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.
Scott and White Health Plan (SWHP) offers a variety of programming designed to meet your health and wellness needs regardless of where you may be on the continuum of care. Providing a comprehensive suite of effective resources and tools, we provide a tailored experience built on the demands of our members. We strive to continuously provide the right care, in the right place, at the right time. It is our mission to promote a healthy lifestyle and empower our members to become an active participant of their healthcare team.
Nurse Advice Line
Nurses are available to our members 24 hours a day, 365 days a year. Our nurses provide information about taking care of yourself at home or they can help you decide if an appointment, an urgent care visit, or an emergency room visit is best for your symptoms. To locate your appropriate Nurse Advice Line phone number, please log into the Member Portal
Digital Wellness Platform
Take an online health assessment to tailor the site to your specific health needs and access various wellness information and activities. Check out the online chat options and wellness trackers too! The wellness program encourages members to be healthy, while providing personal health support for various health conditions and health risks.
Wellbeing Assessment - The wellbeing assessment is a simply, digital health survey that helps you take steps toward a more vibrant and healthier life. Assessment for members.
Digital Health Coaching – 6-week coaching modules with action plans, important articles, online seminars and video content on topics that include:
- Live Tobacco Free
- Healthy Weight
- Less Stress
- Healthier Diet
- Active Living
Progress Tracker – the digital platform has a dashboard to help you keep track of important health information like A1C, weight/ BMI, cholesterol, blood pressure and physical activity. These biometric measurements can be charted over time to monitor your long-term health.
Fitness Tracker Integration – Synchronize your personal fitness tracker with the wellness platform to monitor your physical activity progress on the dashboard.
Digital Health Library – Access to articles, videos, recipes and other content to support a healthier life. You can search for condition-specific information or ex-plore highlighted topics.
Challenges – Sometimes you need extra motivation to go the extra mile. You can participate in step challenges, hydration and even relaxation challenges.
Online Community – Access to online community forums where you can give and receive support for goals as well as get feedback from health coaches in the community.
Wondr Health - Formerly Naturally Slim:
Have you ever wondered why some people can eat the foods they love and not gain weight. Wondr Health reveals the secret sauce behind then unexpected concept through behavioral science. Learn more and apply.
Wondr Health Flyer
Disease management programs are designed to improve the health of persons with chronic conditions and reduce associated costs from avoidable complications. These goals are accomplished by identifying and treating chronic conditions more quickly and more effectively, slowing the progression of those diseases. Disease management is a system of coordinated healthcare interventions tailored to your conditions where self-care efforts can be implemented. We have programs for our members who have asthma breathing trouble (such as bronchitis, emphysema), diabetes, heart problems, and many other conditions. Our health coach may contact you to invite you to participate in one of these programs when we see an insurance claim with one of these conditions. Disease management empowers you, working with your healthcare providers, to manage the disease and prevent complications.
- SWHP Commercial members can opt in or opt out of the program by calling 1-888-360-1555 or through the following link, Member Information Center.
- BSWH Employee Plan members can opt in or opt out of the program by calling 1-844-279-7589
- Medicare members can opt in or opt out of the program by calling 1-844-279-7589
Complex Case Management
SWHP has Case Managers available to help members who have been diagnosed with complicated health problems. 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 and community supports. Case managers answer questions and provide education to help members have a better understanding of their condition and plan of care.
Members are enrolled in this program through referrals from their doctors and through SWHP monitoring of care patterns and claims to identify those who may benefit from case management. Members may also self-enroll by calling the customer service number on their insurance card. This program is included with your SWHP insurance benefits and participation is voluntary. Click here for details.
Healthy Pregnancy Information
Expecting the Best® Maternity Program
Scott and White Health Plan is pleased to offer Expecting the Best® for our members. This program is focused on helping mothers enjoy a healthy pregnancy. Expecting the Best® members will receive helpful tips and assistance during pregnancy and for one year after birth.
- Planning for delivery, including individual support during and after a pregnancy
- Access to a nurse 24 hours a day, seven days a week
- Coordinated efforts to promote full-term birth in women who previously delivered pre-term
- In-home support for high-risk conditions such as diabetes, hypertension and severe nausea
- Early enrollment in case management support program
- Depression screening following delivery, including postpartum resources
- Parental education for newborn health during the first year
- Immunization reminders
- Planning for returning to work
Members may be contacted by a Case Manager to invite you to this program, when we receive a claim indicating pregnancy. Sign up or opt out by calling the customer service number on the back of your insurance card or email us. Please include:
- Preferred phone number
- SWHP member number
- Brief description of needs or risk factors
A Case Manager may invite you to enroll when we receive a doctor’s referral or pregnancy claim. You can opt-in or out of this program at any time through a Case Manager or customer service.
View informational flyer.
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.
- Your benefits plan may contain additional preventative care benefits, exclusions, and limitations. Check your plan documents for a complete description of benefits, exclusions, limitations, and condition of coverage.
- 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.