NEWS AND ALERTS: IMPORTANT NOTICES
BSWH Employee Plan Custom Site
Watch a video tutorial about navigating bswh.swhp.org and learn about the tools and resources available to help you manage your health plan benefits.
Expecting the Best Maternity Program – NEW, effective Jan. 1, 2020
Our new maternity program for expectant moms covered by BSWH Employee Plan offers:
- 24/7 access to a nurse
- Active support for high-risk pregnancy
- Planning for delivery
- Postpartum depression screening and help following delivery
- Return-to-work planning
Enroll through your doctor, case manager or by emailing CaseManagement@BSWHealth.org
Maternity Bundled Copay* - NEW, effective Jan. 1, 2020
We are adding a bundled copay to our plan design to cover mom and well-baby expenses for the SEQA, EQA and
- SEQA/EQA Plan: $400 copay for all expenses related to maternity/delivery care and baby’s
- PPO Tier 1 Plan: $1,200 copay applies for all expenses related to maternity/delivery care
and baby’s postnatal services
*Copay applies to the facility claim. All other services billed with a maternity/delivery diagnosis code will
be paid at 100%, including well-baby (hospital) charges and prenatal services.
Contracted Pharmacy Changes
Preferred generic copay will increase from $5 to $10 for a 30-day supply.
Changes to the Health Reimbursement Account (HRA)
This message applies to active BSWH Employee Plan members who have HRA funds available. You can review your
balance by logging in to the member portal.
- See notice sent September 9, 2019 here.
- See notice sent December 10, 2019 here.
Out-of-Area (OOA) Coverage - Only available with the PPO and HSA plans
Provides a modified Tier 2 benefit coverage for employees and covered dependents who live 40 or more
miles from the nearest Tier 1 acute care hospital and visit Tier 2 providers for inpatient and
outpatient care. The modified benefit is - 80% vs. 50%, after Tier 2 deductible. To ensure
claims process correctly, employees and dependents must notify our Customer Advocacy Center at
1-844-843-3229 prior to receiving care.
Baylor Scott & White Quality Alliance (BSWQA) HealthAccess
Need help finding Tier 1 providers and schedule appointments? Contact BSWQA HealthAccess at
1-844-279-7589 for assistance.