Online Healthcare Wherever You Are

Virtual Care for BSW Marketplace Members

When you are not feeling well, traveling to a clinic and sitting in a waiting room can add more stress to your day. VirtualCare2go connects eligible patients with a healthcare professional through a convenient online appointment.

Baylor Scott & White Marketplace Plan members may be eligible to receive covered virtual medical care from home, work, or another private location. Coverage and patient costs depend on the specific plan, network, deductible, and medical services provided.

Visit the VirtualCare2go Website to learn more about convenient online healthcare.

What Is a Baylor Scott & White Marketplace Plan?

Baylor Scott & White Health Plan provides individual and family coverage through the Affordable Care Act Health Insurance Marketplace. Marketplace plans may have Gold, Silver, or Bronze coverage levels with different deductibles, copays, coinsurance, and benefits.

Many Marketplace plans use the BSW Premier HMO network. Participating providers and virtual-care benefits may vary, so patients should confirm that VirtualCare2go is in network under their specific plan.

Review the Baylor Scott & White Insurance Page for information about receiving virtual care.

Does VirtualCare2go Accept BSW Marketplace Insurance?

VirtualCare2go may provide in-network online medical care for eligible Baylor Scott & White Marketplace Plan members. Coverage cannot be confirmed using the Baylor Scott & White name alone because individual plans can have different benefits and network requirements.

Please have the following information available when scheduling:

• Insurance card
• Member identification number
• Group number, when listed
• Patient’s date of birth
• Plan name or coverage level
• Reason for the virtual visit

This information allows the team to review the correct plan. Baylor Scott & White Health Plan makes the final determination regarding coverage and patient responsibility.

For assistance, call VirtualCare2go at (817) 508-8169.

What Will My Virtual Visit Cost?

Copays, deductibles, coinsurance, and out-of-pocket costs vary among Baylor Scott & White Marketplace plans. A cost listed on another member’s insurance card may not apply to your coverage.

Review your insurance card and member benefits for information about:

• Virtual-care copays
• Primary care copays
• Urgent care copays
• Deductible requirements
• Coinsurance
• Out-of-pocket limits
• Network participation
• Prior authorization

Benefit verification does not guarantee that the health plan will pay the claim. Final coverage is determined after Baylor Scott & White Health Plan receives and processes the claim.

What Can a Virtual Visit Help Treat?

VirtualCare2go provides evaluation and treatment for many common, non-life-threatening medical concerns. A virtual appointment allows you to speak with a healthcare professional from a private and comfortable location.

Depending on your symptoms and medical history, virtual care may help with:

• Cold and flu symptoms
• Cough and congestion
• Sore throat
• Fever and body aches
• Urinary symptoms
• Nausea, vomiting, or diarrhea
• Headaches and migraines
• Minor allergic reactions
• Skin rashes and irritation
• Medication questions
• Follow-up care

The healthcare professional will determine whether virtual treatment is appropriate. Testing, imaging, an in-person examination, or emergency care may be recommended when needed.

Call 911 or go to the nearest emergency room for chest pain, severe breathing difficulty, stroke symptoms, uncontrolled bleeding, loss of consciousness, or another potentially life-threatening emergency.

How Can I Verify Benefits or Check a Claim?

Members can review their benefits through the Baylor Scott & White Health Plan website or the MyBSWHealth app.

Providers can use the Baylor Scott & White Health Plan provider portal for eligibility, prior authorization, and claim information. Prior-authorization assistance is available by calling (866) 384-3488 or faxing (800) 626-3042.

Have your insurance card, member identification number, and date of birth available when contacting the health plan.

How Does a Virtual Visit Work?

A virtual visit can be completed through a phone, tablet, or computer with a reliable internet connection. Choose a private, well-lit location where you can speak comfortably with the healthcare professional.

You can Book a Virtual Visit by entering the requested patient information, describing your medical concern, and uploading your insurance card.

Before your appointment:

• Make sure your device is charged
• Check your internet connection
• Have your insurance card nearby
• Prepare a list of medications and allergies
• Write down your symptoms and questions
• Have your preferred pharmacy information ready

These preparations can help your virtual appointment run smoothly.

How Can I Find an In-Network Provider?

Members can search the Baylor Scott & White Health Plan provider directory through the BSWHP Member Website or contact the BSWQA Care Navigation team at 1-844-279-7589.

Marketplace plans may use the BSW Premier HMO network. Confirm the provider’s participation before receiving non-emergency care.

Do BSW Marketplace Plans Require Specialist Referrals?

Specialist Referral Requirements: N/A

The available information does not list one referral rule that applies to every Baylor Scott & White Marketplace Plan. Requirements may vary by plan. Contact Baylor Scott & White Health Plan before scheduling specialty care to confirm whether a referral or prior authorization is required.

Convenient Medical Care From Anywhere

VirtualCare2go helps eligible Baylor Scott & White Marketplace Plan members receive professional medical guidance without traveling to a clinic.

Review the Baylor Scott & White Insurance Page for additional information. When you are ready, Book Today or call (817) 508-8169 for assistance.