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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 | Indigent |Individual/Family | Managed Medicaid | Managed Medicare | Other Government | Vision

Last updated: April 25, 2018

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 (includes BCBS Out of State and ERS HealthSelect Out of State)
Blue Essentials/Blue Essentials Access (includes ERS HealthSelect and Consumer Directed HealthSelect)
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.
Galaxy Health Network  
HealthSmart Accel & Preferred Networks Clients must sign the network's "Payor Acknowledgment" to have in-network access to BSWH facilities. Those that sign are included on a monthly in-network list provided by the network.
Humana ChoiceCare
Humana Preferred
National POS
Commercial HMO Plans
Commercial PPO Plans
Independent Medical Systems (IMS) Network  
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/Multiplan Clients must sign the network's "Payor Acknowledgment", have the PHCS logo and be listed on the monthly in-network list to have in-network access to BSWH facilities. Multiplan only or Multiplan Complimentary logos are out-of-network.
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
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 (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
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 Cost Plus - SeniorCare
Medicare Advantage - SeniorCare Advantage HMO
Medicare Advantage - SeniorCare Advantage 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:
Scott & White Clinic Primary Care: Closed; Scott & White Clinic Specialists: Open; Excludes all locations and physicians in Temple


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
Block Vision of Texas Note: Baylor Scott & White – Hillcrest, Baylor Scott & White – Lakeway, Baylor Scott & White – Llano, Baylor Scott & White – Round Rock and Scott & White – Temple only
Superior Vision Note: Scott & White Clinic only
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