Employee Health Plan Care at Home

City of Temple Mobile Urgent Care

Employee Health Plan Care at Home

When you feel sick or experience a minor injury, traveling to a clinic can add more stress to an already difficult day. UrgentCare2go™ provides convenient mobile medical care in eligible Texas service areas, allowing patients to receive professional attention at home, work, or another approved location.

City of Temple employees enrolled in Plan 2 or Plan 5 may have access to participating providers through the EHN Preferred Network. Because medical costs and benefits vary by plan, members should verify their coverage before scheduling care.

Which Plans Are Available to City of Temple Employees?

City of Temple employees may be enrolled in one of these medical plans:

• Plan 2

• Plan 5 – Family

• Plan 5 – Single

The available benefit information identifies both PPO and high-deductible plan structures.

Under the PPO structure:

• Primary care visits have a $0 copay

• Specialist visits have a $0 copay

Under the high-deductible structure, medical costs vary according to the provider’s network status and the member’s deductible. Review your insurance card for the most accurate cost-sharing information.

The available plan information does not list a specific mobile urgent care copay. Contact Health Plans, Inc. before your appointment to confirm which plan structure applies and what you may owe.

An insurance card does not guarantee coverage or payment. Eligibility, medical necessity, deductibles, network participation, and the services provided may affect your financial responsibility.

Can City of Temple Employees Use UrgentCare2go?

Eligible City of Temple employees and covered family members may request a mobile medical visit through UrgentCare2go for many non-emergency illnesses and minor injuries.

Mobile urgent care may be appropriate for concerns such as:

• Cold and flu symptoms

• Cough, congestion, or sore throat

• Fever and body aches

• Headaches and migraines

• Nausea, vomiting, or diarrhea

• Urinary symptoms

• Minor infections

• Mild allergic reactions

• Minor injuries

• Dehydration concerns

• Other non-life-threatening medical needs

Service availability depends on the patient’s location, symptoms, and clinical needs. Insurance coverage depends on the member’s specific City of Temple benefits.

You can Book a Mobile Visit or call (817) 508-8169 for scheduling assistance.

Call 911 or go to the nearest emergency room for chest pain, severe difficulty breathing, signs of a stroke, confusion, fainting, uncontrolled bleeding, major trauma, or another life-threatening emergency.

Who Administers the City of Temple Plans?

Health Plans, Inc., also known as HPI, is the third-party administrator for the City of Temple medical plans.

HPI can assist members and providers with:

• Member eligibility

• Benefit verification

• Prior authorization requirements

• Precertification questions

• Claim-status assistance

• Copays, deductibles, and coinsurance

• Provider-network participation

Members and providers may:

• Call HPI Customer Service at (877) 734-6692

• Visit the HPI Website

When contacting HPI, provide the member identification number shown on your City of Temple insurance card.

What Provider Network Does the Plan Use?

The City of Temple medical plans use the EHN Preferred Network. This network includes Baylor Scott & White Quality Alliance providers who have chosen to participate.

Not every Baylor Scott & White Quality Alliance provider participates in this specific network. Members should verify the provider’s participation before receiving care.

To search for an in-network provider:

• Visit the HPI Provider Search

• Call HPI at (877) 734-6692

• Contact BSWQA Care Navigation at 1-844-279-7589

Ask whether UrgentCare2go participates with your specific City of Temple plan and whether mobile medical visits are covered.

How Do I Verify My Benefits?

Before scheduling a mobile visit, contact HPI at (877) 734-6692.

Consider asking these questions:

• Does UrgentCare2go participate with my specific City of Temple plan?

• Is a mobile medical or physician house-call visit covered?

• Is my plan structured as a PPO or a high-deductible plan?

• What copay, deductible, or coinsurance will apply?

• Is prior authorization or precertification required?

• Are laboratory services billed separately?

• Are medications and medical supplies covered separately?

• Are there location or network restrictions?

Ask the representative for a reference number and keep it with your records. Benefit information provided by telephone is helpful, but final coverage is determined when the insurance company processes the claim.

For additional assistance, call UrgentCare2go at (817) 508-8169.

Are Specialist Referrals Required?

The available City of Temple plan information does not list a specialist-referral requirement.

However, referral and prior authorization requirements can vary according to the requested service. Members should contact HPI before beginning specialist care to confirm whether additional approval is required.

What Should I Have Ready?

Before scheduling your mobile visit, please have the following information available:

• Your City of Temple insurance card

• A photo identification card

• A list of current medications

• Known medication or food allergies

• Relevant medical conditions

• A brief description of your symptoms

• The date your symptoms began

• Your preferred pharmacy information

• Any referral or authorization documents

• The address where care is requested

Providing accurate information can help the care team prepare for your visit and determine whether mobile care is appropriate.

Claims Information for Providers

City of Temple medical claims are administered through Health Plans, Inc.

Electronic claims: Payor ID IHS07

Mailed claims:

Employers Health Network
P.O. Box 507
Arnold, MD 21012

Providers should verify current claim-submission instructions and member eligibility before sending a claim.

Convenient Medical Care That Comes to You

UrgentCare2go makes non-emergency medical care easier to access by bringing qualified professionals to eligible patients. Our team listens to your concerns, evaluates your symptoms, and helps you understand the safest next step.

When you need care, Book Today or call (817) 508-8169. Please have your City of Temple insurance card available so your benefits can be reviewed before the visit.