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Select Exclusive Quality Alliance (SEQA) Plan

For employees making $25 or less per hour

How it works
SEQA Plan
Provider Network
This plan only includes providers in the Tier 1 BSWQA Network. No out-of-network coverage is available, except in cases of urgent/emergency care, or rare situations when an in-network provider is not available and authorization is provided.
Deductible
This plan does not have a deductible.
Coverage
There's no cost for preventive visits, MyBSWHealth video visits and e-visits, select diabetic medicine and supplies.
Copays
This plan offers low copays for non-preventive office visits, urgent care visits, inpatient and outpatient services and prescriptions. It also offers a $400 bundled maternity copay, which includes all expenses billed/related to maternity/delivery care and baby's postnatal services.
TAX-FREE SAVINGS ACCOUNT
You can set aside pre-tax dollars through a general-purpose spending account to help cover eligible healthcare expenses.

Learn more about tax-free savings accounts.
LEFTOVER HRA DOLLARS?
Remaining employer funded dollars can be used to pay for eligible medical expenses up to the new $1,000 rollover maximum. As you receive care from eligible providers, the plan will automatically pay the provider on your behalf. Any remaining funds after Dec. 31, 2020, will be forfeited

Deeper Dive

View coverage and costs

Our network tiers

Tier 1 BSWQA Network is always the best value

All of our medical plans are administered by Scott and White Health Plan, with coverage through different networks. Depending on the medical plan you choose, you'll have access to one or more networks.

Watch to learn more about our network tiers and discover why keeping your care within the Baylor Scott & White family is great for your health and your wallet!

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  • Tier 1 BSWQA Network

    Only network for the SEQA Plan*

    Think of the Tier 1 BSWQA Network like family. It's a complete network of more than 6,800 primary care and specialty care providers, 50 hospitals and 95 acute care facilities working together to manage your health and well-being at an affordable price.

    *Only network except in cases of urgent/emergency care or rare situations when an in-network provider is not available and authorization is provided.

Still wondering what plan is right for you?

Ask ALEX!

Special delivery

Enhancements to support expectant moms

  • Bundled maternity copay
    SEQA/EQA Plan enrollees pay a $400 bundled maternity copay for all expenses billed/related to maternity/delivery care and baby’s postnatal services.

  • Expecting the Best® Maternity Program
    On or after Jan. 1, 2020, expectant moms covered by a BSW medical plan and seeing a Tier 1 BSWQA Network provider may enroll.
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Frequently asked questions | SEQA

How much do I pay for preventive care?
Preventive care*, such as physicals, screenings, immunizations and more, are provided at no cost. Preventive eye exams are not included as part of our medical plans. If you or a covered dependent need routine eye care, our vision plan can help make glasses and contacts more affordable. 

How much do I pay for prescription drugs?
You’ll pay low fixed copays or coinsurance (a percentage of the cost) for prescription drugs at Baylor Scott & White Health Pharmacies (mail order and retail), as well as contracted pharmacies. When you use a BSW pharmacy, covered generics are just $3. With such low copays, the prescription costs do not count toward your deductible but do count toward your out-of pocket max limit. Click here to learn more about our prescription drug benefits.  

How much is the out-of-pocket maximum?
Your out-of-pocket maximum will vary based on how many dependents you are covering. All plans have an embedded out of-pocket maximum so that no one in the family must pay more than the individual maximum. 

Will I have out-of-pocket protection? 
Yes. Your copays and coinsurance count toward your out-of-pocket maximum. Once you reach your out-of-pocket maximum, the plan will pay 100% of the cost of any additional eligible care expenses.

*Services will be covered at 100% when billed with a preventive diagnosis code.

NEW! Same-day video visits

Free for SEQA Plan enrollees

Get care where and when you need it. Access video visits or eVisits via the MyBSWHealth app. Starting on Jan. 1, 2020, video visits are available 8 a.m. to 8 p.m. seven days a week. To be eligible, employees must have a MyBSWHealth account.

When I had a sinus infection the video visit was a lifesaver. I didn’t have to wait long or miss work time to travel. It felt the same as video chatting with a friend. Plus, the prescription was ready for me by the end of the day.  

Amanda Lincer, Executive Assistant

Download the MyBSWHealth app

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This site summarizes the programs and benefits available to employees and their eligible dependents. Official plan documents, policies and certificates of insurance that contain the details, conditions, maximum benefit levels and restrictions on benefits govern our benefits program and are available on this site. In case of a conflict between this site and the official documents, the official documents prevail. The information on this site isn't a guarantee of benefits. Baylor Scott & White reserves the right to modify or terminate its employee benefit plans and programs at any time for any reason.

Click here if you have feedback on the website or need to report an issue. All other questions and issues, please contact the corresponding resource on the Need Help page.

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