Prism Electric Employees Access Mobile Urgent Care

Prism Electric Coverage with UrgentCare2go™ Across Texas

When you or a family member feels unwell, leaving home and waiting at a clinic may add stress to an already difficult day. UrgentCare2go™ brings professional medical care to eligible patients at home, work, a hotel, or another approved Texas location.

UrgentCare2go’s Prism Electric insurance page states that the service accepts eligible Prism Electric employees and the Prism Electric Health Plan. Coverage, network participation, and member costs should still be verified before every appointment.

What Prism Electric Plan Costs Apply?

The publicly available Prism Electric insurance page does not list plan-specific copays, deductibles, or coinsurance amounts.

Before booking, review the medical information printed on your insurance card or contact the plan administrator listed on the card. Ask what cost applies to:

• Mobile urgent care

• Primary care

• Laboratory testing

• Medications administered during the visit

• Medical supplies

• Procedures or treatments

• Follow-up appointments

• Out-of-network services

The copay printed for a traditional clinic visit may not automatically apply to a mobile medical visit. Additional services may also be processed separately.

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

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

Can Prism Electric Employees Use UrgentCare2go?

Eligible Prism Electric employees and their covered family members may be able to use UrgentCare2go for non-emergency illnesses, minor injuries, and certain primary care needs.

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

• Cold and flu symptoms

• Cough, congestion, or sore throat

• Fever and body aches

• Ear pain or ear infections

• Headaches and migraines

• Nausea, vomiting, or diarrhea

• Urinary symptoms

• Minor infections

• Mild allergic reactions

• Rashes and skin concerns

• Minor injuries

• Routine primary care concerns

• Certain follow-up appointments

• Non-narcotic medication-refill concerns

Coverage depends on the member’s current eligibility, medical needs, plan requirements, provider participation, service location, and care provided.

UrgentCare2go does not provide immunizations or children’s annual physical examinations through its mobile service.

Call 911 or visit the nearest emergency room for chest pain, severe breathing difficulty, stroke symptoms, fainting, confusion, uncontrolled bleeding, major trauma, or another life-threatening emergency.

Who Administers the Prism Electric Health Plan?

The plan administrator’s name and contact information should appear on the front or back of the Prism Electric insurance card.

The plan administrator can help members and providers confirm:

• Current eligibility

• Covered medical services

• Copays, deductibles, and coinsurance

• Provider-network participation

• Prior-authorization requirements

• Referral requirements

• Claim status

• Claims-submission instructions

When calling, have the following information ready:

• Member name

• Member identification number

• Group number

• Prism Electric plan name

• Requested medical service

• Proposed service location

• Date of service

Do not rely only on an employer name or insurance logo when verifying benefits. Different Prism Electric employees may have different plans or coverage requirements.

How Do I Verify My Benefits?

Before scheduling a mobile visit, call the member-services number printed on your insurance card and ask:

• Does UrgentCare2go participate with my specific Prism Electric plan?

• Is a mobile medical visit covered?

• Is care covered at my home, workplace, hotel, or requested location?

• What copay, deductible, or coinsurance applies?

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

• Is prior authorization required?

• Is a primary care referral required?

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

• Are there network or service-area restrictions?

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

UrgentCare2go can collect your insurance information before the appointment, but the administrator listed on your insurance card provides the official explanation of benefits. Final coverage is determined when the claim is processed.

Is Prior Authorization Required?

Prior-authorization requirements depend on the member’s exact plan and the medical service being requested.

Before receiving care, contact the plan administrator and ask whether authorization is required for:

• Mobile medical care

• Laboratory testing

• Imaging orders

• Medical procedures

• Medications administered during the visit

• Medical supplies

• Repeated or follow-up services

Confirm whether the member, ordering provider, or treating provider must request authorization.

Prior authorization does not guarantee payment. Current eligibility, medical necessity, network participation, plan exclusions, and claim-processing rules may affect coverage.

How Do I Confirm Network Participation?

Network information should be verified through the member-services number or provider-search website printed on the Prism Electric insurance card.

Ask the representative to verify the participation of:

• UrgentCare2go

• The treating medical professional

• The requested mobile service

• The location where care will be provided

• Any laboratory or other supporting provider

Provide the complete employer name, plan name, member identification number, requested service, and service location.

A medical professional or organization may participate with one network but not every employer plan that uses that network. Always confirm participation with the exact Prism Electric plan before receiving care.

Are Specialist Referrals Required?

The publicly available Prism Electric insurance page does not identify a general specialist-referral rule.

Some plans require a referral from an assigned primary care provider before specialist services are covered. Other plans allow members to schedule directly but may still require prior authorization for certain tests, treatments, or procedures.

Contact the administrator listed on your insurance card before beginning specialty care. Ask whether the referral must be submitted electronically and whether a referral number is required.

How Should I Prepare for My Mobile Visit?

Before your appointment, prepare:

• Your Prism Electric 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

• Your benefit-verification reference number

• A description of your symptoms

• The date your symptoms began

• Your preferred pharmacy information

Provide a clean, safe area where the medical professional can complete the visit. Secure all 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

The electronic payer identification number and mailing address should be confirmed from the member’s insurance card before submitting a claim.

Providers should verify:

• The member’s current eligibility

• The exact Prism Electric plan name

• The administrator responsible for claims

• The correct electronic payer ID

• The current claims mailing address

• Provider-network participation

• Prior-authorization or referral requirements

• Timely-filing requirements

• The appropriate billing codes and supporting documentation

Claims information may change. Providers should not submit a claim using information from another employer plan solely because the insurance logos appear similar.

Compassionate Medical Care Brought to You

UrgentCare2go helps make non-emergency care easier to access when leaving home is uncomfortable or 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 appointment or call (817) 508-8169. Please have your Prism Electric insurance card available so eligibility, benefits, network participation, and authorization requirements can be reviewed before your visit.