Insurance Plans Accepted

Baylor Scott & White Health currently accepts Traditional Medicaid, Traditional Medicare and any Medicare Supplement plan/Medigap plan that does not use a network. Baylor Scott & White Health also participates as a contracted provider with the insurance companies and networks listed below. This list is a reference and may be revised at any given time.

Does your insurer cover Baylor Scott & White Health services?

To verify whether your insurance plan covers services rendered at Baylor Scott & White Health, contact your insurance provider directly by visiting your provider’s website or calling the phone number listed on your insurance identification card. For specialty services such as Behavioral Health, Hospice, Transplant and Workers Comp please contact your insurance provider to learn about your coverage.

Do you need a referral before making an appointment?

Some health plans may require a referral from a primary care physician or have other requirements for care prior to scheduling an appointment. Please contact your insurance provider to learn about your coverage.

Insurance listings are subject to change without prior notice. Please call​ the hospital or health plan to verify coverage information prior to scheduling your visit/procedure.

North Texas insurance plans

View a list of insurances accepted at all North Texas locations.

Commercial/Group

Commercial/Group
Aetna Health, Inc. Aetna Whole Health/BSWQA
Commercial HMO and PPO Plans
BlueCross BlueShield Blue Choice PPO
Blue Essentials/Blue Essentials Access
Blue Premier and Blue Premier Open Access
HealthSelect
High Performance Network
ParPlan/Traditional/Indemnity
Centivo AT&T- Low Deductible Care Plan, High Deductible Care Plan
Kohl’s – High performance Plan Basic, High Performance Plan Plus
Ensign – Centivo Partnership Plan
Benjamin Moore – ADVANCE Medical Plan
Cigna HealthCare Commercial HMO and PPO Based Plans
DFW Connected Care American Airlines/BSWQA Employee Benefit Plans
FirstCare Health Plans FirstCare Select HMO
FirstCare Select Plus HMO
FirstCare Access PPO
FirstCare Select Plus PPO
Gladney Center Obstetrical Services
Note: Baylor Scott & White – Fort Worth only
Group Nacional Provincial International Services
Note: Baylor Dallas only
HealthSmart Accel & Preferred Networks HealthSmart Clients must sign the network’s “Payor Acknowledgment” and be listed on the monthly in-network list to have in-network access to BSWH facilities.
Humana ChoiceCare
Commercial PPO
Humana Preferred
National POS
Hunt Memorial Hospital Employee Benefit Plans
Imagine Health Imagine Health Clients must sign the network’s “Payor Acknowledgment” and be listed on the monthly in-network list to have in-network access to BSWH facilities.
Medical Development International MDI
Note: Baylor Scott & White – Fort Worth only</small
Midland Memorial Hospital Employee Benefit Plans
PHCS Network PHCS Clients must sign the network’s “Payor Acknowledgment” and be listed on the monthly in-network list to have in-network access to BSWH facilities.
Scott & White Health Plan BSW Direct Primary Care
BSW Plus HMO, BSW Plus PPO
BSW Preferred HMO/POS, BSW Preferred HMO, BSW Preferred Plus HMO, BSW Preferred PPO
BSWH Employee Plan
Scott & White Health Plan (SWHP) HMO, Insurance Company of Scott & White (ICSW) PPO, Scott & White Care Plans (SWCP)
Texas A&M Commerce Texas A&M Commerce Injured Athletes
Note: Baylor Scott & White –Lake Pointe only
Texas Christian University TCU Injured Athletes
Note: Baylor Dallas, Baylor Scott & White Heart and Vascular Hospital, Baylor Scott & White – Fort Worth, Baylor Scott & White – Grapevine, Irving, Baylor Scott & White – Plano, Baylor Scott & White – Waxahachie, Baylor Scott & White The Heart Hospital – Denton and Baylor Scott & White The Heart Hospital – Plano only
UnitedHealthcare Charter HMO/EPO/POS
Choice HMO/+HMO/EPO/Plus POS
Core HMO/EPO/Choice Plus POS
Navigate HMO/HMO+/EPO/POS
NexusACO
PPO/Options PPO
Select HMO/ Select +/ EPO/ Plus POS
UHC West Signature Value Gated HMO
University Mary Hardin-Baylor Employee Benefit Plans

Individual/Family

Individual/Family
Sold on-exchange and off-exchange
Ambetter from Superior Health Plan Essential Care – Bronze
Balance Care – Silver
Secure Care – Gold
BlueCross BlueShield Blue Advantage HMO
FirstCare Health Plans FirstCare Select HMO
Scott & White Health Plan BSW Preferred HMO
Sold off-exchange only
Scott & White Health Plan Bronze Plan
UnitedHealthcare UnitedHealthOne

Managed Medicaid

Managed Medicaid (BSWH accepts Traditional Medicaid in addition to the Managed Medicaid plans below)
BlueCross BlueShield STAR Kids
Community Health Choice CHIP
Note:
Baylor Scott & White – Brenham only
FirstCare Health Plans STAR, CHIP, CHIP Perinate
Scott & White Health Plan STAR – RightCare
Superior Health Plan STAR, STAR+PLUS, CHIP, CHIP Perinate & FOSTER CARE
Texas Children’s Health Plan STAR, CHIP
Note:
Baylor Scott & White – Brenham only
United Healthcare Community Plan of Texas STAR, STAR+PLUS, CHIP & STAR Kids

Managed Medicare

Managed Medicare (BSWH accepts Traditional Medicare (Part A and Part B) and any Medicare Supplement plan/Medigap plan that does not use a network)
Aetna Health, Inc. Medicare Advantage Plans
Amerigroup Medicare Replacement Plans – Amerivantage for dual eligible only
Note: Baylor Scott & White – Centennial, Baylor Dallas, Baylor Scott & White – Fort Worth, Baylor Scott & White – Irving, Baylor Scott & White – Lake Pointe, and Baylor Scott & White – Sunnyvale only
BlueCross BlueShield Medicare Advantage Plans
Cigna HealthSpring Medicare Advantage Plans
Note: Baylor Ortho Arlington, Baylor Surgical Fort Worth, Baylor Scott & White – Centennial, Baylor Scott & White – Fort Worth, Baylor Scott & White – Grapevine, Baylor Scott & White – Lake Pointe, Baylor Scott & White – Sunnyvale and Baylor Scott & White – Trophy Club only
Cigna HealthSpring Medicare/Medicaid Dual Needs Plan
Note: Baylor Scott & White – Centennial, Baylor Scott & White – Lake Pointe, Baylor Scott & White – Sunnyvale and Baylor Scott & White – Trophy Club only
FirstCare Health Plans Medicare Replacement Plan – FirstCare Advantage Dual SNP
Humana Medicare Advantage Plans
Molina Medicare Advantage Plans – Options, Options PLus, Medicare/Medicaid – STAR+PLUS MMP
Note: Baylor Scott & White – Centennial; Baylor Dallas; Baylor Scott & White – Lake Pointe; and Baylor Scott & White – Sunnyvale only
Scott & White Health Plan Medicare Advantage – SeniorCare Advantage HMO & PPO
Superior Health Plans Medicare/Medicaid Dual Special Needs Plan, Medicare-Medicaid Plan
Note:Baylor Dallas, Baylor Scott & White Heart and Vascular Hospital, Baylor Ortho Arlington, Baylor Rehab – Dallas , Baylor Rehab – Fort Worth , Baylor Rehab – Frisco , Baylor Scott & White – Centennial, Baylor Scott & White – Fort Worth, Baylor Scott & White – Frisco, Baylor Scott & White – Grapevine, Baylor Scott & White – Irving, Baylor Scott & White – Lake Pointe, Baylor Scott & White – McKinney, Baylor Scott & White – Plano, Baylor Scott & White – Sherman , Baylor Scott & White – Sunnyvale, Baylor Scott & White – Trophy Club, Baylor Scott & White – Uptown, Baylor Scott & White – Waxahachie, Baylor Surgical – Fort Worth, Baylor Surgical – Las Colinas , Baylor Surgical – North Central, Baylor Scott & White The Heart Hospital – Denton, and Baylor Scott & White The Heart Hospital – Plano only
UnitedHealthcare Medicare Advantage Plans – AARP, Care Improvement Plus, Secure Horizons
Medicare/Medicaid Dual Special Needs Plan – Dual Complete HMO SNP
WellCare Medicare Advantage Plans
Note: Baylor Scott & White – Centennial and Baylor Scott & White – Lake Pointe only

Other Government

Other Government
Choctaw Nation Health Services Authority Choctaw Referred Care
Note: Baylor Scott & White The Heart Hospital – Plano only
Texas Workforce Commission (formerly DARS) TWC
Note: Baylor Dallas only
TriCare Prime
Select
Extra
Note:Baylor Scott & White – Centennial, and Baylor Scott & White – McKinney only
TriWest Community Care Network
Note: Veterans only – no dependents/beneficiaries