Sana Benefits Members May Use VirtualCare2go

Verify Your Plan Before Scheduling Virtual Care

Sana Benefits members may be able to use their health-plan benefits for eligible VirtualCare2go appointments. This can provide a convenient way to discuss an appropriate non-emergency medical concern with a licensed healthcare professional from home, work, or another private location.

Because every employer-sponsored Sana Benefits plan can have different networks, deductibles, copays, and covered services, members should verify their individual benefits before scheduling.

Start by reviewing the VirtualCare2go Sana Benefits insurance page and keeping your current member information available.

Can Sana Benefits Cover Virtual Appointments?

A VirtualCare2go appointment may be covered when:

• Your Sana Benefits membership is active.

• VirtualCare2go participates in your plan’s provider network.

• The treating healthcare professional is in network.

• Your plan includes virtual urgent-care benefits.

• The requested service is eligible for coverage.

• Any referral or authorization requirement is satisfied.

• The appointment is medically appropriate for virtual care.

Participating with an insurance company does not automatically mean every provider, service, or appointment is covered under every employer plan.

Insurance verification reflects the information available when your benefits are reviewed. It does not guarantee that Sana Benefits will pay the entire claim.

What Should You Confirm Before Scheduling?

Contact Sana Benefits using the member-services information shown on your current plan card or member portal.

Ask:

• Is VirtualCare2go in my provider network?

• Is the treating healthcare professional in network?

• Does my plan cover online urgent-care appointments?

• What copay, deductible, or coinsurance applies?

• Is a referral required?

• Does this appointment require prior authorization?

• Are prescriptions covered separately?

• Are laboratory services covered separately?

• Does my plan limit the number of virtual appointments?

• Will I receive a separate bill for additional services?

Write down the representative’s name, the date and time of the conversation, and any reference number provided.

This information can be helpful if questions arise after your claim is processed.

Virtual Healthcare Across Texas

VirtualCare2go provides virtual healthcare for patients located throughout Texas, including:

• Dallas–Fort Worth

• Arlington

• Farmers Branch

• Brownwood

• Houston

• Austin

• El Paso

• San Antonio

• Surrounding Texas communities

VirtualCare2go states that appointments may be conducted using a phone or computer and that same-day consultations may be available.

You can attend from home, your workplace, or another appropriate private location. You must be physically located in Texas at the time of the appointment.

Choose a location with dependable internet access, adequate lighting, and enough privacy to discuss your medical information.

What Conditions May Be Appropriate for Virtual Care?

A VirtualCare2go online urgent-care appointment may be appropriate for many common, non-life-threatening medical concerns.

Depending on your symptoms and the healthcare professional’s judgment, virtual care may help evaluate:

• Allergies

• Cough or congestion

• Cold or flu symptoms

• Fever

• Headaches

• Sore throat

• Ear concerns

• Pink eye

• Nausea

• Vomiting

• Diarrhea

• Constipation

• Minor rashes

• Eczema

• Insect bites

• Minor skin concerns

• Urinary symptoms

• Vaginal symptoms

• Other appropriate non-emergency conditions

VirtualCare2go lists these and other non-life-threatening illnesses among the concerns its online urgent-care professionals may evaluate.

A virtual consultation is not appropriate for every medical problem. Some symptoms require hands-on examination, laboratory testing, diagnostic imaging, or immediate emergency treatment.

What Happens During an Appointment?

A VirtualCare2go appointment generally involves the following steps:

1. Select an appointment. Choose an available time and create or access your patient account.

2. Submit your information. Provide your symptoms, relevant medical history, medications, allergies, preferred pharmacy, and Sana Benefits information.

3. Prepare your device. Use a compatible phone, tablet, or computer with a working camera, microphone, and internet connection.

4. Meet with a healthcare professional. Discuss your symptoms and answer questions during the video consultation.

5. Review the care plan. The healthcare professional may provide guidance, recommend follow-up, prescribe medication when appropriate, or advise you to seek in-person care.

VirtualCare2go advises patients to create an account, request the appropriate service, and connect with a medical professional remotely.

What Information Should You Have Ready?

Preparing before the appointment can make it easier to discuss your concern.

Have the following available:

• Your Sana Benefits member information

• A government-issued photo ID

• Your current medication list

• Vitamins and supplements you take

• Medication and food allergies

• A brief description of your symptoms

• The date your symptoms started

• Recent temperature readings

• Blood-pressure or glucose readings, when relevant

• Relevant medical records

• Recent test results

• Hospital or emergency-room discharge paperwork

• The name and address of your preferred pharmacy

• Referral or authorization information

If your concern involves a visible rash, swelling, redness, eye irritation, or skin change, attend the appointment in a well-lit area.

Can VirtualCare2go Prescribe Medication?

A healthcare professional may prescribe medication when it is medically appropriate and legally permitted. A prescription is not guaranteed.

VirtualCare2go states that a clinician may send an appropriate non-narcotic prescription to the patient’s selected pharmacy after the consultation.

Prescription coverage is separate from appointment coverage. Your Sana Benefits pharmacy benefit may determine:

• Which medications are covered

• Whether a generic medication is preferred

• Which pharmacies are in network

• Whether prior authorization is required

• Whether quantity limitations apply

• What amount you may owe

Before picking up a prescription, ask the pharmacy whether it participates with your plan and what your expected cost will be.

What If Testing Is Recommended?

Some conditions cannot be fully evaluated through video alone. The healthcare professional may recommend laboratory testing, imaging, or an in-person examination.

Laboratory services are generally separate from the virtual consultation.

Before completing testing, confirm:

• The laboratory participates in your Sana Benefits network.

• The requested test is covered.

• Your plan requires a specific laboratory.

• Prior authorization is not required.

• You have the necessary medical order.

• The laboratory will submit a separate claim.

• You understand your possible cost.

• You know how and when the results will be communicated.

Coverage for a virtual appointment does not automatically mean that every outside test or service is covered.

What If In-Person Care Is Needed?

Virtual care is helpful for many medical concerns, but it cannot replace every physical examination.

Your healthcare professional may recommend that you visit:

• A primary care clinic

• An urgent care center

• A laboratory

• An imaging facility

• A specialist

• An emergency department

Follow the healthcare professional’s instructions and seek additional care promptly if your symptoms become more severe.

VirtualCare2go explains that its service is designed for non-emergency medical concerns and should not be used for a life-threatening emergency.

When Should You Seek Emergency Care?

Call 911 or go to the nearest emergency department for symptoms such as:

• Chest pain or pressure

• Severe difficulty breathing

• Signs of a stroke

• Loss of consciousness

• Uncontrolled bleeding

• A severe allergic reaction

• A seizure

• Sudden confusion

• A serious head injury

• A major injury

• Suicidal thoughts or an immediate mental-health crisis

• Any symptom that may be life-threatening

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

How Can You Prepare for a Smooth Video Visit?

Before the appointment:

• Charge your phone, tablet, or computer.

• Test your camera and microphone.

• Connect to a reliable internet network.

• Sit in a quiet, private location.

• Use adequate lighting.

• Keep your medications nearby.

• Write down your questions.

• Have your Sana Benefits information available.

• Keep your preferred pharmacy details ready.

• Do not attend while driving.

The VirtualCare2go FAQ states that patients need an internet connection, camera, and microphone for video consultations.

Review Your Benefits Before Your Visit

Sana Benefits plans are often designed around employer-selected networks and benefits. Another person with Sana Benefits may not have the same coverage, copay, deductible, or authorization requirements that you have.

Always confirm your own:

• Active eligibility

• Provider network

• Virtual-care benefit

• Referral requirements

• Prior-authorization requirements

• Pharmacy benefit

• Laboratory network

• Possible member cost

Do not rely only on another member’s experience when determining your coverage.

Connect With VirtualCare2go

Sana Benefits members may have access to eligible VirtualCare2go appointments for appropriate non-emergency medical concerns.

Visit VirtualCare2go to learn more or schedule a virtual appointment from anywhere in Texas.

You may also call VirtualCare2go at (817) 508-8169 for scheduling and insurance-verification assistance. Have your Sana Benefits member information ready when calling.

Medical disclaimer: This article provides general educational information and does not guarantee insurance coverage or replace medical advice, diagnosis, or treatment. Benefits, network participation, authorization requirements, prescriptions, testing, and member costs vary by plan and service. Call 911 or seek emergency care for severe or potentially life-threatening symptoms.