Additional 2021 Individual & Family Plan Options
Additional plan options, which you may currently have or have chosen in the past, are available in the following counties for 2021:
HMO and EPO Plans—Austin, Bell, Blanco, Bosque, Brazos, Burleson, Burnet, Caldwell, Coke, Coleman, Collin, Concho, Coryell, Crockett, Dallas, Denton, Ellis, Erath, Falls, Fayette, Freestone, Grimes, Hamilton, Hill, Hood, Irion, Johnson, Kimble, Lampasas, Lee, Leon, Limestone, Llano, Mason, McCulloch, McLennan, Madison, Menard, Milam, Mills, Reagan, Robertson, Rockwall, Runnels, San Saba, Schleicher, Somervell, Sterling, Sutton, Tarrant, Tom Green, Travis, Waller, Washington, and Williamson.
HMO Plans are also available in these six additional counties—Bastrop, Bexar, Comal, El Paso, Hays, and Walker.
HMO Plan Information, Monthly Premiums and Application
An HMO, or Health Maintenance Organization, gives you a range of benefits for a prepaid monthly fee. The plan focuses on wellness, prevention, and treatment within a network of providers. Out-of-network providers are usually not covered, unless in an emergency. Designated primary care physicians and referrals are not required for in-network care.
The HMO plan offers access to more than 14,000 in-network doctors and the renowned Baylor Scott & White Health system. Other physicians and providers are also available in our networks.
2021 Individual HMO Bronze 7500 Summary of Benefits and Coverage
2021 Individual HMO Bronze 7500 Evidence of Coverage
2021 Benefits Charts
2021 Monthly Premiums
2021 HMO Enrollment Application
EPO Plan Information, Monthly Premiums and Application
The EPO, or Exclusive Provider Organization, has a separate provider network. As a member of the EPO, you can use the doctors and hospitals within the EPO network, but cannot go outside the network for care. There are no out-of-network benefits, except for emergency and urgent care. Designated primary care physicians and referrals are not required for in-network care.
The EPO plan offers access to more than 14,000 in-network doctors and the renowned Baylor Scott & White Health system. Other physicians and providers are also available in our networks.
2021 Individual EPO Bronze 7500 Summary of Benefits and Coverage
2021 Individual EPO Bronze 7500 Evidence of Coverage
2021 Benefits Charts
2021 Monthly Premiums
2021 EPO Enrollment Application
Prescription Drug Tools
Prescription Drug Lookup
Prescription Drug Cost Calculator
How to Enroll:
Step 1:
Fill out the appropriate application (HMO or EPO)
Step 2:
Mail it to the address found on the application’s front page.
- Scott and White Health Plan
- Attention: Enrollment 1206 West Campus Drive, MS-A4-126
- Temple, Texas 76502
OR email it to SWHPElectronicEnrollment@bswhealth.org
OR fax it to 1-254-298-3199
Questions? Call us at 1-866-522-2515
Click here to go back to the new Individual & Family Plan offerings for 2021