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News and Alerts

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Recent Alerts

What’s Changing in 2018

  • Tier 2 and Tier 3 deductibles increase for all medical plans – BSWH HRA, BSWH PPO and BSW HSA
  • Emergency Room copay increases to $250 for 1st visit (per member), then deductible/coinsurance applies for each additional visit on BSWH HRA and BSWH PPO plans
  • Copays have been added to Tier 1 and Tier 2 primary care physician (PCP) and specialist office visits in the BSWH HRA plan
  • Tier 2 (office visit copay) and Tier 3 (deductible/coinsurance) for PCP, specialist and urgent care visits will no longer be eligible for HRA payment
  • HRA will pay providers directly for all eligible medical costs

Annual Enrollment is October 30—November 10:

Click here to watch a short video on how to enroll, submit life events and view your benefits summary.

Baylor Scott & White Quality Alliance (BSWQA) HealthAccess 

Need help finding Tier 1 providers and schedule appointments? Contact BSWQA HealthAccess at 844-279-7589 for assistance.

Out of Area Coverage — Effective 01/01/2017

Employees and dependents who live 40 or more miles from the nearest Tier 1 hospital may visit Tier 2 providers and receive a higher benefit (80% vs. 50%, after deductible). That's an increase from 65% in 2016. You can determine your proximity to Tier 1 network hospitals by using our provider search tool. If you or one of your dependents lives 40 or more miles from a Tier 1 hospital, notify our Customer Advocacy Center at 1-844-843-3229. To ensure your claims process correctly, please notify us prior to accessing services.

Claims Alert

We have updated the Member Portal Explanation of Benefits feature. Log in, click on “Claims” from the menu on the left side, then click on the amount under “Plan Pays” to view the Claim Snapshot. A new feature called “Service Details” now gives the claims itemization you may have been looking for. See an overview of this new feature here.

Attention Baylor Scott & White employees:

Scott & White Health Plan takes privacy of claims information very seriously. Therefore, claims information for spouses or dependents who are 18+ years of age is currently not viewable by the employee (subscriber). Please note we are developing a process whereby covered spouses and adult dependents can opt in to allowing their information to display on the subscriber’s portal dashboard. In the meantime, all members who are over the age of 18 should create their own member portal account to view their claims and plan information. We will update you when the opt-in option is available.