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Additional Individual & Family Plans

Individuals and Family PlansHealth PlansAdditional Individual HMO and EPO Plans

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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 254-298-3199
  • Questions? Call us at 866-522-2515


    Click here to go back to the new Individual & Family Plan offerings for 2021

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    2020 Individual & Family Plans

    Please note: The 2020 annual open enrollment period ended December 15, 2019. However, if you still need coverage in 2020 and you moved to a new state, changed jobs, have gotten married, divorced or had a baby in the past 60 days, you may meet the “Qualifying Life Event” criteria and can purchase a plan before the 2021 open enrollment period. Please contact your agent or call us at 866-522-2515 for more information.

    For Plan Year 2020, we are offering the following plans:

    Health Maintenance Organization (HMO) Plans

    An HMO 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.

  • 2020 Enrollment Guide for Individuals and Families—includes benefits, plan rates and service area for coverage
  • 2020 Individual HMO Bronze 7500 Summary of Benefits and Coverage
  • 2020 Individual HMO Bronze 7500 Evidence of Coverage
  • 2020 Benefits Charts
  • 2020 Rates — Monthly Premiums
  • 2020 HMO Enrollment Application
  • Exclusive Provider Organization (EPO) Plans

    The EPO 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.

  • 2020 Enrollment Guide for Individuals and Families—includes benefits, plan rates and service area for coverage
  • 2020 Individual EPO Bronze 7500 Summary of Benefits and Coverage
  • 2020 Individual EPO Bronze 7500 Evidence of Coverage
  • 2020 Benefits Charts
  • 2020 Rates — Monthly Premiums
  • 2020 EPO Enrollment Application
  • Prescription Drug Tools

  • Prescription Drug Lookup
  • Prescription Drug Cost Calculator
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    • View Printable Plan documents in PDF format. (May require free Adobe Acrobat Reader to view documents.)
    • To save a PDF document to your device, select "Save As" from your web browser's options.

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