Commercial or Individual/Family Marketplace
Providers with Commercial or Individual/Family Marketplace patients with Baylor Scott & White Health Plan (BSWHP) coverage.
Medicare Advantage or BSWH Employee Plan
Providers with Medicare Advantage or BSWH Employee Plan patients with Baylor Scott & White Health Plan (BSWHP) coverage.
Covenant Health Advantage (Medicare)
*Covenant Health Advantage members with Baylor Scott & White Health Plan (BSWHP) coverage.
Providers with Medicaid STAR patients with RightCare by Scott and White Health Plan (SWHP) coverage.
Marketplace or Medicaid STAR/CHIP
Providers with Individual/Family Marketplace or Medicaid STAR and CHIP patients with FirstCare Health Plans (FirstCare) coverage.
Not all required elements have text entered or a value selected. Please enter values for all of the fields in the color of this box below. Once done, click the "Submit" button again.
Thank you. Your submission has been received.
The form appears to have experienced difficulty during submission.