If you enroll in the Indemnity Option (regardless of Rx, Legacy Rx, or Medical Only), Medicare pays benefits first. Then, any remaining costs, if eligible, may be paid by your Oncor Indemnity Option. Benefits are coordinated as if you have Medicare coverage, whether you actually enroll in Medicare or not. The Oncor Indemnity Medical Option DOES NOT replace Medicare. If you waive Medicare, you will be responsible for the amount Medicare would have paid. BCBSTX can give you more details about how the plans coordinate.

As a plan participant, you may receive care from any provider you choose. You receive a higher level of benefits if you use a BCBSTX network provider. Preventive care is provided at no cost to you.

However, you must first meet the deductible before the option begins paying for other services. Only participants currently enrolled in the Indemnity with Legacy Rx Option may select the Indemnity with Legacy Rx Option for 2019.

If you select the Indemnity with Rx or Indemnity with Legacy Rx option, your prescription drug coverage is provided through SilverScript, an affiliate of CVS Caremark. You can fill your prescription at any local retail pharmacy or use the mail order pharmacy for maintenance medications.
Click here for an overview of how prescription drugs are covered. When you need information about your prescription drug benefits, you can access SilverScript or call 1.800.706.9346.

If you are a Retiree age 65 or over, SilverScript will send you standardized communication as required by the Centers for Medicare and Medicaid Services (CMS). The information is designed to let you know that if you choose to do so, you may opt out of Oncor-provided prescription drug coverage. If you do this, you will no longer participate in Oncor prescription drug benefits. Instead, you will have medical-only coverage.

The Indemnity Medical Only Option provides medical coverage only. As a participant in this option, you may receive care from any provider you choose. Preventive care is provided at no cost to you. However, you must first meet the deductible before the option begins paying for other services.

Oncor makes this option available so you can choose coverage from the universe of fully-insured Medicare-supplement and Medicare Advantage plans. Via Benefits can help you find medical, pharmacy, dental, and vision insurance plans that fit your health care needs and budget, often for less than you would pay to participate in a traditional health plan.

Each year during Annual Enrollment, you may choose the option you want for the coming year. When you enroll for coverage with Via Benefits, a Health Reimbursement Account (HRA) may be set up for you. Oncor may fund the account each year, based on the amount that Oncor would have normally subsidized for your medical benefits if you had continued coverage under the Oncor Retiree Plan. This amount will vary by individual.

If you enroll in coverage found through Via Benefits, your coverage will be provided by the individual carrier of your Via Benefits policy, and will be subject to the terms of that policy.

If you enroll in coverage through Via Benefits, you can return to the Indemnity with Rx or Indemnity Medical Only Option (excluding the Indemnity with Legacy Rx Option) during future annual enrollments.

You and your qualified dependent must be eligible for Medicare in order to be covered by these options.

If you or your spouse is not Medicare eligible, coverage may be elected in one of the Medical and Prescription Drug Options Not Eligible for Medicare.

If you enroll in the Indemnity Medical Only Option, the option does not provide prescription drug benefits. If you enroll in the Via Benefits Option, prescription drug benefits vary based on the Via Benefits Option you choose.

Contact Via Benefits at 1.844.498.5563. If you enroll in Indemnity with Rx or Indemnity with Legacy Rx, this chart shows your prescription drug benefits.

(1) No deductible.