Retiree Health
Retiree Health Plan Coverage
A retired League City employee may be eligible to purchase continued Health Benefits coverage through the City. To receive continued coverage, retirees must inform Human Resources no later than 30 days prior to the retirement date that they elect to continue coverage as a Retiree. Retirees may elect to continue coverage for any eligible dependent that was covered on the date of retirement.
Retirees or dependents who elect to continue coverage and later decides to discontinue such coverage, will forfeit their option to select retiree coverage again at a later date.
If an employee retires at age 60 or older, with 20 years of TMRS experience and the most recent five years with League City, the City currently will pay the retiree (not dependent) cost of continued coverage at 100% until the age of 65.
An employee who retires from TMRS on disability retirement, and has worked with the City of League City for a minimum of five years, and has at least ten years of TMRS service is eligible for a portion of their health insurance to be paid, based on the employee’s age at time of disability retirement.
Please contact Human Resources with additional questions.
BCBS Mid Plan
We are proud to offer you comprehensive medical and prescription drug coverage. The BlueCross BlueShield of Texas (BCBSTX) Mid Plan gives you the freedom to seek care from the provider of your choice. However, you will maximize your benefits and reduce your out-of-pocket costs if you choose a provider who participates in the BCBSTX network. The calendar-year deductible must be met before certain services are covered. The BCBSTX Mid Plan also offer many resources and tools to help you maintain a healthy lifestyle. The following provides a brief overview of the plan.
| Mid Plan - Medical Rates | |
| Coverage | Minimum Employee Cost Share** |
| Retiree | $724.60 |
| Retiree + Spouse | $1,630.19 |
| Retiree + Child(ren) | $1,434.69 |
| Family | $2,246.26 |
Medical Plan Highlights
| Medical Benefits |
Mid Plan |
|---|---|
| Deductible In-Network Non-Network |
$1,000 Ind. / $2,000 Fam. $5,000 Ind. / $10,000 Fam. |
| Out-of-Pocket Maximum In-Network Non-Network |
$3,500 Ind. / $6,000 Fam. $15,000 Ind. / $30,000 Fam. |
| Coinsurance In-Network Non-Network |
15% 40% |
| Lifetime Maximum | Unlimited |
| Preventive Care In-Network Non-Network |
$0 (no cost sharing) You pay 40% after deductible |
| Telehealth / Virtual Visit | $5 copay |
| Physician Office Visit In-Network Non-Network |
$20 copay ($10 for children up to age 19) You pay 40% after deductible |
Specialist Office Visit In-Network Non-Network |
$35 copay ($10 for children up to age 19) You pay 40% after deductible |
Basic Lab & Radiology In-Network Non-Network |
You pay 15%* You pay 40% after deductible |
| Emergency Room In-Network Non-Network |
$150 copay, then ded./coins. You pay 40% after deductible |
| Urgent Care In-Network Non-Network |
$50 copay You pay 40% after deductible |
| Major Lab & Radiology (MRI / CT / PET) In-Network Non-Network |
Prior authorization required You pay 15% after deductible You pay 40% after deductible |
| Inpatient Hospital In-Network Non-Network |
You pay 15% after deductible You pay 40% after deductible |
| Outpatient Surgery In-Network Non-Network |
You pay 15% after deductible You pay 40% after deductible |
| Prescriptions Network Retail Pharmacy Network Mail Order / 90-Day Retail Now Preventive Generics |
$4/$35/$60/15% $8/$70/$120/15% $0 copay |