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Need Help? Contact Team Member Services
Call 855-432-6453, Option 2
(Mon. - Fri., 8 a.m. - 5 p.m. CT)
(Mon. - Fri., 8 a.m. - 5 p.m. CT)
CareWay Tiered Provider Network
Finding the right doctor is about more than just a name on a list — it’s about balancing quality and costs.
That’s why Michaels is introducing the Blue Cross Blue Shield of Texas (BCBSTX) CareWay Tiered Network for those enrolled in the Basic PPO and Enhanced PPO medical plans. It takes the guesswork out of the process by vetting providers for you, looking at everything from medical expertise to efficiency, so you can focus on staying healthy.
How It Works
- Providers are grouped into four tiers based on quality, results, and efficiency – as illustrated in the “CareWay Tiering Structure” table below.
- Choosing Tier 1 providers means you’ll get high-quality care with lower copays and coinsurance.
- Regardless of the tier your provider(s) are in, your out-of-pocket eligible expenses accumulate to your annual deductible and out-of-pocket maximums.
- To compare benefit tiers and find out what you can save on copayments and coinsurance when choosing a Tier 1 provider, review the “What You Pay For Medical Care” table below.
- You can use the “Search for Providers” link below to confirm whether your physician is in the CareWay network and what tier they fall under.
CareWay Tiering Structure
|
Tier 1 (Pay Lower Copays & Coinsurance) |
Tier 2 | Tier 3 |
|---|---|---|
| Physicians in this tier meet a predetermined upper score threshold for Qualify of Care, Medical Appropriateness, and Cost Efficiency, resulting in a lower in-network member cost share. (Tier 1 also includes unscored in-network PPO behavioral health providers.) | Physicians in this tier include professionals with average scores for the same measurements and unscored in-network PPO providers. | Physicians in this tier are comprised of the lower scored professionals for the same measurements. |
What You Pay for Medical Care
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Tap or click the content below and scroll to access all the information.
| Choice HSA | Basic PPO | Enhanced PPO | 360 Protect Plan | Kaiser HRA (Calif. Only) |
||||
|---|---|---|---|---|---|---|---|---|
| In-Network | CareWay Tier 1 Provider | CareWay Tier 2 or 3 Provider | CareWay Tier 1 Provider | CareWay Tier 2 or 3 Provider | Select Tier 1 Provider | National Tier 2 or 3 Provider | In-Network | |
| Plan Deductible | ||||||||
| Team Member Only | $2,500 | $3,000 | $1,500 | $1,000 | $1,500 | $1,500 | ||
| Team Member + Spouse/Child(ren) | $5,000 | $6,000 | $3,000 | $2,000 | $3,000 | $3,000 | ||
| Team Member + Family | $5,000 | $6,000 | $3,000 | $2,000 | $3,000 | $3,000 | ||
| Out-of-Pocket Maximum | ||||||||
| Team Member Only | $6,000 | $6,000 | $6,000 | $4,500 | $6,000 | $3,000 | ||
| Team Member + Spouse/Child(ren) | $12,000 | $12,000 | $12,000 | $9,000 | $12,000 | $6,000 | ||
| Team Member + Family | $14,500 | $14,500 | $14,500 | $11,500 | $14,500 | $6,000 | ||
| What You Pay for Medical Care | ||||||||
| Coinsurance (Team Member Share) | 20% | 20% | 40% | 20% | 40% | 10% | 20% | 20% |
| Preventive Care | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
| Primary Care Office Visit | 20%* | $25 copay | $60 copay | $30 copay | $75 copay | $15 copay | $30 copay | $20 copay* |
| Specialist Office Visit | 20%* | $50 copay | $120 copay | $50 copay | $125 copay | $30 copay | $50 copay | $20 copay* |
| Telehealth | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
| Urgent Care | 20%* | $75 copay | $75 copay | 20%* | 40%* | $50 copay | $20 copay* | |
| Emergency Room | 20%* | 20%* | 20%* | $250 copay + 20%* | $250 copay + 20%* | $250 copay + 10%* | $250 copay + 10%* | 20%* |
| Retail Clinic | 20%* | $25 copay | $60 copay | $30 copay | $75 copay | $15 copay | $30 copay | $20 copay* |
| Hospital Care & Mental Health | 20%* | 20%* | 40%* | 20%* | 40%* | 10% | 20% | 20% |
| Routine Prenatal Care | 20%* | $25 (PCP) $50 (SPC) | $60 (PCP) $120 (SPC) | $30 (PCP) $50 (SPC) | $75 (PCP) $125 (SPC) | 10% | 20% | $0 |
| Birth Delivery | 20%* | 20%* | 40% | 20%* | 40%* | 10% | 20% | 20% |
| Important: This table shows what you pay for services if you use incentive options and in-network providers. For full plan information, including cost information for out-of-network providers, please review the Summaries of Benefits and Coverage for each plan available in the Document Library. All maximums are indicated as plan year maximums. (*Indicates what you pay after the annual plan deductible is met.) | ||||||||
*Indicates what you pay after the annual plan deductible is met. Visit the Medical page for more information.
Search for In-Network Physicians & Specialists
It’s easy to find high quality, cost-efficient physicians that are in the BCBSTX CareWay network. Use Provider Finder to get started.
Helpful Links
Plan Administrator
Blue Cross Blue Shield of Texas (BCBSTX)
Beginning July 1, 2026, Michaels is introducing the Blue Cross Blue Shield of Texas (BCBSTX) CareWay Tiered Network for those enrolled in the Basic PPO and Enhanced PPO medical plans. Use the toggle below to display information about this new program for 2026–2027 and visit the Open Enrollment page for guidance on enrolling in benefits beginning May 11, 2026.
This benefit is available at no cost to all full-time Team Members and dependents aged 18 and over enrolled in a Michaels BCBSTX or Imagine360 medical plan.
Cancer Screening, Care & Support
Color can help you prevent cancer, get care for it, and live your life after it. Two out of every five Americans will get cancer in their lifetime, and early detection can more than triple survival rates. Knowing your risk and following screening guidelines is the best way to catch cancer early.
With Color, this is simple and personalized, making it easier than ever to prioritize your health. Whether you’re focused on prevention, navigating a current diagnosis, managing your health after cancer treatment, or caring for a loved one with cancer, Color is here to help every step of the way.
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Expert Care & Cancer Screening Options
Color’s team of cancer experts (including doctors, genetic counselors, care advocates, cancer risk experts, and mental health experts) are here to support you in navigating your screening – with options for at-home screening and help scheduling in-person screenings on your behalf.
Color offers at-home screening kits for colorectal cancer, prostate cancer, cervical cancer, genetic testing, and skin cancer screenings.
Support for Whatever's Next
You can access your Color benefit any time. Color’s team of experts is available 7 days a week for questions, help scheduling or finding a provider. Color will remind you when you’re due for screening and keep you up to date, so you can focus on the rest of your life.
Get Started with Color
Create Your Color Account
First, visit color.com/michaels and create a Color account. You’ll answer a few questions and create an account using your email and password.
Complete Your Cancer Risk Assessment
After you create your account, you’ll be prompted to complete your cancer risk assessment, which takes around 5-10 minutes to complete. This includes questions about your health history, your lifestyle, and more to help Color understand your personalized cancer screening and care needs.
Video Overview
Provider
Color
Cancer Screenings
Phone: 844-352-6567
Beginning July 1, 2026, this benefit will be available at no cost to all full-time Team Members and dependents aged 18 and over enrolled in a Michaels BCBSTX or Imagine360 medical plan. Use the toggle below to display information about this new benefit for 2026–2027 and visit the Open Enrollment page for guidance on enrolling in benefits beginning May 11, 2026.
Starting July 1, non-urgent/non-emergent MRIs and CT scans must be scheduled through OneImaging to be covered under Michaels BCBSTX medical plans. If you don’t coordinate your imaging through OneImaging, your medical plan will not cover the services.
OneImaging Services
OneImaging makes it easy and convenient to get medical imaging — like MRIs, CT scans, X-rays, ultrasounds, and mammograms — without the long wait times and high costs often found elsewhere.
Available May 1, 2026
While contacting OneImaging will soon be required for non-urgent MRI and CT scans, this benefit is available* starting May 1, 2026, for all your imaging needs.
With OneImaging, you get:
- Clear pricing and savings of 60% to 80% on imaging services
- Access to a nationwide network of accredited facilities
- Easy scheduling online or with help from OneImaging’s support team
- Hands-on support for your imaging needs and answers to your questions
*Must be enrolled in a BCBSTX Michaels medical plan. If you don’t coordinate your imaging through OneImaging, your medical plan will not cover the services.
OneImaging is your exclusive network provider for non-urgent MRIs and CT scans.
Provider
OneImaging
You must be enrolled in a Michaels BCBSTX or Imagine360 medical plan to use OneImaging services. Non-urgent/non-emergent MRIs and CT scans must be scheduled through OneImaging to be covered under your Michaels BCBSTX or Imagine360 medical plan. If you don’t coordinate your imaging through OneImaging, your medical plan will not cover the services.
OneImaging Services
OneImaging makes it easy and convenient to get medical imaging — like MRIs, CT scans, X-rays, ultrasounds, and mammograms — without the long wait times and high costs often found elsewhere.
With OneImaging, you get:
- Savings of up to 60%-80% on imaging services
- Access to a nationwide network of accredited facilities
- Easy scheduling online or with help from OneImaging’s support team
- Hands-on support for your imaging needs and answers to your questions
To learn more about OneImaging’s clear pricing and payment support, review the member overview and FAQs linked below.
OneImaging is your exclusive network provider for non-urgent MRIs and CT scans.
Provider
OneImaging
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This program is for Team Members and dependents enrolled in a Michaels BCBSTX or Imagine360 medical plan.
No-Cost Preventative Health Checkups
As part of your medical coverage with BCBSTX or Imagine360, Michaels provides a convenient annual checkup option at no cost to you using the Catapult Health VirtualCheckup® Home Kit. Getting a FREE preventive health checkup has never been easier, and a Catapult virtual exam counts toward your wellness exam requirement!
All covered employees and their spouse or domestic partner can register for a Home Kit. The cost of your VirtualCheckup® is covered 100% by Michaels.
Once you complete your Home Kit, you will review your results with a board-certified Nurse Practitioner via a virtual consultation and develop a personal action plan.
Helpful Resources
Contact Your Provider
Catapult Health
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