Grayson Collins Electric Employees Access Virtual Urgent Care

PPO Plan Virtual Care with Virtualcare2go™ Across Texas

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

Grayson Collins Electric Cooperative employees enrolled in the PPO Plan may have access to participating providers through the EHN Preferred Network. Because virtual care benefits may be processed differently from in-person visits, members should verify their coverage before scheduling.

What Does the Grayson Collins PPO Plan Include?

According to the available plan information, the Grayson Collins Electric Cooperative PPO Plan includes:

• A $0 copay for primary care visits

• A $0 copay for specialist visits

The $0 primary care copay may not automatically apply to a Virtualcare2go appointment. Telehealth visits, laboratory services, prescriptions, medical supplies, and additional services may be processed separately.

Your financial responsibility depends on eligibility, network participation, medical necessity, plan rules, and the services provided. An insurance card does not guarantee coverage or payment.

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

Can Employees Use Virtualcare2go for Medical Care?

Eligible employees 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 your concern can be managed virtually or requires an in-person examination, laboratory testing, imaging, or emergency care.

Call 911 or visit 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 Grayson Collins PPO Plan?

Boon-Chapman is the third-party administrator for the Grayson Collins Electric Cooperative PPO Plan.

Boon-Chapman can assist members and providers with:

• Eligibility verification

• Virtual care benefits

• Prior-authorization requirements

• Claim-status questions

• Copays and cost-sharing information

• Provider-network participation

Call Boon-Chapman at (800) 252-9653 or visit the Boon-Chapman Website. The company’s provider portal also supports eligibility, benefit, and claim-status inquiries.

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

How Do I Verify Virtual Care Benefits?

Before booking your appointment, contact Boon-Chapman at (800) 252-9653 and ask:

• Is Virtualcare2go covered under my PPO Plan?

• Does the provider participate with my specific network?

• Does my $0 primary care copay apply to a virtual visit?

• Is telehealth or virtual urgent care covered?

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

• Are prescriptions or laboratory services processed separately?

• Is prior authorization required?

• 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.

Virtualcare2go can collect your insurance information, but Boon-Chapman provides the official explanation of benefits.

Is Prior Authorization Required?

Prior authorization depends on the medical service being requested.

Members and providers should call Boon-Chapman at (800) 252-9653 before receiving a service that may require approval. The Boon-Chapman Provider Portal can also be used to review eligibility, benefits, and claim information.

A routine virtual urgent care visit may not require prior authorization, but members should confirm this directly with Boon-Chapman. Authorization does not guarantee payment.

What Network Does the Plan Use?

The Grayson Collins Electric Cooperative PPO 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 confirm that the Virtualcare2go provider participates with their specific plan before beginning a visit.

To verify network participation:

• Call Boon-Chapman at (800) 252-9653

• Use the Boon-Chapman member or provider resources

• 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 Grayson Collins Electric Cooperative plan information does not list a general specialist-referral requirement.

If the virtual provider recommends specialist care, contact Boon-Chapman before scheduling. Certain consultations, procedures, tests, or treatments may still require prior authorization.

How Should I Prepare for My Virtual Visit?

Before the appointment, prepare:

• Your Grayson Collins Electric Cooperative insurance card

• A photo identification card

• A current medication list

• Known medication or food allergies

• Your preferred pharmacy information

• Relevant medical history

• Recent laboratory or imaging results

• A 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 any relevant home medical devices nearby.

Claims Information for Providers

Grayson Collins Electric Cooperative claims are administered through Boon-Chapman.

Electronic claims: Payor ID 74238

Mailed claims:

Boon-Chapman
P.O. Box 9201
Austin, TX 78766

Boon-Chapman’s official materials confirm the Austin mailing address and ZIP code. Providers should verify virtual care benefits, eligibility, and current claim-submission instructions before submitting 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 Grayson Collins Electric Cooperative insurance card available so your eligibility and benefits can be reviewed before the appointment.