရေးကို စိတ်ကူးကြည့်ပါ Partners Direct Health HealthSmart |
| Tier 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.
ဆက်သွယ်ရန်:
Tier 1 Provider Network
Tier 1 Provider Network
Tier 1 Provider Network
ဆက်စပ်စာရွက်များ:
What you pay when you receive care — in-network
Tier 1 and Tier 2 deductibles cross-accumulate — what you spend in one tier counts toward the other.
Important!
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
| You pay | Tier 1 (Imagine Health) | Tier 2 (Open Access) |
|---|---|---|
| Dexter annual HSA contribution (individual / family) | $250 / $500 | $250 / $500 |
| Annual deductible (individual / family) | $3,000 / $5,000 | $3,500 / $6,000 |
| Annual out-of-pocket maximum (individual / family) | $4,500 / $9,000 | $6,000 / $12,000 |
| Preventive care | $0 | $0 |
| TextCare virtual visit | $0 | $0 |
| Primary care | 20%¹ | 20%¹ |
| Specialist | 20%¹ | 20%¹ |
| Lab & X-ray | 10%¹ | 20%¹ |
| Urgent care | 10%¹ | 20%¹ |
| Emergency room | 20%¹ | 20%¹ |
| Outpatient hospital | 10%¹ | 20%¹ |
| Inpatient hospital | 10%¹ | 20%¹ |
| Outpatient mental health | 10%¹ | 20%¹ |
CDHP $2,000 — Texas
| You pay | Tier 1 (Imagine Health) | Tier 2 (Open Access) |
|---|---|---|
| Dexter annual HSA contribution (individual / family) | $500 / $1,000 | $500 / $1,000 |
| Annual deductible (individual / family) | $1,700 / $3,400 | $2,000 / $4,000 |
| Annual out-of-pocket maximum (individual / family) | $3,400 / $5,700 | $5,250 / $10,500 |
| Preventive care | $0 | $0 |
| TextCare virtual visit | $0 | $0 |
| Primary care | 20%¹ | 20%¹ |
| Specialist | 20%¹ | 20%¹ |
| Lab & X-ray | 10%¹ | 20%¹ |
| Urgent care | 10%¹ | 20%¹ |
| Emergency room | 20%¹ | 20%¹ |
| Outpatient hospital | 10%¹ | 20%¹ |
| Inpatient hospital | 10%¹ | 20%¹ |
| Outpatient mental health | 10%¹ | 20%¹ |
PPO $850 — Texas
| You pay | Tier 1 (Imagine Health) | Tier 2 (Open Access) |
|---|---|---|
| Dexter annual HSA contribution (individual / family) | N/A | N/A |
| Annual deductible (individual / family) | $500 / $1,500 | $850 / $2,500 |
| Annual out-of-pocket maximum (individual / family) | $2,100 / $4,200 | $3,600 / $7,200 |
| Preventive care | $0 | $0 |
| TextCare virtual visit | $0 | $0 |
| Primary care | $25 | $25 |
| Specialist | $50 | $50 |
| Lab & X-ray | $0 | $0 |
| Urgent care | $25 | $50 |
| Emergency room | $300 | $300 |
| Outpatient hospital | 10%¹ | 20%¹ |
| Inpatient hospital | 10%¹ | 20%¹ |
| Outpatient mental health | 10%¹ | 20%¹ |
¹ After the plan deductible has been met.