Technically, participation is not required. However, employees and covered spouses who do not complete the requirements will have a $50 monthly payroll deduction beginning May 2027 until the requirements are satisfied. This program is intended to encourage preventive care and early detection of health concerns.

Examples of qualifying preventive care visits may include:

• Annual wellness exams

• Routine physicals – not sports physicals

• Well-woman exams

• Preventive health checkups

• Well-child visits (when applicable)

Because coverage and coding requirements can vary, employees should verify that the provider bills the visit as preventive care and contact BCBSTX if they have questions.

No. The UT SELECT Medical Plan and the UT Student Health Insurance Plan (UT SHIP) are separate programs with different rules, eligibility requirements, and benefits. Preventive Care Incentive Program requirements apply only to eligible UT SELECT employees and covered spouses and do not affect individuals enrolled in UT SHIP.

A qualifying preventive care claim must be on file during the applicable program period which would between February 2026 – February 2027. New enrollees after August 31, 2026, should complete their preventive exam by June 30, 2027.

Members should review official Preventive Care Incentive Program communications each year for exact deadlines and eligibility requirements.

No. Preventive exams do not have to be exactly 365 days apart. Under certain circumstances, members may be eligible for a preventive exam sooner than 12 months. Because coverage situations vary, employees should contact BCBSTX to confirm eligibility and coverage details.

Important: If your visit is not processed as preventive care and is instead considered a regular office visit, you may be subject to the Preventive Care Incentive Program's monthly premium differential fee of $50.00.

Under the Preventive Care Incentive Program, only one qualifying preventive exam per plan year is required. Preventive exams are generally covered at 100% when received from an in-network provider.

While one exam per plan year is required for the incentive program, it is recommended that members verify eligibility with BCBSTX before scheduling exams less than 12 months apart, as claim processing and coverage rules may vary.

To help ensure your preventive exam counts toward this program:

• Tell your provider's office the appointment is for an annual preventive wellness exam. 

• Review your Explanation of Benefits (EOB) after the claim is processed. 

• Confirm the visit was processed as preventive care. 

• Contact UT SELECT Concierge if you have questions about claim processing.

If services are billed as a regular office visit or diagnostic visit rather than preventive care, the visit may not qualify for the Preventive Care Incentive Program purposes.

You can track your preventive exam status by:

• Logging in to Blue Access for Members (BAM) and reviewing your medical claims.

• Contacting UT SELECT Concierge at (866) 882-2034 for assistance.

A successfully processed preventive exam should appear in your claims history and is typically covered at $0 out-of-pocket cost when received from an in-network provider.

Once your qualifying preventive care claim is processed by Blue Cross and Blue Shield of Texas (BCBSTX), the information is transmitted automatically.

To satisfy the Preventive Care Incentive Program requirements, you must complete a qualifying preventive care exam during the plan year.

UT is automatically notified, and any applicable program benefit is applied. No additional forms, documentation, or reporting to HR are required. UT does not receive medical details from your appointment—only confirmation that the preventive exam was completed.

The easiest ways to verify are:

• Log in to Blue Access for Members (BAM) and review your claims history.

• Contact UT SELECT Concierge at (866) 882-2034.

Because of privacy regulations, HR departments cannot verify personal medical information or claim details. Members must verify this information directly through BCBSTX.

If you receive a bill for a preventive exam that you believe should have been covered:

1. Review your Explanation of Benefits (EOB).
2. Contact the provider's billing office to verify the claim was coded as preventive care.
3. Ask the provider to hold the account while the issue is being reviewed.
4. Contact UT SELECT Concierge for assistance.
5. Request a corrected claim if a coding error occurred.
6. Keep records of all calls and correspondence.

Important: Do not ignore the bill. Address any discrepancies promptly.

UT SELECT Concierge (866) 882-2034

The Concierge team can assist with:

• Claims questions

• Preventive care coverage

• Eligibility verification

• Coding concerns

• Preventive Care Incentive Program's related questions

• Routine preventive physical exam in office setting: 99381–99387 (new patients); 99391–99397 (established patients).

• Preventive physical exam in outpatient setting: 99381–99387, 99391–99397.

• Preventive physical exam at retail clinic: 99381–99387, 99391–99397.

• Preventive well-woman exam: 99384–99387 (new patients) and 99394–99397 (established patients), depending on age.