Generations FCU Employees Access Convenient Virtual Care

EHN Network Benefits for Online Care Across Texas

When you are feeling unwell, leaving home and sitting in a waiting room may add unnecessary stress to your day. Virtualcare2go™ makes it easier to connect with a medical professional through a convenient online appointment.

Generations Federal Credit Union employees enrolled in the EHN Network Plan may be eligible to receive participating virtual primary and urgent care services. Coverage depends on active eligibility, medical necessity, provider participation, plan requirements, and the service being requested.

Before scheduling, review the HPI Insurance Page and contact HPI to confirm your current benefits.

What Does the Generations FCU Plan Include?

Generations Federal Credit Union employees may be enrolled in the EHN Network Plan.

According to the available plan information, members have:

• $20 copay for participating primary care visits

• $30 copay for participating specialist visits

The amount owed for an online appointment may depend on how the service is classified and processed. The available information does not list a separate virtual urgent care copay.

Laboratory testing, medications, medical supplies, procedures, and services outside the participating network may have separate costs.

An insurance card does not guarantee coverage or payment. Final responsibility depends on eligibility, benefits, medical necessity, provider participation, and how the plan processes the claim.

Can Generations FCU Employees Use Virtualcare2go?

Eligible Generations FCU employees and their covered family members may use Virtualcare2go for many non-emergency illnesses and everyday medical concerns that can be safely evaluated online.

Virtualcare2go may help with concerns such as:

• Cold and flu symptoms

• Cough, congestion, or sore throat

• Fever and body aches

• Headaches and migraines

• Mild allergy symptoms

• Minor skin concerns

• Nausea, vomiting, or diarrhea

• Urinary symptoms

• Pink eye symptoms

• Medication questions

• Non-controlled medication refills

• Routine primary care concerns

• Chronic condition follow-ups

• General medical guidance

Some symptoms require an in-person examination, laboratory testing, imaging, or emergency treatment. The medical professional will help you understand the appropriate next step when virtual care is not suitable.

For scheduling assistance, call Virtualcare2go at (817) 508-8169.

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

Who Administers the Generations FCU Plan?

Health Plans, Inc., also known as HPI, administers the Generations Federal Credit Union EHN Network Plan.

HPI and Pathways Concierge can assist with:

• Member eligibility

• Benefit verification

• Virtual-care coverage

• Prior-authorization requirements

• Claim-status questions

• Copays and other member costs

• Provider-network participation

• Participating-provider searches

For prior authorization, benefit verification, or claim-status assistance, call HPI at (800) 532-7575 or visit the HPI Website.

For additional plan assistance, members may call Pathways Concierge at (888) 811-3419.

How Do I Verify My Virtual-Care Benefits?

Verifying your benefits before scheduling can help you understand your expected financial responsibility.

When contacting HPI or Pathways Concierge, consider asking:

• Does Virtualcare2go participate with my Generations FCU plan?

• Is DK Physicians PLLC recognized as participating?

• Is an online medical appointment covered?

• How will the appointment be classified?

• What copay, deductible, or coinsurance applies?

• Does the requested service require prior authorization?

• Are laboratory tests or prescriptions billed separately?

• Are there geographic or network restrictions?

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

Ask for the representative’s name, the date of the conversation, and a reference number. Keep this information with your records in case you have questions after the claim is processed.

Benefit verification is helpful, but it does not guarantee payment. Final coverage is determined after the plan reviews the submitted claim.

What Network Does the Plan Use?

The Generations FCU plan uses 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 the EHN Preferred Network. Members should confirm the network status of Virtualcare2go and DK Physicians PLLC before receiving care.

To locate or verify a participating provider:

• Call Pathways Concierge at (888) 811-3419

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

• Call HPI at (800) 532-7575

• Provide your plan name and member identification number

Provider participation can change, so members should confirm network status before each appointment whenever possible.

Are Specialist Referrals Required?

The available Generations Federal Credit Union plan information does not list a specific specialist-referral requirement.

Certain services may still require prior authorization or additional review. Members should contact HPI at (800) 532-7575 before beginning specialty care to confirm the current requirements for their plan.

What Should I Have Ready for My Appointment?

Before your virtual appointment, please prepare:

• Your current Generations FCU insurance card

• A photo identification card

• Your member identification number

• A reliable internet connection

• A device with a camera and microphone

• A list of current medications

• Known medication or food allergies

• Your recent temperature, when available

• Recent blood pressure or glucose readings, if relevant

• A brief description of your symptoms

• The date your symptoms began

• Your preferred pharmacy information

• Any authorization documents

Choose a quiet, well-lit area for your appointment so you can speak comfortably with the medical professional.

Claims Information for Providers

Generations Federal Credit Union 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 the member’s eligibility, network participation, and current claim-submission instructions before sending a claim.

Compassionate Virtual Care From Wherever You Are

Virtualcare2go helps make medical care easier to access when traveling to a clinic is difficult or inconvenient. Whether you need help with a sudden illness, a routine concern, or guidance about your next step, the medical team will listen and provide clear, compassionate support.

When you are ready, Book Today or call (817) 508-8169. Please have your Generations FCU insurance card available so your eligibility, benefits, network participation, and expected costs can be reviewed before your appointment.