SOTA Benefits Members Access Mobile Urgent Care

Mobile Medical Care with SOTA Plan Benefits

When you or a family member feels unwell, traveling to a clinic may add more stress to an already uncomfortable day. UrgentCare2go™ brings mobile primary and urgent care to eligible patients at their Texas home, workplace, hotel, or another approved location.

SOTA Benefits designs employer-sponsored health programs that may include direct health-system contracts, a national provider-network wrap, virtual telemedicine, and Direct Primary Care. SOTA also states that some of its plans have a $0 deductible and no copays in most cases. Exact benefits vary by employer and plan, so members should verify their specific coverage before receiving care.

What Is SOTA Benefits?

SOTA Benefits is a health insurance program manager that develops healthcare plans for employers and brokers. It is not necessarily the medical provider network or claims administrator printed on every member’s insurance card.

Depending on the employer’s plan, the insurance card may identify separate organizations for:

• Medical benefits administration

• Provider-network access

• Claims processing

• Prescription benefits

• Prior authorization

• Care navigation

• Member support

Members should use the information printed on their current insurance card when verifying benefits or locating an in-network provider.

What Medical Benefits Are Available?

SOTA Benefits describes its programs as modern, employer-focused plans that may offer:

• $0 deductible plan designs

• No copays in many situations

• Direct contracts with hospital systems

• National provider-network access

• Virtual telemedicine

• Direct Primary Care

• Prescription-assistance resources

• Member support and care navigation

These features do not apply identically to every employer or member. Your actual deductible, copay, coinsurance, network, and covered services depend on the plan selected by your employer.

Review the front and back of your insurance card for:

• Employer and plan name

• Medical network

• Member and group identification numbers

• Primary or urgent care copay

• Deductible and coinsurance

• Member-services telephone number

• Provider-search website

• Prior-authorization information

• Claims-submission instructions

An insurance card does not guarantee coverage or payment. Final responsibility may depend on eligibility, network participation, deductible status, medical necessity, authorization requirements, plan exclusions, and the services provided.

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

Can SOTA Benefits Members Use UrgentCare2go?

Members enrolled in a SOTA Benefits employer plan may be able to use UrgentCare2go when the treating medical professional participates with the member’s network and mobile care is covered.

UrgentCare2go can evaluate many non-life-threatening concerns, including:

• Cold and flu symptoms

• Cough, congestion, and sore throat

• Fever and body aches

• Ear infections

• Allergies and sinus concerns

• Headaches and migraines

• Nausea, vomiting, or diarrhea

• Urinary symptoms

• Minor infections

• Rashes and skin concerns

• Minor cuts, burns, and sprains

• Medication questions

• Certain primary care concerns

• Follow-up visits that do not require emergency care

UrgentCare2go does not provide immunizations or children’s annual physical examinations.

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

Does a $0 Deductible Mean Every Visit Is Free?

No. A $0 deductible does not automatically mean that every medical service is provided at no cost.

Depending on the member’s plan, responsibility may include:

• A primary or urgent care copay

• Coinsurance

• Charges for noncovered services

• Out-of-network costs

• Laboratory or imaging charges

• Prescription costs

• Procedure or supply charges

• Services that require prior authorization

Some SOTA plan designs may provide $0 out-of-pocket access for certain services, but members should confirm whether those benefits apply to UrgentCare2go, mobile care, and the specific service being requested.

How Do I Verify My Mobile-Care Benefits?

Before booking, call the member-services number printed on your SOTA Benefits insurance card and ask:

• Does UrgentCare2go participate with my medical network?

• Is the treating medical professional in-network?

• Are mobile or home-based medical visits covered?

• Does my primary or urgent care benefit apply?

• Is my deductible $0?

• Does a copay or coinsurance apply?

• Are workplace or hotel visits covered?

• Are prescriptions, laboratory tests, or follow-up services billed separately?

• Is prior authorization required?

• Is a primary care referral required?

• Are there service-area restrictions?

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

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

UrgentCare2go can collect your insurance information and review available benefits before the appointment. However, the organization administering the plan provides the official explanation of benefits, and final coverage is determined after the claim is processed.

How Do I Identify My Medical Network?

SOTA Benefits plans may use different provider networks based on the employer, service area, and plan design.

Look for the medical network’s name or logo on the front or back of the insurance card. When contacting member services, provide:

• Employer name

• Plan name

• Medical network

• Member identification number

• Group number

• Requested medical service

• Texas service address

Ask the representative to verify both UrgentCare2go and the individual treating provider. A provider’s participation with one SOTA Benefits plan does not guarantee participation with every plan.

Is Prior Authorization Required?

Prior authorization requirements depend on the member’s plan and the requested service.

Ask whether approval is required for:

• Mobile primary care

• Mobile urgent care

• Home-based medical visits

• Workplace medical visits

• Laboratory testing

• Diagnostic imaging

• Certain medications or procedures

• Follow-up services

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

Are Referrals Required?

Referral requirements vary by SOTA Benefits plan.

Some members may schedule primary or urgent care directly. Other plans may require members to use a designated primary care provider or obtain a referral before certain services are covered.

Laboratory testing, diagnostic imaging, specialist care, procedures, and follow-up treatment may have separate referral or authorization requirements. Confirm the current rules with the administrator listed on your insurance card.

What Should I Prepare Before Booking?

Have the following information ready:

• Patient’s full legal name

• Date of birth

• SOTA Benefits insurance card

• Photo identification

• Employer and plan name

• Medical network

• Member and group identification numbers

• Policyholder’s name and date of birth

• Current home address

• Requested service location

• Clear images of the front and back of the insurance card

• Current medication list

• Known medication or food allergies

• Relevant medical history

• Preferred pharmacy information

• Benefit-verification reference number

Providing complete and accurate information can help prevent delays during eligibility and benefit verification.

What Should I Expect During the Visit?

After booking, the patient will receive an estimated three-hour arrival window. A medical assistant will send a text message when the care team is on the way.

Prepare a clean, well-lit area where the medical professional can complete the examination. Please secure pets before the team arrives.

The medical professional will review the patient’s symptoms, medical history, medications, and allergies. Depending on the patient’s needs, the care plan may include:

• Medication recommendations

• At-home care instructions

• Laboratory testing

• Diagnostic imaging orders

• Follow-up appointments

• Specialist referrals

• In-person or emergency evaluation when necessary

The medical professional will explain the recommended next step and answer questions about the treatment plan.

Claims and Billing Information

Providers should use the current insurance card to confirm the claims administrator and submission instructions for the member’s exact SOTA Benefits plan.

Verify:

• Electronic payer identification number

• Claims mailing address

• Member eligibility

• Employer and plan name

• Medical network

• Mobile-care benefits

• Provider participation

• Prior-authorization requirements

• Referral requirements

• Timely filing limits

Claims information from another SOTA Benefits employer plan should not be used unless the current administrator confirms that it applies.

After the claim is processed, the member may receive an explanation of benefits. This document is not a bill. It explains how the claim was reviewed, what the plan paid, and what amount may be the member’s responsibility.

Compassionate Medical Care That Comes to You

When you are not feeling well, receiving medical attention should not make your day more difficult. UrgentCare2go brings attentive care to an approved location where you feel comfortable.

Visit UrgentCare2go or call (817) 508-8169 for scheduling and insurance-verification assistance.

When you are ready, book a mobile medical visit at your Texas home, workplace, hotel, or another approved location. Please have your SOTA Benefits insurance card available so your eligibility, network, and mobile-care benefits can be reviewed before the visit.