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Médico

As a member of the BSW family, your health is a priority. That’s why our medical plans offer world-class care at affordable prices.

See below for 2024 details.

Comparar planes médicos

As you consider your options, keep in mind the main difference is how you pay—either more up front (per paycheck premium) and less when you get care (deductible and copays) ... or less up front and more when you get care.

Review the chart for a high-level overview and explore this page to learn more.

Medical Plan Overview PDF


Medical plans comparison chart

All of our medical plans are adminstered by Baylor Scott & White Health Plan (BSWHP). If you are enrolled/planning to enroll in a BSW medical plan, be sure to link your employee account to your MyBSWHealth account for in-app access to the BSWHP.

Consultar primas

The amount you pay per pay period depends on the plan you choose and the number of covered dependents. 

2024 Medical Premiums

Check Premiums PDF

Lo que pagas

Your cost for care depends on your medical plan, services received and where you go for care. With every plan, you get preventive care at no cost when you visit in-network providers.

The amount you pay per pay period depends on the plan you choose and the number of covered dependents. Premiums are deducted from your paycheck before taxes. If you change salary bands during the year, your premium will not be impacted.

Keep in mind the tobacco surcharge may impact the amount you pay in premiums.

2024 Cost & Coverage

Lo que paga por la atención

Dónde ir para recibir atención

Knowing where to go for care could you save you time and money! 

Dónde ir para recibir atención

Encuentre un proveedor

Understand Our Network Tiers

Depending on which medical plan you choose, you'll have access to one or more provider networks.

 

Tier 1: BSW Premier HMO (NEW)

Best value!

Get high-quality care at the lowest cost from this complete network of:

  • 39,000+ primary care and specialty care physicians
  • 259 hospitals and ambulatory surgical centers
  • 270+ urgent care clinics
  • 9,000+ behavioral health providers through Lyra

It is included in all medical plans and the only network available for the SEQA and EQA plans (except in cases of urgent/emergency care or rare situations when an in-network provider is not available, and authorization is provided).

Watch Network Tiers Video


 

Tier 2: UnitedHealthcare (NEW)

Only available with the PPO and HDHP plans, gives you access to a national network of providers.

If you or a covered dependent live out of state or 40 or more miles from the nearest Tier 1 acute-care hospital you are eligible to receive the modified Tier 2 out of area coverage -80% vs. 50% after Tier 2 deductible for inpatient and outpatient services).
  • Out-of-state employees and covered dependents are automatically flagged for the out-of-area coverage (no action required).

  • Employees and dependents that live 40 or more miles from the nearest Tier 1 acute care hospital must contact BSWHP Care Connect Center at 844-843-3229 and request the out-of-area coverage prior to receiving care.

  • If you or your dependent had the out-of-area coverage activated but no longer live out of state or 40 or more miles from a Tier 1 acute care hospital, contact BSWHP to deactivate this coverage.

 

Tier 3: Out-of-Network

Only available with the PPO and HSA plans. Tier 3 out-of-network providers will always be the most expensive option.


Read more about your medical plan
Download your applicable guide to learn more:
SEQA Plan
For those enrolled in the SEQA Plan for 2024.

View SEQA Guide

EQA Plan
For those enrolled in the EQA Plan for 2024.

View EQA Guide

PPO Plan
For those enrolled in the PPO Plan for 2024.

View PPO Guide

HDHP Plan
For those enrolled in the HDHP Plan for 2024.

View HDHP Guide

  • Encuentre un proveedor

    Full list of providers in Tier 1 and 2

    • Search by your medical plan 
    • Call Baylor Scott & White Health Plan (follow the prompts for Health Access) for direct assistance 

    Plus: Tap into the MyBSWHealth app for a quick search of all Tier 1 providers within our System.

  • MyBSWHealth App

    • Get care where and when you need it
    • Track test results
    • View digital copy of medical insurance card
    • Refill and manage prescriptions at BSW pharmacies
    • Message care team and more

    Link your account to view your BSW medical plan, deductible and claims! Note: Linking accounts should be done from a web browser, not the app.

Cuidado virtual

Schedule an online doctor appointment to get the care you need when you need it, 24 hours a day, 7 days a week

Receive quality and convenient virtual care from a Baylor Scott & White provider (Tier 1) any time, using MyBSWHealth on a smartphone, computer or tablet. Learn how to schedule your virtual doctor visit today.

  • Video visits: Complete a face-to-face visit with your doctor using a camera-enabled device; or
  • eVisits: Complete a five-minute telehealth questionnaire about your symptoms and receive a response in less than an hour. 
Make sure your MyBSWHealth and BSWHP accounts are linked so your claim is processed accordingly.
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Tobacco Surcharge

We are committed to you and your family’s long-term health. If you and/or a dependent enroll in a medical plan, you will be asked about your tobacco usage within the last 12 months. If you confirm the use of tobacco products, you will pay a $30 tobacco surcharge for each member who uses tobacco, up to a maximum of $60 per pay period.

To remove the tobacco surcharge, you or your dependents must complete a tobacco cessation wellness coaching or have your physician provide a certification that you have quit using tobacco products. Please note that enrollment in the Tobacco Cessation Program will not prevent the tobacco surcharge from being applied. The surcharge will be applied until you or your dependents have completed the program and submitted the Tobacco Affidavit to PeoplePlace, which is provided once you complete the Tobacco Cessation Program.


Dejar el tabaco

Helpful Resources
Need help choosing a medical plan?

Alex can help. Answer a few questions and get a custom recommendation in minutes.

Pregúntale a Alex

Have a medical plan question?

We’ve got answers.
Call Baylor Scott & White Health
Plan for assistance.

Llamar a 844.843. 3229

Need to enroll or submit a life event?

Visit PeoplePlace to select a plan or submit a qualifying life event.
Note: Log in required

Go Now

Este sitio resume los programas y beneficios disponibles para los empleados y sus dependientes elegibles. Los documentos oficiales del plan, las pólizas y los certificados de seguro que contienen los detalles, las condiciones, los niveles máximos de beneficios y las restricciones sobre los beneficios rigen nuestro programa de beneficios y están disponibles en este sitio. En caso de conflicto entre este sitio y los documentos oficiales, prevalecen los documentos oficiales. La información en este sitio no es una garantía de beneficios. Baylor Scott & White se reserva el derecho de modificar o finalizar sus planes y programas de beneficios para empleados en cualquier momento y por cualquier motivo.

Haga clic aquí si tiene comentarios sobre el sitio web o si necesita informar un problema. Todas las demás preguntas y problemas, póngase en contacto con el recurso correspondiente en el Necesitas ayuda página.

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