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Hill Country Transit Employees Access Mobile Urgent Care

SMARTCARE EHN Coverage with UrgentCare2go™Uploaded Image

When you or a family member needs medical attention, leaving home and waiting in a clinic may add more stress to the day. UrgentCare2go™ brings professional medical care directly to eligible patients at home, work, or another approved Texas location.

Hill Country Transit District employees enrolled in the SMARTCARE 500814 Rx 30-25 Plan may be eligible to receive care through participating Employers Health Network providers. Benefits, network participation, and patient costs should be verified before scheduling a mobile visit.

What Does the Hill Country Transit Plan Include?

Hill Country Transit District offers the SMARTCARE 500814 Rx 30-25 Plan.

According to the available plan information, members have:

  • A $30 copay for primary care visits

  • A $75 copay for specialist visits

These amounts may not automatically apply to every mobile urgent care service. Laboratory testing, medications, procedures, medical supplies, and additional services may be processed separately.

Your final cost may depend on current eligibility, provider-network participation, medical necessity, prior authorization, the place of service, and the care provided. An insurance card does not guarantee coverage or payment.

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

Can Hill Country Transit Employees Use UrgentCare2go?

Eligible Hill Country Transit District employees and covered family members may be able to use UrgentCare2go for many non-emergency medical concerns.

The mobile medical team can evaluate and treat concerns such as:

  • Cold and flu symptoms

  • Cough, congestion, or sore throat

  • Fever and body aches

  • Ear pain or possible ear infections

  • Headaches and migraines

  • Nausea, vomiting, or diarrhea

  • Urinary symptoms

  • Minor infections

  • Mild allergic reactions

  • Rashes and minor skin concerns

  • Minor cuts, burns, sprains, or strains

  • Other non-life-threatening illnesses and injuries

  • Certain primary care and follow-up concerns

Coverage depends on the member’s eligibility, medical needs, provider-network participation, service location, and the care provided.

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

Who Administers the Hill Country Transit Plan?

Coastal Administrative Services, also known as CAS, is listed as the third-party administrator for the Hill Country Transit District SMARTCARE plan.

Elan Member Services and CAS can assist members and providers with:

  • Eligibility verification

  • Medical benefit questions

  • Prior-authorization requirements

  • Claim-status assistance

  • Copays, deductibles, and coinsurance

  • Provider-network participation

For assistance:

  • Call Elan Member Services at (833) 845-8854

  • Call CAS at (800) 870-1831

  • Visit the CAS Member Website

Have the member identification number from your insurance card and the SMARTCARE 500814 Rx 30-25 Plan name available when requesting assistance.

How Do I Verify My Benefits?

Before booking a mobile visit, contact Elan Member Services at (833) 845-8854 or CAS at (800) 870-1831 and ask:

  • Does UrgentCare2go participate with my Hill Country Transit District plan?

  • Is a mobile medical visit covered?

  • What copay, deductible, or coinsurance applies?

  • Does the plan classify the visit as primary care or urgent care?

  • Are laboratory tests, medications, procedures, or supplies billed separately?

  • Is prior authorization required?

  • Will I have a time-of-service responsibility?

  • Are there service-area or network restrictions?

Write down the representative’s name, the date of the call, and the reference number provided.

Final coverage is determined when the administrator processes the claim. UrgentCare2go can collect your insurance information before the visit, but Elan Member Services or CAS provides the official explanation of plan benefits.

Is Prior Authorization Required?

Prior authorization depends on the service being requested.

Members and providers should contact Elan Member Services at (833) 845-8854 or CAS at (800) 870-1831 before receiving a service that may require approval.

Prior authorization may be required for certain:

  • Diagnostic tests

  • Procedures

  • Medications

  • Medical supplies

  • Specialist services

  • Follow-up treatments

Prior authorization does not guarantee claim payment. Current eligibility, medical necessity, network participation, plan exclusions, and other plan requirements may affect how a claim is processed.

What Network Does the Plan Use?

The Hill Country Transit District SMARTCARE plan uses the EHN Preferred Network.

This network includes Baylor Scott & White Quality Alliance providers who have elected to participate. Not every Baylor Scott & White Quality Alliance provider participates in the EHN Preferred Network.

Members should confirm that UrgentCare2go participates with their exact Hill Country Transit District plan before receiving care.

To locate or verify an in-network provider:

Provide the employer name, medical plan name, member identification number, requested service, and service location when confirming participation.

Are Specialist Referrals Required?

The available Hill Country Transit District plan information does not list a specialist-referral requirement.

However, certain specialist visits, tests, procedures, or treatments may still require prior authorization. Contact Elan Member Services or CAS before beginning specialist care to confirm the current requirements for your plan.

Members should also verify that the specialist, facility, and requested service participate with the EHN Preferred Network.

How Should I Prepare for My Mobile Visit?

Before your appointment, prepare:

  • Your Hill Country Transit District insurance card

  • A photo identification card

  • A current medication list

  • Known medication or food allergies

  • Relevant medical records

  • Recent laboratory or imaging results

  • Any referral or authorization documents

  • A description of your symptoms

  • The date your symptoms began

  • Your preferred pharmacy information

Please provide a safe, clean area where the medical professional can complete the visit. Secure pets before the medical assistant arrives.

UrgentCare2go uses a three-hour arrival window. The medical assistant will send a message when they are on the way.

Claims Information for Providers

Hill Country Transit District claims are submitted through Employers Health Network.

Electronic claims: Payor ID IHS07

Mailed claims:

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

Providers should verify the member’s eligibility, SMARTCARE plan name, network participation, prior-authorization requirements, and current claim-submission instructions before sending a claim.

For benefit or claim-status assistance, contact Elan Member Services at (833) 845-8854.

Mobile Medical Care Brought to You

UrgentCare2go helps make non-emergency medical care easier to access when traveling to a clinic is difficult. The medical team will listen to your concerns, evaluate your symptoms, and explain whether mobile treatment or a higher level of care is appropriate.

When you are ready, Book a Mobile Visit or call (817) 508-8169. Please have your Hill Country Transit District insurance card available so your eligibility, benefits, and network participation can be reviewed before the visit.