This is how it works...

You pay the selected benefit period deductible:

 $250 or $500 or $1,000

Once you meet your deductible, SelecTEMP will pay 80% of the next $5,000 of eligible charges. You pay 20% of eligible charges, or up to $1,000.

Then SelecTEMP pays 100% of eligible charges
for the rest of the benefit period up to
$1,000,000 per participant.

WHO IS ELIGIBLE FOR SelecTEMP?

  • Texas residents at least 60 days of age and under 65 years of age; and

  • Anyone not currently pregnant: and

  • Applicants not anticipating adding newborns or child(ren) to the Contract except if required by court order:

  • Unmarried dependent children at least 60 days of age and under 23 years of age: and

  • U.S. citizen or a non-U.S. citizen living in the United States for at least 2 years. A copy of your Alien Registration Receipt Card (Green Card) must be submitted with your application.

SelecTEMP COVERAGE FOR YOUR DEPENDENTS

You can select coverage for yourself, your spouse and children under a single contract, or a spouse only or children only contract can be issued.

WHEN DOES SelecTEMP COVERAGE BEGIN?

The Benefit Period begins on the later of:

A) The requested effective date; or

B) The day after the postmark date affixed by the U.S. Post Office.

If the envelope containing the application is not postmarked by the U.S. Post Office, or if the postmark is not legible, the effective date will be the later of: a.) the requested effective date; or b.)the date received by Blue Cross and Blue Shield of Texas, Inc.

The following conditions MUST be met before SelecTEMP coverage can begin:

  • You are a resident of Texas; and 

  • You answered "NO" to all the Health Questions on the SelecTEMP application;

  • Your completed application and premium are received by Blue Cross and Blue Shield of Texas  within 10 days of the signature date;

  • If your application is submitted by an agent, the agent or broker must hold a valid Group 1 license and be appointed to do business with Blue Cross and Blue Shield of Texas.

NOTE: If coverage begins on the 31st day of the month, it will end the last day of any shorter expiration month, if applicable. ie... January 4 to April 30th.

OUTLINE OF COVERAGE
OC-STM-5

The "outline of coverage" provides a brief description of some of the important features of your SelecTEMP Contract. Please review carefully. To download, click on the link below to view in the Acrobat Reader.

BCBS-TX SelecTEMP Outline of Coverage

Easy Precertification

Precertification is required for all Hospital Admissions, Extended Care Expense and Home Infusion Therapy. Precertification  helps to assure you are receiving appropriate and medically necessary care. You or your Physician or a family member should call the toll-free number listed on the back of your ID card.

Failure to precertify will result in a $250 penalty for any Hospital Admission. 

Need Additional Coverage?

If you need coverage for an additional period of time, you may apply for a second non-renewable SelecTEMP Contract. Any condition which may have existed or occurred under the prior Contract will be a Preexisting Condition under the subsequent Contract and will not be covered.

Extension of Benefits

If you are Totally Disabled on the expiration date of this Contract, covered benefits will continue to be payable for any continuous illness or injury that began while this contract was in force and will continue during the continuous Total Disability of the Participant until the earliest of:

1. date the Participant is no longer Totally Disabled, or
2. payment of maximum benefits, or
3. end of 90 days.

 Questions???

If you are interested in applying for permanent individual health coverage  or have questions on SelecTEMP contact our office at:

Local Dallas: (903) 537-2819
Toll Free: 1-888-869-4904

To Apply for Coverage...Click Here

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