Essential Care

Making healthcare coverage available to employees is one thing. Making care truly accessible is quite another.

Makes basic care affordable

This plan includes four free visits to make it even easier for your employees to see the doctors and specialists they need and get the care that’s most important to their health.

EssentialCare

Commonly used benefits Primary care office visits First 4 visits $0, then deductible + coinsurance
Specialist office visits First 4 visits $0, then deductible + coinsurance
Who EssentialCare is good for:


  • Young Families
  • Those with chronic conditions
  • Those who don't want to pay out-of-pocket for basic care
Virtual care visits through CirrusMD $0
Mental health office visits First 4 visits $0, then deductible + coinsurance
Urgent care First 4 visits $0, then deductible + coinsurance
Physical therapy & chiropractic visits First 4 visits $0, then deductible + coinsurance
Common lab list $0

Two Rx plans to choose from:

Rx SECURE

Provides security through set copays,
ensuring predictable and manageable costs for medications.
Retail Tier 1$5
Retail Tier 2$10
Retail Tier 3$60
Retail Tier 450%

Rx SAVE

Enjoy lower monthly premiums, predictable copays for Tier 1 medications, and contracted rates on higher-tier drugs before meeting the deductible.

Retail Tier 1$5
Retail Tier 2$0 after deductible
Retail Tier 3Deductible + coinsurance
Retail Tier 4Deductible + coinsurance
All other services such as emergency room, outpatient surgery, or inpatient hospital stays are subject to the deductible and coinsurance. Coinsurance varies by plan.

Coverage Includes:

  • Virtual primary and urgent care in under 60 seconds with board
    certified clinicians, available 24/7 through CirrusMD
  • Virtual urgent and primary care typically in under 60 seconds with board certified clinicians, available 24/7 through CirrusMD
  • Comprehensive benefits for mental health care
  • $0 Preventative care by in-network providers
  • Access to quality and convenient care with the network
  • Stop Loss protection from unexpected high medical claims
  • Transparency into claims costs and pharmacy rebates
  • Member support available for questions on benefits, network and claims
  • EssentialCare is a level-funded plan.

    Our level-funded plans include administrative services provided by TXM Holdings LLC dba Texicare and its partners. Stop-loss insurance is underwritten by Texicare Health Insurance Company, licensed in Texas.

    Provider Interest Form

    Thank you for your interest in joining the Texicare network. Please complete this form and we will review your request and respond within 30 days.

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