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Insurance Plans Accepted

Find a list of insurance plans accepted at Baylor Scott & White Health locations

Insurance listings are subject to change without prior notice. Please call​ the hospital or health plan to verify coverage information prior to scheduling your visit/procedure.

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Frequently asked questions

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.

Central Texas insurance plans

View a list of insurances accepted at all Central Texas locations.

Last updated: March 9, 2019

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

Commercial/Group

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
FirstCare Health Plans FirstCare Select HMO
FirstCare Select Plus HMO
FirstCare Access PPO
FirstCare Select Plus PPO
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
University Mary Hardin-Baylor Employee Benefit Plans

Individual/Family

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

Managed Medicaid

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
FirstCare Health Plans STAR, CHIP, CHIP Perinate
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

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
FirstCare Health Plans Medicare Replacement Plan - FirstCare Advantage Dual SNP
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, 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

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

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

North Texas insurance plans

View a list of insurances accepted at all North Texas locations.

Last updated: March 12, 2019

  • Commercial/Group
  • Individual/Family
  • Managed Medicaid
  • Managed Medicare
  • Other Government

Commercial/Group

Commercial/Group
Aetna Health, Inc. Aetna Whole Health/BSWQA
Commercial HMO and PPO Plans
BlueCross BlueShield Blue Choice PPO
Blue Essentials/Blue Essentials Access
Blue Premier and Blue Premier Open Access
ParPlan/Traditional/Indemnity
Cigna HealthCare Children’s Medical Center Employee Benefit Plans
City of Dallas Employee Benefit Plans
Commercial HMO and PPO Based Plans
DART Dallas Area Rapid Transit/BSWQA Employee Benefit Plans
FirstCare Health Plans FirstCare Select HMO
FirstCare Select Plus HMO
FirstCare Access PPO
FirstCare Select Plus PPO
Gladney Center Obstetrical Services
Note: Baylor Scott & White – Fort Worth only
Group Nacional Provincial International Services
Note: Baylor Dallas only
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
Commercial PPO
Humana Preferred
National POS
Hunt Memorial Hospital Employee Benefit Plans
Imagine Health Imagine Health 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.
Medical Development International MDI
Note: Baylor Scott & White – Fort Worth only</small
Midland Memorial Hospital Employee Benefit Plans
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
Texas Christian University TCU Injured Athletes
Note: Baylor Dallas, Baylor Scott & White Heart and Vascular Hospital, Baylor Scott & White – Fort Worth, Baylor Scott & White – Grapevine, Irving, Baylor Scott & White – Plano, Baylor Scott & White – Waxahachie, Baylor Scott & White The Heart Hospital – Denton and Baylor Scott & White The Heart Hospital – Plano only
UnitedHealthcare 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
University Mary Hardin-Baylor Employee Benefit Plans

Individual/Family

Individual/Family
Sold on-exchange and off-exchange
Ambetter from Superior Health Plan Essential Care – Bronze
Balance Care – Silver
Secure Care - Gold
BlueCross BlueShield Blue Advantage HMO
Oscar Insurance Company of Texas Classic: Bronze, Silver, Gold
Simple: Secure, Bronze, Silver
Saver: Bronze, Silver
Sold off-exchange only
Scott & White Health Plan Bronze Plan
UnitedHealthcare UnitedHealthOne

Managed Medicaid

Managed Medicaid (BSWH accepts Traditional Medicaid in addition to the Managed Medicaid plans below)
Aetna Health, Inc. CHIP & STAR Medicaid Replacement – Limited Services: inpatient services and outpatient tubal ligations only
Note: Baylor Scott & White – Carrollton and Baylor Scott & White – Fort Worth only
Amerigroup CHIP & STAR Medicaid Replacement
Note: Baylor Scott & White – Carrollton, Baylor Scott & White – Centennial, Baylor Scott & White – Lake Pointe, and Baylor Scott & White – Sunnyvale only
Cigna HealthSpring CHIP & STAR Medicaid Replacement
Note: Baylor Scott & White – Centennial, Baylor Scott & White – Lake Pointe and Baylor Scott & White – Sunnyvale only
Cook Children's Health Plan CHIP & STAR Medicaid Replacement
Note: Baylor Scott & White – Carrollton and Baylor Scott & White – Fort Worth only
FirstCare Health Plans CHIP, CHIP Perinate & STAR Medicaid Replacement
Molina CHIP & STAR Medicaid Replacement
Note: Baylor Scott & White – Centennial, Baylor Scott & White – Lake Pointe and Baylor Scott & White – Sunnyvale only
Parkland Community Health Plan CHIP & HealthFirst Medicaid Replacement
Note: Baylor Dallas, Baylor Rehab Dallas, Baylor Scott & White – Carrollton, Baylor Scott & White – Centennial, Baylor Scott & White – Irving, Baylor Scott & White – Lake Pointe, Baylor Scott & White – McKinney, Baylor Scott & White – Sunnyvale and Baylor Scott & White – Waxahachie only
Superior Health Plans STAR+PLUS
Note: Baylor Dallas, Baylor Scott & White Heart and Vascular Hospital, Baylor Ortho Arlington, Baylor Rehab – Dallas , Baylor Rehab – Fort Worth , Baylor Rehab – Frisco , Baylor Scott & White – Centennial, Baylor Scott & White – Fort Worth, Baylor Scott & White – Frisco, Baylor Scott & White – Grapevine, Baylor Scott & White – Irving, Baylor Scott & White – Lake Pointe, Baylor Scott & White – McKinney, Baylor Scott & White – Plano, Baylor Scott & White – Sherman , Baylor Scott & White – Sunnyvale, Baylor Scott & White – Trophy Club, Baylor Scott & White – Uptown, Baylor Scott & White – Waxahachie, Baylor Surgical - Fort Worth, Baylor Surgical - Las Colinas , Baylor Surgical - North Central, Baylor Scott & White The Heart Hospital – Denton, and Baylor Scott & White The Heart Hospital – Plano only

Managed Medicare

Managed Medicare (BSWH accepts Traditional Medicare (Part A and Part B) and any Medicare Supplement plan/Medigap plan that does not use a network)
Aetna Health, Inc. Medicare Advantage Plans
Amerigroup Medicare Replacement Plans – Amerivantage for dual eligible only
Note: Baylor Scott & White – Carrollton, Baylor Scott & White – Centennial, Baylor Scott & White – Lake Pointe, and Baylor Scott & White – Sunnyvale only
BlueCross BlueShield Medicare Advantage Plans – for Oncor and EFH Retirees only
Cigna HealthSpring Medicare Advantage Plans
Note: Baylor Ortho Arlington, Baylor Surgical Fort Worth, Baylor Scott & White – Centennial, Baylor Scott & White – Fort Worth, Baylor Scott & White – Grapevine, Baylor Scott & White – Lake Pointe, Baylor Scott & White – Sunnyvale and Baylor Scott & White – Trophy Club only
Cigna HealthSpring Medicare/Medicaid Dual Needs Plan
Note: Baylor Scott & White – Centennial, Baylor Scott & White – Lake Pointe, Baylor Scott & White – Sunnyvale and Baylor Scott & White – Trophy Club only
FirstCare Health Plans Medicare Replacement Plan - FirstCare Advantage Dual SNP
Humana Medicare Advantage Plans
Note: Members under North Texas Specialty Physicians "NTSP" are out-of-network at BSWH facilities
Scott & White Health Plan Medicare Advantage – SeniorCare Advantage HMO & PPO
Superior Health Plans Medicare/Medicaid Dual Special Needs Plan, Medicare-Medicaid Plan
Note:Baylor Dallas, Baylor Scott & White Heart and Vascular Hospital, Baylor Ortho Arlington, Baylor Rehab – Dallas , Baylor Rehab – Fort Worth , Baylor Rehab – Frisco , Baylor Scott & White – Centennial, Baylor Scott & White – Fort Worth, Baylor Scott & White – Frisco, Baylor Scott & White – Grapevine, Baylor Scott & White – Irving, Baylor Scott & White – Lake Pointe, Baylor Scott & White – McKinney, Baylor Scott & White – Plano, Baylor Scott & White – Sherman , Baylor Scott & White – Sunnyvale, Baylor Scott & White – Trophy Club, Baylor Scott & White – Uptown, Baylor Scott & White – Waxahachie, Baylor Surgical - Fort Worth, Baylor Surgical - Las Colinas , Baylor Surgical - North Central, Baylor Scott & White The Heart Hospital – Denton, and Baylor Scott & White The Heart Hospital – Plano only
UnitedHealthcare Medicare Advantage Plans – AARP, Care Improvement Plus, Secure Horizons
Medicare/Medicaid Dual Special Needs Plan - Dual Complete HMO SNP
Note: Members under Southwestern Health Resources are out-of-network at BSWH facilities
UnitedHealthcare WellMed Network Medicare Advantage Plans – AARP, Care Improvement Plus, Secure Horizons
Medicare/Medicaid Dual Special Needs Plan - Dual Complete HMO SNP
Note: Members under WellMed Network only
WellCare Medicare Advantage Plans
Note: Baylor Scott & White – Centennial and Baylor Scott & White – Lake Pointe only

Other Government

Other Government
Choctaw Nation Health Services Authority Choctaw Referred Care
Note: Baylor Scott & White The Heart Hospital – Plano only
Texas Workforce Commission (formerly DARS) TWC
Note: Baylor Dallas only
TriWest Veterans only - no dependents/beneficiaries

Contact us

By Phone

Our price estimate line is available six days a week. Closed daily for lunch from 12-12:45 p.m.

Monday-Thursday: 8 a.m.-5:30 p.m.
Friday-Saturday: 8 a.m.-4 p.m.

Central Texas
Tollfree: 1.833.693.7157

North Texas
Tollfree: 1.844.825.0002

Cosmetic Services (Dallas-Fort Worth Metroplex)
Tollfree: 214.820.3568

Online

Have questions about patient billing or financial assistance? We're here to help. Use this form to submit your question to one of our customer service representatives.

Complete the Form

In Person

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Location Information

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