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​​​​​​​​​​​​​​​​​​​​Baylor Scott & White Health currently accepts Traditional Medicaid, Traditional Medicare and any Medicare Supplement plan/Medigap plan that does not use a network. Baylor Scott & White Health also participates as a contracted provider with the insurance companies and networks listed below. This list is a reference and may be revised at any given time.

Does your insurer cover Baylor Scott & White Health services?

To verify whether your insurance plan covers services rendered at Baylor Scott & White Health, contact your insurance provider directly by visiting your provider's website or calling the phone number listed on your insurance identification card. ​For specialty services such as Behavioral Health, Hospice, Transplant and Workers Comp please contact your insurance provider to learn about your coverage.

Do you need a referral before making an appointment?

Some health plans may require a referral from a primary care physician or have other requirements for care prior to scheduling an appointment. Please contact your insurance provider to learn about your coverage.

Commercial/Group |Individual/Family | Managed Medicaid | Managed Medicare | Other Government | Vision

Last updated: January 4, 2019

Commercial/Group
Aetna Health, Inc. Commercial HMO and PPO Plans
BlueBell Creameries Self-Insured Employee Plan
Note: Baylor Scott & White – Brenham, Baylor Scott & White – College Station, Baylor Scott & White – Continuing Care, Baylor Scott & White – Hillcrest, Baylor Scott & White – Lakeway, Baylor Scott & White – Marble Falls, Baylor Scott & White – McLane Children’s, Baylor Scott & White – Round Rock, Baylor Scott & White – Taylor, Baylor Scott & White – Temple, and Scott & White Clinic only
BlueCross BlueShield Blue Choice PPO
Blue Essentials/Blue Essentials Access
Blue Premier and Blue Premier Open Access
ParPlan/Traditional/Indemnity
Cigna HealthCare Commercial HMO and PPO Based Plans
Note: All hospital locations and all emergency room physicians are in-network for Cigna LocalPlus.   All other Scott & White physicians and clinics are out-of-network for Cigna LocalPlus.
Consolidated Association of Railroad Employees (C.A.R.E.) Self-Insured Employee Plan
Note:
Baylor Scott & White – Continuing Care, Baylor Scott & White – Hillcrest, Baylor Scott & White – Lakeway, Baylor Scott & White – Llano, Baylor Scott & White – Round Rock and Scott & White – Temple only
Coventry/First Health Clients must be included on monthly in-network list provided by the network.
DART Dallas Area Rapid Transit/BSWQA Employee Benefit Plans
Galaxy Health Network  
HealthSmart Accel & Preferred Networks HealthSmart Clients must sign the network's "Payor Acknowledgment" and be listed on the monthly in-network list to have in-network access to BSWH facilities.
Humana ChoiceCare
Humana Preferred
National POS
Commercial HMO Plans
Commercial PPO Plans
Independent Medical Systems (IMS) Network  
Midland Memorial Hospital Employee Benefit Plans
Mother Frances Hospital Regional Self-Insured Employee Plan
Note:
Excludes Baylor Scott & White – Marble Falls
Nexcaliber (Brookshire Brothers Only) Self-Insured Employee Plan
Note:
Baylor Scott & White – Lakeway, Baylor Scott & White – Round Rock, and Scott & White – Temple only
PHCS Network PHCS Clients must sign the network's "Payor Acknowledgment" and be listed on the monthly in-network list to have in-network access to BSWH facilities.
Scott & White Health Plan SWHP HMO
ICSW PPO
BSWH Employee Plan
SWHP BSW Preferred HMO/POS
SWHP BSW Preferred HMO
SWHP BSW Preferred Plus HMO
ICSW BSW Preferred PPO
Three Rivers Provider Network Note: Excludes Baylor Scott & White – Brenham, Baylor Scott & White – Hillcrest, Baylor Scott & White – Llano, and Baylor Scott & White – McLane Children’s
United Healthcare Charter HMO/EPO/POS
Choice HMO/+HMO/EPO/Plus POS
Core HMO/EPO/Choice Plus POS
Navigate HMO/HMO+/EPO/POS
NexusACO
PPO/Options PPO
Select HMO/ Select +/ EPO/ Plus POS
UHC West Signature Value Gated HMO


Individual/Family
Sold on-exchange and off-exchange
BlueCross BlueShield Blue Advantage HMO
Sold off-exchange only
Scott & White Health Plan Bronze Plan
UnitedHealthcare UnitedHealthOne


Managed Medicaid (BSWH accepts Traditional Medicaid in addition to the Managed Medicaid plans below)
BlueCross BlueShield STAR Kids
Community Health Choice CHIP
Note:
Baylor Scott & White – Brenham only
Scott & White Health Plan STAR - RightCare
Superior Health Plan STAR, STAR+PLUS, CHIP, CHIP Perinate & FOSTER CARE
Texas Children’s Health Plan STAR, CHIP
Note:
Baylor Scott & White – Brenham only
United Healthcare Community Plan of Texas STAR, STAR+PLUS, CHIP & STAR Kids


Managed Medicare (BSWH accepts Traditional Medicare (Part A and Part B) and any Medicare Supplement plan/Medigap plan that does not use a network)
BlueCross BlueShield Medicare Advantage Plans – for Oncor and EFH Retirees only
Humana Medicare Advantage Plans
Note: Scott & White Clinic Primary Care: Closed; Scott & White Clinic Specialists: Open
Scott & White Health Plan Medicare Advantage - SeniorCare Advantage HMO & PPO
UnitedHealthcare Medicare Advantage Plans - AARP, Care Improvement Plus, MedicareComplete, Secure Horizons
Medicare/Medicaid Dual Special Needs Plan - Chronic Complete, Dual Advantage, Dual Complete HMO SNP
Note:
All facilities in Temple are Out-of-Network; All Scott & White Clinic Physicians in Temple are Closed


Other Government
Methodist Children's Home Medicaid - Residents without insurance
Note:
Excludes Baylor Scott & White – Marble Falls
Texas Workforce Commission (formerly DARS) TWC
Note: Baylor Scott & White – Hillcrest and Baylor Scott & White – Temple only
Tricare Tricare Prime, Select and Extra
TriWest Veterans only - no dependents/beneficiaries


Vision
Envolve Vision Note: Baylor Scott & White – Hillcrest, Baylor Scott & White – Lakeway, Baylor Scott & White – Llano, Baylor Scott & White – Round Rock and Scott & White – Temple only
EyeMed Vision Note: Scott & White Clinic only
Superior Vision Note: Scott & White Clinic only
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