1 / 10

SUMMER ENROLLMENT SCOTT & WHITE HEALTH PLAN BENEFITS

Scott & White Health Plan (SWHP) offers enhanced health plan benefits to TRS members in Central and North Texas. With access to online tools, a wide network of providers, and affordable prescription coverage, SWHP is the long-term partner you need. Enroll now for a healthier and happier school year!

riggins
Download Presentation

SUMMER ENROLLMENT SCOTT & WHITE HEALTH PLAN BENEFITS

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. SUMMER ENROLLMENT • SCOTT & WHITE HEALTH PLAN BENEFITS • TRS-ActiveCare September 1, 2017 – August 31, 2018 Lifting your spirit

  2. Long-Term Partner Lifting your spirit SWHP has served TRS members in Central Texas since 2003 SWHP expanded to include North Texas in 2015 SWHP covers more than 22,000 TRS members 2

  3. SWHP Enhancements Lifting your spirit SWHP member information available via computer at trs.swhp.org or through the MyBSWHealth app More than 1,300 pharmacies in North Texas $0 copay for first sick visit per member Wellness Assessment and Digital Health Coaching 3

  4. Online Tools Lifting your spirit Through the member portal at trs.swhp.org, members can: • See required copays • Print an ID card or request a new one • Check the status of deductibles and out-of-pocket max • See claims and Explanations of Benefits (filtered by member/dependent) • Get information on specific providers • Review prescription usage Members can also send an e-mail to customer service advocates and receive responses through the portal’s secure messaging feature. 4

  5. 2017-18 SWHP/TRS Plan Year Service Area Map Counties in orange include additional network providers available to deliver in-network care to members who live or work in our TRS/SWHP HMO network (counties in blue). Lifting your spirit 5

  6. Scott & White Health Plan Summary of Benefits for TRS 2017-18 SWHP/TRS Plan Year Benefits$20 PCP Office Visit/$50 Specialty Office Visit See trs.swhp.org for full list of benefits

  7. Unlimited Rx Benefit plus, only $5 for Preferred Generic Drugs! Rx copays and coinsurance apply to Out-of-Pocket Maximum. * If a brand name prescription is dispensed when a preferred generic is available, a copay of 50% applies after deductible. 7

  8. Prescription Coverage Lifting your spirit Is my prescription covered and what will I have to pay?Calling or Emailing our Scott & White Health Plan Pharmacy Team will help you with your questions: prescriptionservices@sw.orgor 1-800-728-7947 8

  9. Our provider search tool allows you to: • Search by name, specialty, and/or ZIP code • Add filters for gender, board certification, accepting new patients, and more • See practice locations, contact information, and maps • Get details, including network participation and hospital affiliations You can also: • Customize your own profile • Create custom directory results Try it out! Go to trs.swhp.org and click on the “Find a Provider” link located on the bottom of the TRS home page, and you will be on your way. And remember, you are not required to select a Primary Care Physician. You may see any network physician without a referral. Lifting your spirit Finding a provider has never been easier! 9

  10. Lifting your spirit Thank you for your interest in Scott & White Health Plan. We look forward to being your health care provider. And, we wish you all the best in your 2017-2018 school year! 10

More Related