Retiree Health

Seniors hiking at countryside

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**
Employee
$683.63
Employee + Spouse
$1,538.17
Employee + Child(ren)
$1,353.59
Family
$2,119.26
 

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