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

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

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

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

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

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