Insurance Plans Accepted

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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.

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?

Read Answer

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?

Read Answer

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

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