Sana Benefits May Cover VirtualCare2go Appointments

Verify Your Network and Virtual-Care Benefits First

A busy schedule, illness, limited transportation, or distance from a medical office can make it difficult to attend an in-person appointment.

For eligible non-emergency medical concerns, a virtual appointment may provide a convenient way to speak with a licensed healthcare professional from home, work, or another private location.

VirtualCare2go® lists Sana Benefits among its insurance options. However, coverage depends on the patient’s exact employer plan, provider network, requested service, and current eligibility.

Visit the VirtualCare2go Sana Benefits page for additional information.

Does VirtualCare2go Accept Sana Benefits?

VirtualCare2go may accept eligible Sana Benefits plans through its billing provider. Acceptance of the insurance company does not guarantee that every employer-sponsored Sana plan or medical service will be covered.

Before scheduling, confirm:

• Your Sana Benefits coverage is currently active

• VirtualCare2go participates with your exact network

• The scheduled healthcare professional is in network

• Virtual urgent-care appointments are covered

• A referral or prior authorization is not required

• Your condition is appropriate for virtual evaluation

• You understand your deductible, copay, or coinsurance

• Prescriptions and testing have separate coverage

• Follow-up services are covered

• You understand any possible patient responsibility

Insurance verification is not a guarantee of claim payment.

What Can Be Evaluated Virtually?

A VirtualCare2go appointment may be appropriate for stable, non-life-threatening concerns such as:

• Allergies

• Cold symptoms

• Cough or congestion

• Constipation

• Mild diarrhea

• Ear concerns

• Eczema

• Fever

• Flu-like symptoms

• Headaches without emergency warning signs

• Insect bites

• Mild nausea or vomiting

• Pink eye

• Rashes

• Sinus symptoms

• Minor skin concerns

• Sore throat

• Urinary symptoms

• Vaginal symptoms

• Other appropriate non-emergency concerns

The healthcare professional will determine whether the concern can be evaluated safely through video.

A virtual appointment does not guarantee a diagnosis, prescription, laboratory order, work note, or specific treatment.

When Is In-Person Care Necessary?

Some conditions require a physical examination, imaging, specimen collection, a procedure, or continuous monitoring.

The healthcare professional may recommend:

• An in-person primary-care appointment

• A clinic or urgent-care visit

• Laboratory testing

• Diagnostic imaging

• A specialist

• An emergency department

• Calling 911

Follow the provider’s instructions if a higher level of care is recommended.

How Does a VirtualCare2go Appointment Work?

Schedule your appointment

Choose an available appointment and provide accurate contact information.

Submit your information

Prepare your symptoms, medical history, current medications, allergies, preferred pharmacy, and insurance information.

Upload clear images of the front and back of your current Sana Benefits identification card when requested.

Join the video visit

Use a charged smartphone, tablet, or computer with a camera, microphone, and reliable internet connection.

Choose a quiet and private location with adequate lighting.

Review your care plan

The provider may recommend home care, prescribe a non-controlled medication when medically appropriate, request testing, arrange follow-up, or recommend an in-person evaluation.

How Should You Verify Sana Benefits Coverage?

Call the member-services number on your current Sana Benefits card and ask:

• Is VirtualCare2go in my network?

• Is the scheduled provider in network?

• Are virtual urgent-care visits covered?

• Do I need a referral?

• Is prior authorization required?

• Does my deductible apply?

• What are my copay and coinsurance?

• Are follow-up appointments covered separately?

• Are prescriptions covered separately?

• Are laboratory services billed separately?

• Must I use a designated laboratory or pharmacy?

• What amount may I owe?

Document the representative’s name, the date and time of the call, and the reference number.

Are Prescriptions Included?

A provider may prescribe medication when clinically appropriate and legally permitted. A prescription is not guaranteed.

The medical appointment and pharmacy benefit are separate. Confirm that:

• Your pharmacy participates with your plan

• The medication is on the formulary

• Prior authorization is not required

• Step therapy does not apply

• Quantity limits do not apply

• A covered alternative is available when needed

Are Laboratory Tests Covered?

Laboratory tests are generally separate from the virtual appointment.

Before completing testing, confirm:

• The laboratory is in network

• The ordered test is covered

• Prior authorization is not required

• Your plan does not require a designated laboratory

• Specimen collection is covered

• Your deductible or coinsurance applies

Coverage of the virtual appointment does not automatically include laboratory, imaging, pharmacy, or specialist services.

Where Is VirtualCare2go Available?

VirtualCare2go provides virtual appointments to eligible patients located throughout Texas, including:

• Dallas–Fort Worth

• Arlington

• Farmers Branch

• Brownwood

• Houston

• Austin

• El Paso

• San Antonio

• Other Texas communities

The patient should generally be physically located in Texas during the appointment.

When Should You Call 911?

Virtual care is not appropriate for a possible emergency.

Call 911 for severe chest pain, severe breathing difficulty, stroke symptoms, loss of consciousness, seizures, uncontrolled bleeding, a severe allergic reaction, major trauma, or another potentially life-threatening condition.

Do not wait for a virtual appointment when emergency symptoms are present.

Connect With VirtualCare2go

Sana Benefits members may be eligible for covered virtual care, but participation and benefits must be confirmed for the exact employer plan.

Visit VirtualCare2go or call (817) 508-8169 for scheduling and insurance-verification assistance.

Have the front and back of your current Sana Benefits card available.

Medical disclaimer: This article provides general educational information and does not replace professional medical advice, diagnosis, treatment, or emergency evaluation. Insurance networks, benefits, authorization requirements, and patient costs vary. Call 911 for severe or life-threatening symptoms.