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Provider/Physician Notice

Find information about COVID-19 coding guidelines, claims submission procedures, and reduced prior authorization requirements on the provider section of our website.

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Scott and White Health Plan – Here With You Through COVID-19

Scott and White Health Plan and Baylor Scott & White Health are continuing to monitor COVID-19 developments and are working together to ensure members get the care and coverage they need, when they need it most. You can expect claims processing, customer service by phone and member portal, and other operations to remain as usual.

To protect our members and also our health plan employees, we are temporarily suspending in-person visits to our health plan offices. This does not apply to Baylor Scott & White Health medical facilities.

We hope to welcome you back to our offices very soon. We have more information on COVID-19 and how to keep your loved ones safe at BSWHealth.com.

COVID-19 Vaccine Update

The U.S. Food and Drug Administration (FDA) issued Emergency Use Authorizations for COVID-19 vaccines by Pfizer, Moderna and Johnson & Johnson/Janssen. We want to answer a few of your questions about this exciting development in the fight against COVID-19.

Learn more about vaccine safety and how to get a vaccine.

What does the COVID-19 vaccine cost? - The COVID-19 vaccine is available to health plan members at zero out-of-pocket cost.

Potential Schemes Related to COVID-19

Scammers are using telemarketing, text messages, door-to-door visits as well as social media to conduct their fraudulent activities. These individuals are offering COVID-19 tests, grants and prescription cards in exchange for personal information to benefit themselves and harm the public.

Ways to protect yourself from fraud, waste and abuse schemes:

  • Never share information to unknown individuals. This should include date of birth, Social Security number, Medicaid or Medicare numbers, healthcare details, financial or other personal identifiable information. Sharing this type of information can lead to identity theft.
  • Review your Explanation of Benefits (EOB) or MyBSWHealth for suspicious activity or claims.
  • Ignore offers or advertisements for COVID-19 testing or treatments on social media.
  • Never post photos of your COVID-19 vaccination cards on social media.
  • Do not open links in text messages from unknown individuals.
  • Do not trust any unexpected calls or visitors offering COVID-19 tests or supplies.
  • Do not pay anyone to speed up your vaccine eligibility.
  • Report suspected fraud to health plan helpline: 1-888-484-6977

BENEFIT UPDATES: COVID-19 TESTING AND TREATMENT

Effective July 1, 2021, and until further notice:

  • Scott and White Health Plan continues to waive all member cost-sharing for COVID-19 testing and vaccinations.
  • Member cost-sharing is no longer waived for outpatient office visits and inpatient hospital stays.
  • Refer to your plan documents for:
    • Telehealth services coverage
    • Copayment information
    • Other plan details

This applies to fully insured Commercial Group and Individual policies. Members of self-insured groups should contact their Human Resources Department regarding coverage.

WHAT TO DO IF YOU'RE SICK

The COVID-19 virus and its variants are still circulating in the community. Even individuals who are fully vaccinated should remain watchful of their health.

If you feel sick with fever, cough, or have difficulty breathing and have traveled to high-risk locations or were in close contact with someone with COVID-19 in the 14 days before you began to feel sick, seek medical care.

Option 1:

Stay home and visit a doctor virtually.

Baylor Scott & White Health is now offering a free and convenient COVID-19 screening questionnaire through MyBSWHealth. You can access the screening questionnaire in MyBSWHealth on the web or in the mobile app.

To install the app on your mobile device, simply visit My.BSWHealth.com/download or text BETTER to 884-08 to have it sent to your phone. If your screening shows that you may have COVID-19, you may be directed to an eVisit. More information about eVisits, including how to link your visit to your Scott and White Health Plan account, is included below.

Option 2:

Find a doctor, clinic or hospital near you.

When you schedule your visit, share your concerns about your COVID-19 symptoms or exposure. Your doctor's office, clinic or hospital will have instructions for your visit.

Option 3:

Medical Emergency

If you are experiencing a medical emergency, call 911. Notify the operator if you have COVID-19 or need to be seen for COVID-19 symptoms. If available, put on a face mask before the ambulance arrives.

HOW TO SCHEDULE A VIRTUAL VISIT (eVisit) – 8 AM to 8 PM, 7 days a week

Virtual visits, also called eVisits, are available from 8 AM to 8 PM, 7 days a week through MyBSWHealth on the web or in the mobile app.

To install the app on your mobile device, simply visit My.BSWHealth.com/download or text BETTER to 884-08 to have it sent to your phone.

Here's how it works:

  • Complete an online interview about your symptoms; it takes only 5-10 minutes
  • Receive a response from a Baylor Scott & White Health provider, typically within one hour
  • Prescriptions (if needed) will be sent immediately to your preferred pharmacy

Be sure to link your Scott and White Health Plan account to your MyBSWHealth account, so your visit will be properly processed according to your insurance plan:

Link your account in the MyBSWHealth app:

  • Tap the gear icon (top right corner of app welcome screen)
  • Tap "Manage Linked Accounts"
  • Tap "Link Account" under SCOTT AND WHITE HEALTH PLAN
  • Enter member information

Link your account at MyBSWHealth.com:

  • Go to "Settings" in the left navigation menu
  • Select "Linked Accounts and Devices"
  • Select "Link Account" under SCOTT AND WHITE HEALTH PLAN
  • Enter member information

WE'RE HERE TO HELP

Scott and White Health Plan is dedicated to providing ongoing access to quality healthcare services for members impacted by public health emergencies. We will follow federal and state guidance while working with hospitals, drug stores and other providers to ensure our members get the care and medications they need.

To learn more about COVID-19, we recommend visiting:

For Providers

Helpful Tips & Phone Numbers

  • For emergencies, call 9-1-1 or go directly to the nearest hospital.
  • For non-emergencies, call Customer Service to find a doctor or health care professional in your network.
  • Talk to a nurse—24/7—by calling 1-877-505-7947.
  • For mental health support, call the HHSC COVID-19 Mental Health Support Line at 1-833-986-1919. Learn more.
  • For information about Opioid use and COVID-19, click here.
  • If you have your member ID card, bring it with you when you get care.
  • If you don't have your ID card, call Customer Service or print a temporary card from our member portal.