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Elan Benefit Services Virtual Urgent Care From Home

SMARTCARE Benefits With VirtualCare2go™ Across Eligible Texas AreasUploaded Image

When you or a family member feels unwell, traveling to a medical office may add more stress to an already difficult day. VirtualCare2go™ connects eligible patients with medical professionals through convenient virtual visits from home, work, or another private location.

Elan Benefit Services employees enrolled in the SMARTCARE 200804 Rx 15-25 Plan may have access to participating providers through the EHN Preferred Network. Members should verify their eligibility, virtual-care benefits, and provider participation before scheduling.

What Does the Elan SMARTCARE Plan Include?

The Elan SMARTCARE 200804 Rx 15-25 Plan lists:

  • A $25 copay for primary-care visits

  • A $65 copay for specialist visits

These amounts do not automatically confirm the cost of a VirtualCare2go appointment. Virtual care may be processed differently from an in-person office visit, depending on the provider, requested service, and plan requirements.

Your financial responsibility may also depend on eligibility, network participation, medical necessity, prior authorization, and other plan provisions. An insurance card does not guarantee coverage or payment.

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

Can Elan Employees Use VirtualCare2go?

Eligible Elan Benefit Services employees and covered family members may be able to use VirtualCare2go for virtual urgent or primary care.

A virtual visit may be appropriate for concerns such as:

  • Cold and flu symptoms

  • Cough, congestion, or sore throat

  • Fever and body aches

  • Mild allergy symptoms

  • Headaches and migraines

  • Nausea, vomiting, or diarrhea

  • Urinary symptoms

  • Minor infections

  • Rashes and skin concerns

  • Medication questions

  • Routine primary-care concerns

  • Chronic-condition follow-ups

The medical professional will evaluate whether your concern can be managed virtually or whether you should receive in-person care.

Coverage depends on eligibility, plan benefits, network participation, medical necessity, and the services provided.

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

Who Administers the Elan SMARTCARE Plan?

Coastal Administrative Services, also known as CAS, is the third-party administrator for the Elan SMARTCARE 200804 Rx 15-25 Plan.

CAS and Elan Member Services can assist with:

  • Member eligibility

  • Virtual-care benefit verification

  • Prior-authorization requirements

  • Claim-status questions

  • Copays and other member costs

  • Provider-network participation

  • General plan questions

Members and providers may:

  • Call Elan Member Services at (833) 845-8854

  • Call CAS at (800) 870-1831

  • Visit the CAS Website

There is currently no dedicated Elan Benefit Services insurance page on the VirtualCare2go website. Members should use the official CAS resources and the information printed on their current insurance cards.

How Do I Verify My Virtual-Care Benefits?

Before scheduling, contact Elan Member Services at (833) 845-8854 or CAS at (800) 870-1831.

Consider asking:

  • Does VirtualCare2go participate with my specific SMARTCARE plan?

  • Is a VirtualCare2go appointment covered?

  • Will the $25 primary-care copay apply?

  • Is telehealth processed differently from an office visit?

  • Does the requested service require prior authorization?

  • Are laboratory tests or prescriptions processed separately?

  • Are there location or network restrictions?

  • Will I have a time-of-service responsibility?

Ask the representative for a reference number and keep it with your records. Benefit information provided before the visit is helpful, but final coverage is determined when the plan processes the claim.

Is Prior Authorization Required?

Prior-authorization requirements depend on the medical service being requested.

Contact Elan Member Services at (833) 845-8854 or CAS at (800) 870-1831 before receiving services that may require advance approval. Providers may also use the CAS Website for plan-related assistance.

Receiving prior authorization does not guarantee claim payment. Eligibility, medical necessity, network participation, and other plan provisions may still apply.

What Provider Network Does the Plan Use?

The Elan SMARTCARE plan uses the EHN Preferred Network. This network includes Baylor Scott & White Quality Alliance providers who have elected to participate.

Not every Baylor Scott & White Quality Alliance provider participates in this particular network. Members should confirm that VirtualCare2go and the requested service participate with their specific SMARTCARE plan.

To locate or confirm an in-network provider:

  • Visit the EHN Member Portal

  • Call Elan Member Services at (833) 845-8854

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

Provide the Elan Benefit Services employer name, member identification number, provider name, and requested service when confirming participation.

Are Specialist Referrals Required?

The available Elan Benefit Services plan information does not identify a standard specialist-referral requirement.

Referral and prior-authorization requirements may vary according to the requested service. Even when a referral is not required, certain specialist consultations, procedures, imaging studies, or treatments may need advance approval. Contact Elan Member Services or CAS before beginning specialist care.

What Should I Prepare for My Visit?

Before your virtual appointment, please have the following available:

  • Your Elan SMARTCARE insurance card

  • A photo identification card

  • A current medication list

  • Known medication or food allergies

  • Your preferred pharmacy information

  • Relevant medical records

  • Recent laboratory or imaging results

  • Any referral or authorization documents

  • A description of your symptoms

  • The date your symptoms began

  • A private and well-lit place for the visit

Providing accurate medical and insurance information can help the care team prepare for your appointment.

Claims Information for Providers

Elan SMARTCARE claims are administered through Coastal Administrative Services.

Electronic claims: Payor ID IHS07

Mailed claims:

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

Providers should verify the member’s eligibility, insurance-card information, and current claim-submission instructions before sending a claim.

Compassionate Virtual Care Wherever You Are

VirtualCare2go helps make medical care easier to reach when traveling to a clinic is difficult or inconvenient. Our medical professionals will listen to your concerns, evaluate your symptoms, and help you understand the appropriate next step.

You can Book a Virtual Visit to begin scheduling. When you are ready, Book Today or call (817) 508-8169.

Please have your Elan SMARTCARE insurance card available so your eligibility, benefits, and network participation can be reviewed before your appointment.