Additional Individual and Family Plan Options
Additional plan options, which you may currently have or have chosen in the past, are available in the following counties for 2024:
HMO and EPO Plans: Austin, Bastrop*, Bell, Bexar*, Blanco, Bosque, Brazos, Burleson, Burnet, Caldwell, Coke, Coleman, Collin, Comal*, Concho, Coryell, Crockett, Dallas, Denton, El Paso*, Ellis, Erath, Falls, Fayette, Freestone, Grimes, Hamilton, Hays*, Hill, Hood, Irion, Johnson, Kimble, Lampasas, Lee, Leon, Limestone, Llano, Mason, McCulloch, McLennan, Madison, Menard, Milam, Mills, Reagan, Robertson, Rockwall, Runnels, San Saba, Schleicher, Somervell, Sterling, Sutton, Tarrant, Tom Green, Travis, Walker*, Waller, Washington and Williamson.
*EPO Plans not available in these counties.
An HMO — Health Maintenance Organization — gives you a range of benefits for a prepaid monthly fee. The plan focuses on wellness, prevention and treatment within a network of providers. Out-of-network providers are usually not covered, unless in an emergency. Designated primary care physicians and referrals are not required for in-network care.
The HMO plan offers access to more than 14,000 in-network doctors and the renowned Baylor Scott & White Health system. Other physicians and providers are also available in our networks.
The EPO — Exclusive Provider Organization — has a separate provider network. As a member of the EPO, you can use doctors and hospitals within the EPO network, but cannot go outside the network for care. There are no out-of-network benefits, except emergency and urgent care. Designated primary care physicians and referrals are not required for in-network care.
The EPO plan offers access to more than 14,000 in-network doctors and the renowned Baylor Scott & White Health system. Other physicians and providers are also available in our networks.