Insurance Accepted for Medical Health Plan
Our hospital has established agreements with several types of insurances in an effort to make sure your health needs are covered. Insurance coverage for many procedures and hospital related items are subject to change without prior notice.
To verify whether your insurance plan covers services rendered at our hospital, contact your insurance provider directly by visiting your provider’s website or calling the phone number listed on your insurance identification card.
North Texas Insurance Plans
View a list of insurances accepted at all North Texas locations.
Last updated: March 30, 2021
Commercial/Group
Individual/Family
Managed Medicaid
Managed Medicare
Other Government
Commercial/Group
| Commercial/Group | |
|---|---|
| Aetna Health, Inc. | Aetna Whole Health/BSWQA Commercial HMO and PPO Plans |
| BlueCross BlueShield | Blue Choice PPO Blue Essentials/Blue Essentials Access Blue Premier and Blue Premier Open Access HealthSelect High Performance Network ParPlan/Traditional/Indemnity |
| Cigna HealthCare | Commercial HMO and PPO Based Plans |
| DART | Dallas Area Rapid Transit/BSWQA Employee Benefit Plan |
| DFW Connected Care | American Airlines/BSWQA Employee Benefit Plans |
| FirstCare Health Plans | FirstCare Select HMO FirstCare Select Plus HMO FirstCare Access PPO FirstCare Select Plus PPO |
| Gladney Center | Obstetrical Services Note: Baylor Scott & White – Fort Worth only |
| Group Nacional Provincial | International Services Note: Baylor Dallas only |
| HealthSmart Accel & Preferred Networks | HealthSmart Clients must sign the network’s “Payor Acknowledgment” and be listed on the monthly in-network list to have in-network access to BSWH facilities. |
| Humana | ChoiceCare Commercial PPO Humana Preferred National POS |
| Hunt Memorial Hospital | Employee Benefit Plans |
| Imagine Health | Imagine Health Clients must sign the network’s “Payor Acknowledgment” and be listed on the monthly in-network list to have in-network access to BSWH facilities. |
| Medical Development International | MDI Note: Baylor Scott & White – Fort Worth only</small |
| Midland Memorial Hospital | Employee Benefit Plans |
| PHCS Network | PHCS Clients must sign the network’s “Payor Acknowledgment” and be listed on the monthly in-network list to have in-network access to BSWH facilities. |
| Scott & White Health Plan | BSW Direct Primary Care BSW Plus HMO, BSW Plus PPO BSW Preferred HMO/POS, BSW Preferred HMO, BSW Preferred Plus HMO, BSW Preferred PPO BSWH Employee Plan Scott & White Health Plan (SWHP) HMO, Insurance Company of Scott & White (ICSW) PPO, Scott & White Care Plans (SWCP) |
| Texas A&M Commerce | Texas A&M Commerce Injured Athletes Note: Baylor Scott & White –Lake Pointe only |
| Texas Christian University | TCU Injured Athletes Note: Baylor Dallas, Baylor Scott & White Heart and Vascular Hospital, Baylor Scott & White – Fort Worth, Baylor Scott & White – Grapevine, Irving, Baylor Scott & White – Plano, Baylor Scott & White – Waxahachie, Baylor Scott & White The Heart Hospital – Denton and Baylor Scott & White The Heart Hospital – Plano only |
| UnitedHealthcare | Charter HMO/EPO/POS Choice HMO/+HMO/EPO/Plus POS Core HMO/EPO/Choice Plus POS Navigate HMO/HMO+/EPO/POS NexusACO PPO/Options PPO Select HMO/ Select +/ EPO/ Plus POS UHC West Signature Value Gated HMO |
| University of Mary Hardin-Baylor | Employee Benefit Plans |
Individual/Family
| Individual/Family | |
|---|---|
| Sold on-exchange and off-exchange | |
| Ambetter from Superior Health Plan | Essential Care – Bronze Balance Care – Silver Secure Care – Gold |
| BlueCross BlueShield | Blue Advantage HMO |
| FirstCare Health Plans | FirstCare Select HMO |
| Scott & White Health Plan | BSW Preferred HMO |
| Sold off-exchange only | |
| Scott & White Health Plan | Bronze Plan |
| UnitedHealthcare | UnitedHealthOne |
Managed Medicaid
| Managed Medicaid (BSWH accepts Traditional Medicaid in addition to the Managed Medicaid plans below) | |
|---|---|
| Aetna Health, Inc. | CHIP & STAR Medicaid Replacement – Limited Services: inpatient services and outpatient tubal ligations only Note: Baylor Scott & White – Fort Worth only |
| Amerigroup | CHIP & STAR Medicaid Replacement Note: Baylor Scott & White – Centennial, Baylor Dallas, Baylor Scott & White – Fort Worth, Baylor Scott & White – Irving, Baylor Scott & White – Lake Pointe, and Baylor Scott & White – Sunnyvale only |
| Cigna HealthSpring | CHIP & STAR Medicaid Replacement Note: Baylor Scott & White – Centennial, Baylor Scott & White – Lake Pointe and Baylor Scott & White – Sunnyvale only |
| Cook Children’s Health Plan | CHIP & STAR Medicaid Replacement Note: Baylor Scott & White Emergency – Aubrey; Baylor Scott & White – Burleson; Baylor Scott & White Emergency – Colleyville; Bayor Scott & White – Fort Worth only; Baylor Scott & White Emergency – Grand Prairie; Baylor Scott & White Emergency – Keller; Baylor Scott & White Emergency – Mansfield; Baylor Scott & White – Murphy; Baylor Scott & White – Rockwall |
| Cook Children’s Health Plan | STAR Kids Note: Baylor Scott & White Emergency – Aubrey; Baylor Scott & White – Burleson; Baylor Scott & White Emergency – Colleyville; Baylor Scott & White Emergency – Grand Prairie; Baylor Scott & White Emergency – Keller; Baylor Scott & White Emergency – Mansfield; Baylor Scott & White – Murphy; Baylor Scott & White – Rockwall |
| Molina | CHIP & STAR Medicaid Replacement Note: Baylor Scott & White – Centennial, Baylor Scott & White Dallas; Baylor Scott & White – Lake Pointe and Baylor Scott & White – Sunnyvale only |
| Parkland Community Health Plan | CHIP & HealthFirst Medicaid Replacement Note: Baylor Dallas, Baylor Rehab Dallas, Baylor Scott & White – Centennial, Baylor Scott & White – Irving, Baylor Scott & White – Lake Pointe, Baylor Scott & White – McKinney, Baylor Scott & White – Sunnyvale and Baylor Scott & White – Waxahachie only |
| Superior Health Plans | STAR+PLUS Note: Baylor Dallas, Baylor Scott & White Heart and Vascular Hospital, Baylor Ortho Arlington, Baylor Rehab – Dallas , Baylor Rehab – Fort Worth , Baylor Rehab – Frisco , Baylor Scott & White – Centennial, Baylor Scott & White – Fort Worth, Baylor Scott & White – Frisco, Baylor Scott & White – Grapevine, Baylor Scott & White – Irving, Baylor Scott & White – Lake Pointe, Baylor Scott & White – McKinney, Baylor Scott & White – Plano, Baylor Scott & White – Sherman , Baylor Scott & White – Sunnyvale, Baylor Scott & White – Trophy Club, Baylor Scott & White – Uptown, Baylor Scott & White – Waxahachie, Baylor Surgical – Fort Worth, Baylor Surgical – Las Colinas , Baylor Surgical – North Central, Baylor Scott & White The Heart Hospital – Denton, and Baylor Scott & White The Heart Hospital – Plano only |
Managed Medicare
| Managed Medicare (BSWH accepts Traditional Medicare (Part A and Part B) and any Medicare Supplement plan/Medigap plan that does not use a network) | |
|---|---|
| Aetna Health, Inc. | Medicare Advantage Plans |
| Amerigroup | Medicare Replacement Plans – Amerivantage for dual eligible only Note: Baylor Scott & White – Centennial, Baylor Dallas, Baylor Scott & White – Fort Worth, Baylor Scott & White – Irving, Baylor Scott & White – Lake Pointe, and Baylor Scott & White – Sunnyvale only |
| BlueCross BlueShield | Medicare Advantage Plans |
| Cigna HealthSpring | Medicare Advantage Plans Note: Baylor Ortho Arlington, Baylor Surgical Fort Worth, Baylor Scott & White – Centennial, Baylor Scott & White – Fort Worth, Baylor Scott & White – Grapevine, Baylor Scott & White – Lake Pointe, Baylor Scott & White – Sunnyvale and Baylor Scott & White – Trophy Club only |
| Cigna HealthSpring | Medicare/Medicaid Dual Needs Plan Note: Baylor Scott & White – Centennial, Baylor Scott & White – Lake Pointe, Baylor Scott & White – Sunnyvale and Baylor Scott & White – Trophy Club only |
| FirstCare Health Plans | Medicare Replacement Plan – FirstCare Advantage Dual SNP |
| Humana | Medicare Advantage Plans |
| Molina | Medicare Advantage Plans – Options, Options PLus, Medicare/Medicaid – STAR+PLUS MMP Note: Baylor Scott & White – Centennial; Baylor Dallas; Baylor Scott & White – Lake Pointe; and Baylor Scott & White – Sunnyvale only |
| Scott & White Health Plan | Medicare Advantage – SeniorCare Advantage HMO & PPO |
| Superior Health Plans | Medicare/Medicaid Dual Special Needs Plan, Medicare-Medicaid Plan Note:Baylor Dallas, Baylor Scott & White Heart and Vascular Hospital, Baylor Ortho Arlington, Baylor Rehab – Dallas , Baylor Rehab – Fort Worth , Baylor Rehab – Frisco , Baylor Scott & White – Centennial, Baylor Scott & White – Fort Worth, Baylor Scott & White – Frisco, Baylor Scott & White – Grapevine, Baylor Scott & White – Irving, Baylor Scott & White – Lake Pointe, Baylor Scott & White – McKinney, Baylor Scott & White – Plano, Baylor Scott & White – Sherman , Baylor Scott & White – Sunnyvale, Baylor Scott & White – Trophy Club, Baylor Scott & White – Uptown, Baylor Scott & White – Waxahachie, Baylor Surgical – Fort Worth, Baylor Surgical – Las Colinas , Baylor Surgical – North Central, Baylor Scott & White The Heart Hospital – Denton, and Baylor Scott & White The Heart Hospital – Plano only |
| UnitedHealthcare | Medicare Advantage Plans – AARP, Care Improvement Plus, Secure Horizons Medicare/Medicaid Dual Special Needs Plan – Dual Complete HMO SNP |
| WellCare | Medicare Advantage Plans Note: Baylor Scott & White – Centennial and Baylor Scott & White – Lake Pointe only |
Other Government
| Other Government | |
|---|---|
| Choctaw Nation Health Services Authority | Choctaw Referred Care Note: Baylor Scott & White The Heart Hospital – Plano only |
| Texas Workforce Commission (formerly DARS) | TWC Note: Baylor Dallas only |
| TriCare | Prime Select Extra Note:Baylor Scott & White – Centennial, and Baylor Scott & White – McKinney only |
| TriWest | Community Care Network Note: Veterans only – no dependents/beneficiaries |