Employee Health Plan Visits Online

City of Temple Virtual Care

Employee Health Plan Visits Online

When you are feeling unwell, traveling to a medical office may be the last thing you want to do. VirtualCare2go™ provides convenient online medical visits, allowing eligible patients to speak with a medical professional from home, work, or another private location.

City of Temple employees enrolled in Plan 2 or Plan 5 may have access to participating providers through the EHN Preferred Network. Because medical costs and benefits vary by plan, members should verify their coverage before scheduling a virtual visit.

Which Plans Are Available to City of Temple Employees?

City of Temple employees may be enrolled in one of these medical plans:

• Plan 2

• Plan 5 – Family

• Plan 5 – Single

The available benefit information identifies both PPO and high-deductible plan structures.

Under the PPO structure:

• Primary care visits have a $0 copay

• Specialist visits have a $0 copay

Under the high-deductible structure, medical costs vary according to the provider’s network status and the member’s deductible. Review your insurance card for the most accurate cost-sharing information.

The available plan information does not list a specific virtual care copay. Contact Health Plans, Inc. before your appointment to confirm whether telehealth is covered and what you may owe.

An insurance card does not guarantee coverage or payment. Eligibility, medical necessity, deductibles, network participation, and the type of virtual service provided may affect your financial responsibility.

Can City of Temple Employees Use VirtualCare2go?

Eligible City of Temple employees and covered family members may request an online medical visit through VirtualCare2go for many non-emergency concerns.

Virtual care may be appropriate for symptoms such as:

• Cold and flu symptoms

• Cough, congestion, or sore throat

• Fever and body aches

• Headaches and migraines

• Nausea, vomiting, or diarrhea

• Urinary symptoms

• Minor skin concerns

• Mild allergic reactions

• Medication-related questions

• Other non-life-threatening medical concerns

A virtual visit may not replace an in-person examination, laboratory testing, imaging, or emergency care. The medical professional will review your symptoms and help determine whether online care is appropriate or whether you should be evaluated in person.

You can Book a Virtual Visit or call (817) 508-8169 for scheduling assistance.

Call 911 or go to the nearest emergency room for chest pain, severe difficulty breathing, signs of a stroke, confusion, fainting, uncontrolled bleeding, major trauma, or another life-threatening emergency.

Who Administers the City of Temple Plans?

Health Plans, Inc., also known as HPI, is the third-party administrator for the City of Temple medical plans.

HPI can assist members and providers with:

• Member eligibility

• Benefit verification

• Prior authorization requirements

• Precertification questions

• Claim-status assistance

• Copays, deductibles, and coinsurance

• Provider-network participation

• Telehealth benefit questions

Members and providers may:

• Call HPI Customer Service at (877) 734-6692

• Visit the HPI Website

When contacting HPI, provide the member identification number shown on your City of Temple insurance card.

What Provider Network Does the Plan Use?

The City of Temple medical plans use the EHN Preferred Network. This network includes Baylor Scott & White Quality Alliance providers who have chosen to participate.

Not every Baylor Scott & White Quality Alliance provider participates in this specific network. Members should confirm that the provider and requested virtual service participate before scheduling an appointment.

To search for an in-network provider:

• Visit the HPI Provider Search

• Call HPI at (877) 734-6692

• Contact BSWQA Care Navigation at 1-844-279-7589

Ask whether VirtualCare2go participates with your specific City of Temple plan and whether online medical visits are covered.

How Do I Verify My Virtual Care Benefits?

Before scheduling, contact HPI at (877) 734-6692.

Consider asking these questions:

• Does VirtualCare2go participate with my specific City of Temple plan?

• Are telehealth or virtual urgent care visits covered?

• Is my plan structured as a PPO or a high-deductible plan?

• What copay, deductible, or coinsurance will apply?

• Is prior authorization or precertification required?

• Must I be located in Texas during my appointment?

• Are prescriptions covered separately?

• Are laboratory tests or imaging billed separately?

• Are there any provider-network restrictions?

Ask the representative for a reference number and keep it with your records. Benefit information provided by telephone is helpful, but final coverage is determined when the insurance company processes the claim.

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

Are Specialist Referrals Required?

The available City of Temple plan information does not list a specialist-referral requirement.

However, referral and prior authorization requirements can vary according to the requested service. Members should contact HPI before beginning specialist care to confirm whether additional approval is required.

What Should I Have Ready?

Before your online appointment, please have the following information available:

• Your City of Temple insurance card

• A photo identification card

• A list of current medications

• Known medication or food allergies

• Relevant medical conditions

• A brief description of your symptoms

• The date your symptoms began

• Your preferred pharmacy information

• Any referral or authorization documents

• A private location with a reliable internet connection

Providing accurate information can help the medical professional understand your concerns and determine the safest next step.

Claims Information for Providers

City of Temple medical claims are administered through Health Plans, Inc.

Electronic claims: Payor ID IHS07

Mailed claims:

Employers Health Network
P.O. Box 507
Arnold, MD 21012

Providers should verify current claim-submission instructions and member eligibility before sending a claim.

Quality Care Anytime, Anywhere

VirtualCare2go makes non-emergency medical care easier to access through secure online visits. Our team listens to your concerns, evaluates your symptoms, and helps you understand whether virtual treatment or in-person care is the safest next step.

When you need care, Book Today or call (817) 508-8169. Please have your City of Temple insurance card available so your benefits can be reviewed before your appointment.