Convenient Care for Baylor Scott & White Employees

BSW Employee Plan Mobile Urgent Care

When you are sick or injured, leaving home and sitting in a waiting room may make an already difficult day feel even more stressful. Baylor Scott & White employees may be able to receive convenient medical care at home through UrgentCare2go™.

UrgentCare2go brings professional non-emergency care to homes, workplaces, hotels, and other approved locations within eligible Texas service areas. Visit the UrgentCare2go website to learn more about mobile services, or call (817) 508-8169 for assistance.

Understanding Your Baylor Scott & White Employee Benefits

The Baylor Scott & White Employee Plan includes four primary plan types:

• SEQA Plan
• EQA Plan
• PPO Plan
• HDHP Plan

All four plans include eligible preventive care at no cost when plan requirements are met.

The SEQA and EQA plans use the BSW Premier HMO network as their first level of coverage. The PPO and HDHP plans may have different deductibles and cost-sharing amounts depending on the provider’s network tier.

Your insurance card is one of the best places to begin when reviewing your benefits. Before scheduling, visit the Baylor Scott & White insurance page and have your current member ID card available.

SEQA and EQA Copays

For participating Tier 1 providers, the plan information lists the following visit costs:

SEQA Plan

• Primary care visit: $10 copay
• Specialist visit: $40 copay

EQA Plan

• Primary care visit: $30 copay
• Specialist visit: $50 copay

The amount due for mobile urgent care may differ from a standard primary care or specialist visit. Your final responsibility depends on how the service is classified, the provider’s network status, and the benefits available under your individual plan.

Members with PPO or HDHP coverage may have a deductible, copay, coinsurance, or a combination of these amounts. Confirming your benefits before the visit can help you better understand what to expect.

Medical Care Delivered to Your Location

Mobile urgent care can be especially helpful when you are feeling unwell, caring for a family member, working from home, or having difficulty traveling to a clinic.

Depending on your symptoms and the provider’s clinical evaluation, UrgentCare2go may be able to assist with concerns such as:

• Cold, flu, cough, and sore-throat symptoms
• Fever, congestion, and seasonal allergies
• Nausea, vomiting, and minor stomach concerns
• Urinary symptoms
• Minor skin conditions
• Mild injuries, sprains, and strains
• Headaches and other non-emergency concerns
• Follow-up care when medically appropriate

The visiting medical professional will evaluate your condition and recommend the appropriate next step. Testing, treatment, or an in-person referral may be recommended based on your medical needs.

Mobile urgent care is not intended for life-threatening emergencies. Call 911 or visit the nearest emergency room for severe chest pain, significant difficulty breathing, signs of a stroke, uncontrolled bleeding, loss of consciousness, or another serious condition.

What Will You Pay at the Time of Service?

Your financial responsibility depends on your plan, provider network, remaining deductible, and the services performed during your visit.

UrgentCare2go can collect your insurance information and request benefit verification, but Baylor Scott & White Health Plan makes the final determination regarding eligibility, covered services, and claim payment. A benefit quote or cost estimate does not guarantee that every service will be covered.

For benefit and claim-status questions, contact Baylor Scott & White Health Plan Customer Service at (844) 843-3229, visit the BSW Health Plan member portal, or use the MyBSWHealth app.

Prior Authorization and Claim Information

When prior authorization is required, healthcare providers can use the BSW Health Plan provider portal, call (866) 384-3488, or fax the request to (800) 626-3042.

Electronic claims may be submitted through Availity using Payor ID 94999. Mailed claims should be sent to:

Baylor Scott & White Health Plan
Attn: Claims
P.O. Box 211342
Eagan, MN 55121-1342

Patients generally do not need to submit claims themselves when the healthcare provider files the claim.

Finding an In-Network Provider

The SEQA and EQA plans use the BSW Premier HMO network for Tier 1 care. PPO and HDHP members may have several network levels, with different costs depending on the provider selected.

To search for participating providers, visit the BSW Health Plan provider directory or contact the BSWQA Care Navigation Team at 1-844-279-7589.

A specialist referral requirement is not listed in the available plan information. Members should confirm referral and authorization requirements with Baylor Scott & White Health Plan before scheduling specialty care.

Schedule Mobile Medical Care

UrgentCare2go helps make receiving non-emergency care feel more comfortable and manageable by bringing a medical professional directly to you.

When you are ready, book your visit online or call (817) 508-8169. Have your current Baylor Scott & White Employee Plan insurance card available when requesting benefit verification.