Generous Benefits Members Access Convenient Virtual Urgent Care

Silver 3000 Plan Virtual Care with Virtualcare2go™

When you feel sick or have a medical concern, traveling to a clinic may not always be convenient. Virtualcare2go™ provides online medical visits that allow eligible Texas patients to speak with a healthcare professional from home, work, or another private location.

Generous Benefits members enrolled in the Silver 3000 Plan may have access to participating providers through the EHN Preferred Network. Virtual care coverage can depend on eligibility, network participation, medical necessity, and the reason for the visit, so members should verify their benefits before scheduling.

What Does the Silver 3000 Plan Include?

According to the available plan information, the Generous Benefits Silver 3000 Plan lists:

• A $25 primary care copay

• A $50 specialist copay

The cost of a Virtualcare2go visit may be processed differently from an in-person primary care or specialist appointment. Deductibles, coinsurance, telehealth benefits, and other plan requirements may affect the amount you owe.

Before scheduling, contact Level Health to confirm the expected cost of an online medical visit. An insurance card does not guarantee coverage or payment.

Can Generous Benefits Members Use Virtualcare2go?

Eligible members and their covered family members may be able to use Virtualcare2go for many non-emergency medical concerns.

A virtual visit may be appropriate for concerns such as:

• Cold and flu symptoms

• Cough, congestion, or sore throat

• Mild fever and body aches

• Headaches and migraines

• Minor stomach concerns

• Nausea, vomiting, or diarrhea

• Urinary symptoms

• Mild allergic reactions

• Minor rashes and skin concerns

• Medication-related questions

• Routine follow-up concerns

The provider will determine whether the concern can be managed virtually or requires an in-person examination, laboratory testing, imaging, or emergency care.

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 Generous Benefits Plan?

Yuzu Health is listed as the third-party administrator for the Generous Benefits Silver 3000 Plan.

Level Health can assist members and providers with:

• Eligibility verification

• Medical benefit questions

• Virtual care coverage

• Prior-authorization requirements

• Claim-status questions

• Copays, deductibles, and coinsurance

• Provider-network participation

Call Level Health at (203) 208-9898 or visit the Level Health Member Portal for assistance.

Have the member identification number from your insurance card available when requesting information.

How Do I Verify Virtual Care Benefits?

Before booking your appointment, contact Level Health at (203) 208-9898 and ask:

• Is Virtualcare2go covered under my Silver 3000 Plan?

• Does the provider participate with my specific network?

• What copay, deductible, or coinsurance applies?

• Does my plan cover telehealth or virtual urgent care?

• Is prior authorization required?

• Are laboratory tests or prescriptions processed separately?

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

• Are there Texas location restrictions?

Write down the representative’s name, the date of the call, and the reference number. Final coverage is determined when the plan processes the claim.

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

Is Prior Authorization Required?

Prior authorization depends on the service being requested.

For medical precertification or prior-authorization assistance, call (800) 432-8421 before receiving a service that may require approval.

A routine virtual urgent care visit may not require prior authorization, but members should confirm this directly with Level Health. Authorization does not guarantee payment because eligibility, medical necessity, network status, and plan limitations may still apply.

What Network Does the Plan Use?

The Generous Benefits Silver 3000 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 the EHN Preferred Network. Members should verify that the Virtualcare2go provider participates with their specific plan before beginning a visit.

To locate or confirm an in-network provider:

• Visit the EHN Member Portal

• Call Level Health at (203) 208-9898

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

Provide the employer name, plan name, member identification number, and requested virtual service when confirming participation.

Are Specialist Referrals Required?

The available Silver 3000 Plan information does not list a general specialist-referral requirement.

If the virtual provider recommends specialist care, contact Level Health before scheduling the specialist appointment. Certain consultations, procedures, tests, or treatments may require a referral or prior authorization.

How Should I Prepare for My Virtual Visit?

Before the appointment, prepare:

• Your Generous Benefits insurance card

• A photo identification card

• A list of current medications

• Known medication or food allergies

• Your preferred pharmacy information

• Relevant medical history

• Recent laboratory or imaging results

• A brief description of your symptoms

• The date your symptoms began

• Any referral or authorization documents

Choose a quiet, private location with a reliable internet connection. If possible, check your temperature and have a blood pressure monitor or other relevant home medical device nearby.

Claims Information for Providers

Claims for the Generous Benefits Silver 3000 Plan may be submitted electronically using:

Electronic claims: Payor ID IHS07

Mailed claims:

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

Providers should verify the member’s eligibility, virtual care benefits, and current claim-submission instructions before sending a claim.

Compassionate Virtual Care Wherever You Are

Virtualcare2go helps make non-emergency medical care easier to reach when leaving home or visiting a clinic is difficult. The medical team will listen to your concerns, evaluate your symptoms, and explain whether virtual treatment or in-person care is the appropriate next step.

When you are ready, Book a Virtual Visit or call (817) 508-8169. Please have your Generous Benefits insurance card available so your eligibility and benefits can be reviewed before the appointment.