Premiums for health, dental, and vision insurance under ERS will increase in Plan Year 2027. Medicare-eligible retirees will see premium hikes starting January 1, 2027, while non-Medicare retirees' rates rose September 1. The State of Texas will continue covering 100% of health premiums for eligible retirees, but others, including those with dependents or part-time retirees, will face higher costs. Dental premiums will rise 12.5% to expand provider networks, and vision premiums will increase 7.5% due to higher usage and costs. Life insurance contributions will also increase proportionally.

A new Medicare pilot program called WISeR, launched in six states, requires prior authorization or post-service review for 15 categories of outpatient procedures under Original Medicare. Providers can seek advance approval or proceed with post-payment review, but denied requests may shift costs to patients if an Advance Beneficiary Notice is signed. The program aims to reduce wasteful spending by reviewing care for coverage compliance before payment.