2017 Texas Medical Plan Designs

Texas small group businesses with two to 50 employees may select a combination of any five plans or as few as one. Employers with five or more enrolled employees may offer up to five plans from the available Health Suite Select series. The number and types of plans is up to the employer to decide. Employers with fewer than five enrolled employees may select their favorite plan.

For more information, please contact your Prominence Health Plan account executive or an appointed Prominence Health Plan broker.

Medical plan designs presented are subject to change pending regulatory review and approval. This content is for informational purposes only and should not be considered final.

Coverage Areas

HMO Small Group Medical Plans

HMO Core Plan

Core 3 / Gold

HMO Deductible Plans

DED 1 / Gold
DED 2 / Silver
DED 4 / Gold
DED 5 / Silver
DED 8 / Bronze
DED 9 Value / Bronze

HMO Beyond Plans

Beyond 2A / Gold
Beyond 3A / Gold
Beyond 4A/ Gold
Beyond 5A/ Gold

2017 Evidence of Coverage (EOC)

An Evidence of Coverage (EOC) contains information about covered and non-covered benefits; practitioner and provider availability; key utilization management procedures; potential network, service, or benefit restrictions; pharmacy management procedures; and other important information you may need to make your healthcare decisions.

2017 Prominence HealthFirst of Texas Individual Evidence of Coverage – $0 DED State Mandated >
2017 Prominence HealthFirst of Texas Individual Evidence of Coverage – Consumer Choice >