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Police and fire union leaders say members are job hunting as Dallas drops its PPO health plan

Dallas will stop offering its Blue Choice Copay PPO to employees and pre-65 retirees on Jan. 1. Union leaders say officers and firefighters are looking at other departments; the city cites a $10 million cost.

Wade Ramos

October 6, 20262 min read

City worker health benefits - illustration, Jake Team LLC

The heads of Dallas' police and firefighter associations say some of their members are weighing offers from other cities now that Dallas is ending its most widely used employee health plan.

Starting Jan. 1, 2027, the city will no longer offer the Blue Choice Copay PPO to active employees or to retirees younger than 65, WFAA reported Tuesday. The City Council approved the change Sept. 16.

Employees will choose between two remaining medical plans, a Blue Essentials primary care physician plan and a health savings account plan, both built on the statewide Blue Essentials network, which is narrower than the PPO's.

The city's reasoning

The city's benefits consultant told council that keeping the PPO would cost Dallas an extra $10 million, and that employee contributions to it would have to rise by about 40% to keep the current cost split, according to the report. City officials have said the new design is meant to hold down costs while improving care coordination and pushing more people toward primary care.

"We are facing significant cost increases in health plans, the steepest in nearly two decades," City Manager Kimberly Bizor Tolbert said, while acknowledging the change is difficult.

City data cited in the report shows about 94.5% of providers overlap between the two networks. Looking only at doctors and facilities that employees and their families actually used, about 1% would not be available on Blue Essentials.

The unions' worries

Dallas Police Association President Sean Pease said he has never had more members ask whether he would serve as a reference on applications to other agencies. Dallas Fire Fighters Association President Chris Peterson said, "Right now we've got guys looking."

Union leaders told WFAA the overlap figures offer little comfort to someone whose own specialist is outside the network. Peterson pointed to firefighters' cancer risk and the extra steps a primary care referral model adds before a patient can see an oncologist.

The city says it is forming a committee to review health benefits over the coming year.

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Wade Ramos

Wade Ramos writes about community life, schools, public safety, and local events in Dallas.

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