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Additional Individual & Family Plans

Individuals and Family PlansHealth PlansAdditional Individual HMO and EPO Plans 2022

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Additional 2022 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 2022:

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.

  • 2022 Individual HMO Bronze 7500 Summary of Benefits and Coverage
  • 2022 Individual HMO Bronze 7500 Evidence of Coverage
  • 2022 Benefits Charts
  • 2022 Monthly Premiums
  • Online HMO Enrollment
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    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.

  • 2022 Individual EPO Bronze 7500 Summary of Benefits and Coverage
  • 2021 Individual EPO Bronze 7500 Evidence of Coverage
  • 2022 Benefits Charts
  • 2022 Monthly Premiums
  • 2022 EPO Enrollment Application
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    Prescription Drug Tools

  • Prescription Drug Lookup
  • Prescription Drug Cost Calculator
  • How to Enroll:

    HMO

    Fill out the online application.

    EPO

    Step 1:

    Fill out the EPO application - Coming Soon

    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
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    Questions? Call us at 1-866-522-2515


    Click here to go back to the new Individual & Family Plan offerings for 2022

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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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