Health and Wellness Programs
Treating yourself right isn't a fad, it's a good habit. And it's a habit anyone can pick up. Let our Wellness programs improve the areas of your life that could use a boost.
Complex Case Management
This program is for members who have chronic conditions or complex care needs. A nurse case manager will work with members, families, and the physician to create a plan to meet the member’s ongoing complex care needs. Case managers advocate for members and assist them with setting goals and making a personal plan to improve their health. They also can assist with arrangements for necessary services. Case managers answer questions and provide education to help members have a better understanding of their condition and plan of care.
The purpose of the program is to help members get the best possible results and the greatest value from their health plan. Participation is voluntary. There is no additional cost to members for this program.
For more information, please request a screening to see if Complex Case Management is the right program for your needs.
Our Health Coaching program addresses 65 different diseases and conditions and is available to Scott & White Health Plan members by calling a Health Coach at 1-877-505-7947. You can also contact a health coach via email from the Health Information Center website.
You can also look up information on medical conditions and drugs, watch videos made by patients and/or doctors, use interactive tools such as quizzes and calculators, check on symptoms you may be having or just read the latest health news.
The Health Information Center1 also contains our Shared Decision Making resources. Our resources give you reliable tools and information to help you make important medical decisions about your health. Use them to become better informed about your condition so you can work more closely with your doctor when discussing your treatment.
1 Currently, SeniorCare (Cost) plan members are not eligible to receive calls from Health Coaches, but they may use the toll-free number and Health Information Center website for health information and tools.
Nurse Advice Line
Nurses are available to our members 24 hours a day, 365 days a year. Our nurses can give you information about how to take care of yourself at home or can help you decide if an appointment, an urgent care visit or an emergency room visit is best for your symptoms. If you want to talk to a nurse, call 1-877-505-7947
Health Education Audio Reference (HEAR)
For those who want to listen to information about a health topic, Scott & White Health Plan offers Health Education Audio Reference (HEAR) Library, with over 300 English-language and 25 Spanish-language topics. To listen to information on a health topic, call 1-877-505-7947 and select option 2.
The Wellness Assessment creates a complete summary of your health, and then lays out steps to improve it. We guide you to make healthier choices and lifestyle changes that will help you prevent disease. Your Wellness Assessment will provide you with personalized strategies designed by health care professionals to help you make healthy lifestyle choices.
Assessment for non-members
Assessment for members
Maternity Topics and MOMS Program
Scott and White Health Plan supports new and expecting parents. In the MOMS Program, licensed professionals provide important information and resources for new moms and dads, and answer any questions they may have as they plan for their newborn.
If you are planning to breastfeed your newborn and would like information regarding our breast pump program, or information on contracted Durable Medical Equipment (DME) providers, please contact the MOMS Program team at 888-316-7947. We will provide a breast pump to new mothers through one of our contracted DME providers as early as the third trimester. Only breast pumps obtained through a contracted DME provider will be reimbursed.
A lifetime of good health starts with quality medical care throughout your life. Thanks to the Affordable Care Act (ACA), this care is now within the reach of all Americans. ACA requires health plans to eliminate cost sharing and cover preventive care services recommended by the U.S. Preventive Services Task Force (USPSTF), guidelines specifically issued for women and adopted by Health Resources & Services Administration (HRSA), the Advisory Committee on Immunization Practices, and the Bright Futures Guidelines of the Academy of Pediatrics.
The following recommendations are general guidelines for all ages and should not dictate the care you receive. Your doctor will let you know what tests and exams you may need based on your specific risk factors and overall health.
- Guidelines may change throughout the year based on new or revised laws and/or regulations, and additional guidance.
- Services must be billed with a primary diagnosis of preventive, screening, counseling, or wellness, if applicable, to qualify and other restrictions may apply.
- In addition to the services listed below, you may have additional preventive care benefits covered under your health plan at 100%. Check your plan documents for details.
- Grandfathered plans (a plan that hasn’t changed since 2010) may have costs. See your plan documents to find your specific coverage and costs.
- Talk to your health care provider about a proper schedule of check-up visits.
Preventive Care versus Diagnostic Care
Comprehensive evaluation to prevent health problems; you do not have symptoms or other abnormal studies suggesting abnormalities
Medical care to treat or diagnose a problem, to monitor existing problems, or follow up on abnormal test results.