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MaintenX Employees Access Virtual Care

PPO Plan Care with VirtualCare2go™ in TexasUploaded Image

When you need medical guidance but cannot easily leave home or step away from work, a virtual visit may provide a more convenient way to speak with a medical professional. VirtualCare2go™ provides online care for eligible Texas patients with many non-emergency medical concerns.

MaintenX employees may be enrolled in the PPO Plan administered by CornerStone Preferred Resources. The available plan information lists a $25 primary care copay and a $50 specialist copay. Virtual services may be processed differently from traditional office visits, so verify your specific benefits before scheduling.

What Does the MaintenX PPO Plan Include?

The available MaintenX PPO Plan information lists:

  • Primary care visit: $25 copay

  • Specialist visit: $50 copay

These amounts may not automatically apply to a VirtualCare2go appointment. Laboratory testing, imaging, medications, procedures, and services requiring an in-person examination may be processed separately.

An insurance card does not guarantee coverage or payment. Current eligibility, medical necessity, network participation, prior authorization, and the services provided may affect your final responsibility.

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

Can MaintenX Employees Use VirtualCare2go?

Eligible MaintenX employees and their covered family members may be able to use VirtualCare2go for many non-emergency concerns that can be safely evaluated through a video visit.

Virtual care may be appropriate for concerns such as:

  • Cold and flu symptoms

  • Cough, congestion, or sore throat

  • Mild fever and body aches

  • Headaches and migraines

  • Nausea, vomiting, or diarrhea

  • Mild urinary symptoms

  • Minor infections

  • Mild allergic reactions

  • Rashes and skin concerns

  • Medication questions

  • Routine primary care concerns

  • Certain follow-up visits

Some symptoms require an in-person examination, diagnostic testing, or emergency care. The medical professional will explain when a clinic, mobile visit, urgent care center, or emergency room is more appropriate.

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 MaintenX Plan?

CornerStone Preferred Resources, also known as CPR, is the third-party administrator listed for the MaintenX PPO Plan.

CornerStone Preferred Resources can assist members and providers with:

  • Eligibility verification

  • Virtual-care benefit questions

  • Copay and cost-sharing information

  • Provider-network participation

  • Prior-authorization requirements

  • Claim-status questions

For plan and benefit questions:

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

How Do I Verify My Virtual-Care Benefits?

Before scheduling a virtual visit, call (800) 278-0703 and ask:

  • Does VirtualCare2go participate with my MaintenX PPO Plan?

  • Is a VirtualCare2go video visit covered?

  • Will the $25 primary care copay apply?

  • Are there telehealth or service-area restrictions?

  • Are laboratory tests, medications, or follow-up services billed separately?

  • Is prior authorization required?

  • Is a referral required?

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

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

VirtualCare2go can collect your insurance information before the appointment, but the plan administrator provides the official explanation of your benefits.

Is Prior Authorization Required?

Prior authorization depends on the medical service being requested.

For prior-authorization assistance:

Members and providers should confirm whether approval is required before receiving the requested service.

Prior authorization does not guarantee claim payment. Current eligibility, medical necessity, network participation, plan exclusions, and other plan requirements may affect how the claim is processed.

What Network Does the Plan Use?

The MaintenX 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 or virtual-care service participates in the EHN Preferred Network. Members should confirm that VirtualCare2go and the treating medical professional participate with the MaintenX PPO Plan before receiving care.

To locate or verify an in-network provider:

Provide the employer name, PPO Plan name, member identification number, requested service, and the patient’s location when confirming participation.

Are Specialist Referrals Required?

The available MaintenX plan information does not list a general specialist-referral requirement.

Certain specialist visits, tests, treatments, or procedures may still require prior authorization. Contact the plan administrator before beginning specialty care to confirm the current referral and authorization requirements.

How Should I Prepare for My Virtual Visit?

Before your appointment, prepare:

  • Your MaintenX insurance card

  • A photo identification card

  • A current medication list

  • Known medication or food allergies

  • Relevant medical records

  • Recent laboratory or imaging results

  • Any referral or authorization documents

  • A description of your symptoms

  • The date your symptoms began

  • Your preferred pharmacy information

  • Your benefit-verification reference number

Choose a private, well-lit location with a stable internet connection. Test your camera and microphone before the visit and keep your device charged.

If available, have a thermometer, blood-pressure monitor, pulse oximeter, or other relevant home readings nearby. Do not delay emergency care while waiting for a virtual appointment.

Claims Information for Providers

MaintenX PPO Plan claims are submitted through Employers Health Network and SmartCare.

Electronic claims: Payor ID IHS07

Mailed claims:

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

Providers should verify the member’s eligibility, network participation, telehealth benefits, prior-authorization requirements, and current claim-submission instructions before providing care or submitting a claim.

Compassionate Care Wherever You Are

VirtualCare2go helps make non-emergency medical guidance easier to access from home, work, or another private Texas location. The medical professional will listen to your concerns, evaluate what can be safely assessed online, 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 MaintenX insurance card available so your eligibility, benefits, and network participation can be reviewed before the visit.