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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.

 

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.

Rights and Protections Against Surprise Medical Bills

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: April 19, 2022

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

Commercial/Group

Commercial/Group
Aetna Health, Inc. Aetna Signature Administrators
Choice POS II
Elect Choice
Health Network Only
Health Network Option
HMO
Managed Choice
Open Access Elect Choice
Open Access Managed Choice
Open Access Select
Open Choice PPO
QPOS
Select
BlueBell Creameries Employee Benefit 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
Blue Essentials
Blue Essentials Access
Blue Premier
Blue Premier Access
Consumer Directed HealthSelect
Federal Basic Option
Federal FEP Blue Focus
Federal Standard Option
HealthSelect
High Performance Network
ParPlan
TRS-ActiveCare 2
TRS-ActiveCare Primary
TRS-ActiveCare Primary HD
TRS-ActiveCare Primary+
TRS-Care Standard
Cigna HealthCare Choice Fund
LocalPlus
LocalPlus In-Network
Open Access
Open Access Plus
Open Access Plus In-Network
Point of Service Open Access
Note: All hospital locations and all emergency room physicians are in-network for Cigna LocalPlus plans. All other Scott & White physicians and clinics are out-of-network for Cigna LocalPlus plans.
Coventry/First Health First Health Network
Note: Exceptions apply
DFW Connected Care American Airlines/BSWQA Employee Benefit Plan
FirstCare Health Plans FirstCare Access PPO
FirstCare Select HMO
FirstCare Select Plus HMO
FirstCare Select Plus PPO
Galaxy Health Network Galaxy Health Network
HealthSmart  Accel Network
Preferred Network
Note: Exceptions apply
Humana ChoiceCare
Commercial HMO
Commercial PPO
Humana Preferred
National POS
Independent Medical Systems (IMS) Network Independent Medical Systems Network
Imagine Health

Dealers Electrical Supply Employee Plan only
Note: Baylor Scott & White – Continuing Care, Baylor Scott & White – McLane Children's, Baylor Scott & White – Brenham, Baylor Scott & White – College Station, Baylor Scott & White – Hillcrest, Baylor Scott & White – Temple, Touchstone Imaging Waco only


Scott & White Clinic Physicians in Bell, Bosque, Brazos, Burleson, Coryell, Falls, Grimes, Hamilton, Hill, Lampasas, Leon, Limestone, Madison, McLennan, Milam, Robertson, Waller, and Washington counties only.

  • Bell county physicians are limited to Specialist only
  • Bosque, Brazos, Burleson, Coryell, Falls, Grimes, Hamilton, Hill, Lampasas, Leon, Limestone, Madison, McLennan, Milam, Robertson, Waller, and Washington counties are PCP and Specialist
Nebraska Furniture Mart BSWQA Employee Benefit Plan
Nexcaliber  Brookshire Brothers Employee Benefit Plan
Note: Baylor Scott & White – Lakeway, Baylor Scott & White – Round Rock, and Scott & White – Temple only
PHCS Network PHCS Primary PPO
Note: Exceptions apply
Scott & White Health Plan BSW Access PPO
BSW Direct Primary Care
BSW Plus HMO
BSW Plus PPO
BSW Preferred HMO/POS
BSW Preferred Plus HMO
BSW Preferred PPO
BSWH Employee Plan - EQA
BSWH Employee Plan - HSA
BSWH Employee Plan - PPO
BSWH Employee Plan - SEQA
Covenant Health EPO
Covenant Preferred HMO
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 Balanced
Charter Plus
Choice
Choice Plus
Core
Core Essential
EDGE
Navigate
Navigate Balanced
Navigate Plus
Nexus ACO - Referral Required
NexusACO - Open Access
Options
Select
Select Plus
University Mary Hardin-Baylor Employee Benefit Plans

Individual/Family

Individual/Family
Sold on-exchange and off-exchange
BlueCross BlueShield Blue Advantage
Blue Advantage Plus
FirstCare Health Plans FirstCare Elite Gold
FirstCare Prime Silver
FirstCare Savers Bronze
FirstCare Vital Bronze
Scott & White Health Plan BSW Elite Gold
BSW Prime Silver
BSW Savers Bronze
BSW Vital Bronze
Sold off-exchange only  
FirstCare Health Plans FirstCare Prime Silver
Scott & White Health Plan BSW Elite Gold
BSW Prime Silver
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 CHIP
CHIP Perinate
STAR
Scott & White Health Plan STAR - RightCare
Superior Health Plan CHIP
CHIP Perinate
FOSTER CARE
STAR
STAR+PLUS
Texas Children’s Health Plan CHIP
STAR
Note: Baylor Scott & White – Brenham only
United Healthcare Community Plan of Texas CHIP
STAR
STAR Kids
STAR+PLUS

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 (Exxon/Mobil Retirees)
Aetna Health, Inc.

Medicare Advantage Plans
Note: Baylor Scott & White – Austin; Baylor Scott & White – Buda; Baylor Scott & White – Lakeway; Baylor Scott & White – Marble Falls; Baylor Scott & White – Pflugerville; Baylor Scott & White – Round Rock; Baylor Scott & White – Taylor only

Scott & White Clinic Providers are limited to Bastrop, Blanco, Caldwell, Hays, Llano, Travis and Williamson counties only

BlueCross BlueShield Medicare Advantage Plans (Oncor Retirees)
BlueCross BlueShield Medicare Advantage Plans
Note: Baylor Scott & White – Austin; Baylor Scott & White – Buda; Baylor Scott & White – Lakeway; Baylor Scott & White – Pflugerville; Baylor Scott & White – Round Rock; Baylor Scott & White – Taylor only

Scott & White Clinic Providers are limited to Bastrop, Blanco, Burnet, Caldwell, Comal, Gillespie, Hays, Llano, San Saba, Travis and Williamson counties only
Cigna Medicare Advantage Plans
Note: Baylor Scott & White – Austin; Baylor Scott & White – Buda; Baylor Scott & White – Lakeway; Baylor Scott & White – Marble Falls; Baylor Scott & White – Pflugerville; Baylor Scott & White – Round Rock; Baylor Scott & White – Taylor only

Scott & White Clinic Providers are limited to Bastrop, Blanco, Caldwell, Hays, Llano, Travis and Williamson counties only
FirstCare Health Plans Medicare Replacement Plan - FirstCare Advantage Dual SNP
Humana Medicare Advantage Plans
Scott & White Health Plan Medicare Advantage - SeniorCare Advantage HMO & PPO
Superior Medicare Advantage Plans - Wellcare, Wellcare by Allwell
Note: Baylor Scott & White – Austin; Baylor Scott & White – Buda; Baylor Scott & White – Lakeway; Baylor Scott & White – Marble Falls; Baylor Scott & White – Pflugerville; Baylor Scott & White – Round Rock; Baylor Scott & White – Taylor only

Scott & White Clinic Providers are limited to Bastrop, Blanco, Caldwell, Hays, Llano, Travis and Williamson counties only
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
Texas Workforce Commission (formerly DARS) TWC
Note: Baylor Scott & White – Hillcrest and Baylor Scott & White – Temple only
Tricare Extra
Prime
Select
TriWest Community Care Network
Note:
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 BSWH Employee Plan
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: April 19, 2022

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

Commercial/Group

Commercial/Group
Aetna Health, Inc. Aetna Signature Administrators
Choice POS II
Elect Choice
Health Network Only
Health Network Option
HMO
Managed Choice
Open Access Elect Choice
Open Access Managed Choice
Open Access Select
Open Choice PPO
QPOS
Select
BlueCross BlueShield Blue Choice
Blue Essentials
Blue Essentials Access
Blue Premier
Blue Premier Access
Consumer Directed HealthSelect
Federal Basic Option
Federal FEP Blue Focus
Federal Standard Option
HealthSelect
High Performance Network
ParPlan
TRS-ActiveCare 2
TRS-ActiveCare Primary
TRS-ActiveCare Primary HD
TRS-ActiveCare Primary+
TRS-Care Standard
Cigna HealthCare Choice Fund
LocalPlus
LocalPlus In-Network
Open Access
Open Access Plus
Open Access Plus In-Network
Point of Service Open Access
DFW Connected Care American Airlines/BSWQA Employee Benefit Plan
Employers Health Network Employers Health Network
Note: Exceptions apply
FirstCare Health Plans FirstCare Access PPO
FirstCare Select HMO
FirstCare Select Plus HMO
FirstCare Select Plus PPO
HealthSmart Accel Network
Preferred Network
Note: Exceptions apply
Humana ChoiceCare
Commercial PPO
Humana Preferred
National POS
Imagine Health Imagine Health Network
Note: Exceptions apply
Medical Development International MDI
Note: Baylor Scott & White – Fort Worth only</small
Nebraska Furniture Mart BSWQA Employee Benefit Plan
PHCS Network PHCS Primary PPO
Note: Exceptions apply
Scott & White Health Plan BSW Access PPO
BSW Direct Primary Care
BSW Plus HMO
BSW Plus PPO
BSW Preferred HMO/POS
BSW Preferred Plus HMO
BSW Preferred PPO
BSWH Employee Plan - EQA
BSWH Employee Plan - HSA
BSWH Employee Plan - PPO
BSWH Employee Plan - SEQA
Covenant Health EPO
Covenant Preferred HMO
UnitedHealthcare Charter Balanced
Charter Plus
Choice
Choice Plus
Core
Core Essential
EDGE
Navigate
Navigate Balanced
Navigate Plus
Nexus ACO - Referral Required
NexusACO - Open Access
Options
Select
Select Plus
University Mary Hardin-Baylor Employee Benefit Plans

Individual/Family

Individual/Family
Sold on-exchange and off-exchange
Ambetter Ambetter Balanced Care
Ambetter Essential Care
Ambetter Secure Care
BlueCross BlueShield Blue Advantage
Blue Advantage Plus
FirstCare Health Plans FirstCare Elite Gold
FirstCare Prime Silver
FirstCare Savers Bronze
FirstCare Vital Bronze
Scott & White Health Plan BSW Elite Gold
BSW Prime Silver
BSW Savers Bronze
BSW Vital Bronze
Sold off-exchange only
FirstCare FirstCare Prime Silver
Scott & White Health Plan BSW Elite Gold
BSW Prime Silver
UnitedHealthcare UnitedHealthOne

Managed Medicaid

Managed Medicaid (BSWH accepts Traditional Medicaid in addition to the Managed Medicaid plans below)
Aetna Health, Inc. CHIP
STAR
Note: Baylor Scott & White – Fort Worth only
Amerigroup CHIP
STAR
Note: Baylor Scott & White – Centennial, Baylor Scott & White – Dallas, Baylor Scott & White – Fort Worth, Baylor Scott & White – Irving, Baylor Scott & White – Lake Pointe, and Baylor Scott & White – Sunnyvale only
Cook Children's Health Plan CHIP
STAR
Note: Baylor Scott & White Emergency – Aubrey; Baylor Scott & White Emergency – Burleson; Baylor Scott & White Emergency – Colleyville; Bayor Scott & White – Fort Worth only; Baylor Scott & White Emergency – Grand Prairie; Baylor Scott & White Emergency – Keller; Baylor Scott & White Emergency – Mansfield; Baylor Scott & White Emergency – Murphy; Baylor Scott & White Emergency – Rockwall

STAR Kids
Note: Baylor Scott & White Emergency – Aubrey; Baylor Scott & White Emergency – Burleson; Baylor Scott & White Emergency – Colleyville; Baylor Scott & White Emergency – Grand Prairie; Baylor Scott & White Emergency – Keller; Baylor Scott & White Emergency – Mansfield; Baylor Scott & White – Murphy; Baylor Scott & White – Rockwall
Molina CHIP
STAR
STAR+PLUS
Note: Baylor Scott & White – Centennial, Baylor Scott & White Dallas; Baylor Scott & White – Lake Pointe and Baylor Scott & White – Sunnyvale only
Parkland Community Health Plan CHIP
STAR
Note: Baylor Dallas, Baylor Rehab Dallas, 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

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 – Centennial, Baylor Scott & White – Dallas, Baylor Scott & White – Fort Worth, Baylor Scott & White – Irving, Baylor Scott & White – Lake Pointe, and Baylor Scott & White – Sunnyvale only
BlueCross BlueShield Medicare Advantage Plans
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
FirstCare Health Plans Medicare Replacement Plan - FirstCare Advantage Dual SNP
Humana Medicare Advantage Plans
Molina Medicare Advantage Plans – Options, Options PLus, Medicare/Medicaid – STAR+PLUS MMP
Note: Baylor Scott & White – Centennial; Baylor Scott & White – Dallas; Baylor Scott & White – Lake Pointe; and Baylor Scott & White – Sunnyvale only
Scott & White Health Plan Medicare Advantage – SeniorCare Advantage HMO & PPO
Superior Health Plans Medicare Advantage Plans - Wellcare, Wellcare by Allwell
UnitedHealthcare Medicare Advantage Plans – AARP, Care Improvement Plus, Secure Horizons
Medicare/Medicaid Dual Special Needs Plan - Dual Complete HMO SNP
WellCare Medicare Advantage Plans

Other Government

Other Government
Texas Workforce Commission TWC
Note: Baylor Dallas only
TriCare Prime
Select
Extra
Note:Baylor Scott & White – Centennial, and Baylor Scott & White – McKinney only
TriWest Community Care Network
Note: 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

Visit your financial counselor and learn more about your financial assistance options.

Location Information

Insurance listings are subject to change without prior notice. Please call your physician's office or your health or insurance plan to verify coverage information prior to scheduling your visit or procedure. Not all members participating in contracted networks have "in network" access. In network participation may change from time to time without prior notice. Independent providers (which could include, for example only, anesthesiologists, radiologists, pathologists, emergency medicine physicians, advance practice professionals, and other independent providers of health care services) may deliver part of your care, and such providers may be considered out-of-network on your health and insurance plans even if the Facility may be considered in network. If you desire additional information as to the providers who may be involved in providing your care, you can either ask your treating provider (who may know some of the specialists or groups who could be involved) or you can request a list of Facility-based physician groups by calling the following toll free number: (877) 810-0372. This list is updated annually and is subject to change without prior notice.

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