North Texas Insurance Accepted

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.

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
Aetna Health, Inc.	Aetna Whole Health/BSWQA Commercial HMO and PPO Plans
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	Children’s Medical Center Employee Benefit Plans City of Dallas Employee Benefit Plans Commercial HMO and PPO Based Plans
Gladney Center	Obstetrical Services Note: Baylor Scott & White – Fort Worth only
Group Nacional Provincial	International Services Note: Baylor Dallas only
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 Commercial PPO Humana Preferred National POS
Hunt Memorial Hospital	Employee Benefit Plans
Imagine Health/SmartCare	Employee plans for: ABC Home and Commercial Services ABLe Communications Caprock Health Dallas Theological Seminary Home Depot NCH State National
Medical Development International	MDI Note: Baylor Scott & White – Fort Worth 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
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

Commercial/Group

Aetna Health, Inc.

Aetna Whole Health/BSWQA
Commercial HMO and PPO Plans

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

Children’s Medical Center Employee Benefit Plans
City of Dallas Employee Benefit Plans
Commercial HMO and PPO Based Plans

Gladney Center

Obstetrical Services
Note: Baylor Scott & White – Fort Worth only

Group Nacional Provincial

International Services
Note: Baylor Dallas only

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
Commercial PPO
Humana Preferred
National POS

Hunt Memorial Hospital

Employee Benefit Plans

Imagine Health/SmartCare

Employee plans for:
ABC Home and Commercial Services
ABLe Communications
Caprock Health
Dallas Theological Seminary
Home Depot
NCH
State National

Medical Development International

MDI
Note: Baylor Scott & White – Fort Worth 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

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

Individual/Family
Sold on-exchange and off-exchange
Ambetter from Superior Health Plan In-Network Beginning January 1, 2019	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

Individual/Family

Sold on-exchange and off-exchange

Ambetter from Superior Health Plan
In-Network Beginning January 1, 2019

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 (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
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 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

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 (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
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 Medicare Advantage – SeniorCare Advantage PPO Medicare Advantage - Vital Traditions
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 North Texas Specialty Physicians "NTSP" 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

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

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
Medicare Advantage – SeniorCare Advantage PPO
Medicare Advantage - Vital Traditions

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 North Texas Specialty Physicians "NTSP" 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
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

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

North Texas Insurance Accepted // <![CDATA[ _spBodyOnLoadFunctionNames.push("setupPageDescriptionCallout");// ]]>

Does your insurer cover Baylor Scott & White Health services?

Do you need a referral before making an appointment?

North Texas Insurance Accepted