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Welcome, BSWH Employee Plan Members!

The online health plan headquarters for BSWH employees and covered dependents who are covered under medical.
For details about your benefits, visit BSWHealth.com/Benefits.

Find a Provider

To find a provider, select a plan.


Important Notices

Rightway will be your new pharmacy benefits administrator effective Jan. 1, 2025

For details about your 2025 prescription drug plan and to locate an in-network pharmacy near you, visit RightwayHealthcare.com/BSWH or contact them at 866.987.5735 24/7.

Learn more about your 2025 benefits by visiting BSWHealth.com/Benefits.

Out-of-Area (OOA) Coverage - Only available with the Premium and HDHP plans

Employees and covered dependents who live 40 or more miles from the nearest Tier 1 acute care hospital, are eligible to receive the Tier 1 benefit level for all services when visit Tier 2 providers.

  • Employees and dependents who 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.
    • No action is needed if you already activated this coverage.
  • If you or your dependent had the out-of-area coverage activated but no longer live 40 or more miles from a Tier 1 acute care hospital, contact BSWHP to deactivate this coverage.

Teladoc® Health Virtual Care

Get care anytime, anywhere, by phone or video. Urgent care and behavioral health services are available 24/7/365. Get care at TeladocHealth.com, call 800.TELADOC (835.2362) or download the Teladoc app on the Apple App Store or Google Play Store.

Summary of Benefits and Coverage

A Summary of Benefits and Coverage (SBC) is an easy-to-understand summary. You'll find one for each medical plan option offered by Baylor Scott & White Health below. These documents make it easy for you to see how different services and procedures are covered in different medical plans and compare coverage between the three network tiers in our HDHP and PPO plans. Baylor Scott & White Health offers the following medical plan options:

Learn more about the 2025 plans with the NEW overview guides tailored to how each plan works. Explore the guides at BSWHealth.com/benefits.

Pharmacy Information

Rightway will be your new pharmacy benefits administrator effective Jan. 1, 2025

For details about your 2025 prescription drug plan and to locate an in-network pharmacy near you, visit RightwayHealthcare.com/BSWH or contact them at 866.987.5735 24/7.

Health and Wellness Programs

Our health and wellness programs offer tools and resources aimed at one purpose: Empowering you to work towards your well-being goals in ways that work for you.

A refreshed wellness site makes it easier to access the array of programs designed to support your mind, body and spirit. Visit BSWHealth.com/Benefits/LiveWell to explore our well-being resources to see all the ways we can support you.

All employees — full-time, part-time and PRN — are eligible to participate. And you don't have to be enrolled in a Baylor Scott & White medical plan to take part.

When we are physically ill, we go to a doctor, we take medicine, we rest - we don't think twice about taking steps to feel better. Yet many of us don't treat our mental health the same way. When you're stressed, you have options—probably more than you think. A healthier, happier life is possible with these support and treatment options offered to our employees.

Not convinced these options are right for you? See three reasons medical professionals hesitate to seek behavioral health treatment...and the facts behind why they shouldn't.

A lifetime of good health starts with quality medical care throughout your life. Thanks to the Affordable Care Act (ACA), this care is now within the reach of all Americans. ACA requires health plans to eliminate cost sharing and cover preventive care services recommended by the U.S. Preventive Services Task Force (USPSTF), guidelines specifically issued for women and adopted by Health Resources & Services Administration (HRSA), the Advisory Committee on Immunization Practices and the Bright Futures Guidelines of the Academy of Pediatrics.

The following recommendations are general guidelines for all ages and should not dictate the care you receive. Your doctor will let you know what tests and exams you may need based on your specific risk factors and overall health.

  • Guidelines may change throughout the year based on new or revised laws and/or regulations and additional guidance.
  • Services must be billed with a primary diagnosis of preventive, screening, counseling or wellness, if applicable, to qualify and other restrictions may apply.
  • Your benefits plan may contain additional preventive care benefits, exclusions and limitations. Check your plan documents for a complete description of benefits, exclusions, limitations and condition of coverage.
  • Grandfathered plans (a plan that hasn't changed since 2010) may have costs. See your plan documents to find your specific coverage and costs.
  • Talk to your healthcare provider about a proper schedule of check-up visits.

Preventive care vs. diagnostic care

Preventive care

Comprehensive evaluation to prevent health problems; you do not have symptoms or other abnormal studies suggesting abnormalities

Diagnostic care

Medical care to treat or diagnose a problem, to monitor existing problems, or follow up on abnormal test results.

Care Management

Get free assistance with chronic health and access to care.

Living with a health condition can be challenging. To make it a little easier, the Baylor Scott & White Health Plan (BSWHP) Case Management team provides care management services to employees and dependents of Baylor Scott and White Health. Through care management, there is a multidisciplinary team available to support you in managing your health, assisting with navigation and coordination of care. Additionally, care managers work with members, families and providers to create plans to meet the ongoing complex care needs specific to each member. Care managers advocate for members, answer questions, provide education and assist members with setting goals.

A care manager may reach out to you if you have been identified as having a chronic health condition such as asthma, diabetes, COPD or a variety of other conditions that benefit from focused care. Care managers may communicate with your physician to facilitate conversations about your health concerns. At the core of care management is the goal to improve members’ health and quality of life in addition to getting the greatest value from their health plan.

Participation in care management is voluntary and offered at no cost to you. For more information, please email HPEmployeePlanCaseManagement@BSWHealth.org.

Baylor Scott and White Health Plan Case Management team is available to connect you to a care manager, locate tier one providers within your benefit plan and assist with appointment coordination. Case Management can be reached at 844.843.3229, Option 3.

Baylor Scott & White Health Plan Case Management has a dedicated team for supporting our members between the age of 1 and 18. Since raising kids does not come easy, our interdisciplinary team is here to help! We are available to support both the pediatric member and their caregiver(s) across a range of needs. Services include education on preventive care specifically for the pediatric population, support for high-risk conditions, support for transition from pediatric to adult provides and more.

For more information on Pediatric Care Management services, email HPEmployeePlanCaseManagement@BSWHealth.org.

Our Expecting the Best® Case Management Program is available to all medical plan participants who are pregnant, up to 1 year postpartum and infants up to 1 year of age. Participants can receive additional support from RN and/or SW Care Managers, including scheduled screenings tailored to where they are in their maternity journey, postpartum depression and maternal behavioral health specialty support, coordinated care and resources to promote a healthy mom and baby. There is no additional cost to members for this program. Benefits include:

  • Education and support during pregnancy and after delivery
  • In-home support for high-risk conditions (such as diabetes, high blood pressure and severe nausea)
  • Screening for early identification of perinatal depression
  • Newborn health education
  • Breastfeeding best practices

To learn more about or sign up for Expecting the Best® Case Management send an email to HPEmployeePlanCaseManagement@BSWHealth.org with you name, health plan member number, date of birth, estimated due date (or when delivered) and any needs you have. All members automatically have maternity benefits. To learn more about your benefits:

  • Log into the MyBSWHealth member portal to view your benefit information.
  • Call the customer service number on the back of your ID card.

NOTE: Welcoming a new child is an exciting time with many things to remember, but there is one important step you should take as soon as possible after delivery - add your newborn to your benefits within 30 days of birth. Visit and log into MyPeoplePlace.com to submit a life event and add your newborn to your benefits.

Contact Information

Have question about your benefits, coverage, pay or any healthcare needs? Contact us at 844.843.3229 and follow the prompts based on your specific needs:

  • To access medical eligibility, benefits information or claims details using the self-service IVR, press 2.
  • For pharmacy benefits, prescriptions authorizations or formulary questions, press 3 to be transferred to Rightway.
  • To speak with a Customer Advocate about medical benefits and authorizations, care management needs and provider network related questions, press 4.
  • For non-emergency symptoms and health or treatment questions, press 5 for the Patient Advisory Nurse line.
  • For assistance or questions about your pay, benefits, paid time off, disability or leave, press 6 to be transferred to PeoplePlace.

If you need to enroll in benefits or update your contact information, please log in to myPeoplePlace.com.

Other Resources

BSWH Benefits

Visit your benefits website to review your plan options, find side-by-side plan overviews and watch quick videos explaining how the plan works.

MyBSWHealth member portal

Our one-stop online patient portal tool helps you manage your health and access MyChart. It also offers access to Baylor Scott & White Health Plan for users with an active account, virtual care options, and much more. Watch a video tutorial about navigating the member portal to learn about the tools and resources available to help you manage your health plan benefits.

You can access MyBSWHealth online or by downloading the MyBSWHealth App from the App Store or Google Play.

Health Savings Account

Manage your Health Savings Account through Optum Bank.

Get care anytime.
Even bedtime.

Now MyBSWHealth offers virtual care whenever and wherever you need it. Like right now. Or later tonight. Or even on Sunday. To get the care you need now, simply download the app.

Text BETTER to 88408

24/7 Virtual Care: eVisits and Video Visits

Members have access to board-certified doctors, pediatricians, licensed therapists and more using your smartphone, tablet or desktop computer.

MyBSWHealth Virtual Care

my bsw health mobile app

Receive care from the comfort of your home, or anywhere in Texas, 24/7. Simply log into MyBSWHealth.com or download the app.

Conduct an eVisit for common medical conditions and get care fast

  • Complete a short, online interview about your symptoms.
  • Receive a response from a Baylor Scott & White Health provider within one hour.
  • Select your preferred pharmacy to send prescriptions (if needed).

Schedule a same-day Video Visit with a provider, face to face

  • Schedule your appointment.
  • Talk with a Baylor Scott & White Health provider live about your symptoms.
  • Visits length varies, based on your needs. Often as quick as 10 - 15 minutes.
  • Provider will send prescription (if needed) to your preferred pharmacy.
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