Marketplace Member Resources | Baylor Scott & White Health Plan (2024)

Portal Features

This is your one-stop shop for most information and questions. You can find just about anything in your member portal, where you can:

• Member Portal User Guide

Find a Provider/Pharmacy

Looking for care in your area? Baylor Scott & White Health Plan's online search tool helps you find virtual care, doctors, hospitals, pharmacies and more.

• Find Care
• Pharmacy Information

Your Member ID Card

Remember to carry your Baylor Scott & White Health Plan member ID card with you at all times. You will need to show it to your provider(s) when you receive covered services. Your card contains important information, including your plan name, member ID number, copay/coinsurance amounts and customer service phone numbers to call if you have questions.

• View/Print Your Member ID Card

You can also contact our Customer Service team and request your new card be mailed to you.

• Learn About Your Member ID Card

NOTE: Information shown on your ID card may vary based on your plan benefits.

Setting up Automatic Payments

A member guide to setting up automatic premium payments for your Marketplace plan.

• AutoPay User Guide

Quick Reference Guide

Our priority is to provide you — the Baylor Scott & White Health Plan member — with an exceptional healthcare coverage experience. This quick reference guide is designed to provide information about your coverage and help you get the most out of your plan.

• Marketplace Quick Reference Guide

Talk to a Nurse: Nurse Advice Line

Need care advice? Should you see a doctor? Get the info you need today! Members can talk to a nurse for answers 24/7.

• 877.505.7947
• 711 (TTY)

Forms and Helpful Links

As a Baylor Scott & White Health Plan member, we invite you to learn more about how you can use your coverage to access the services you need, when you need them.

Member Tools

• Medical Cost Estimator
• HSA Contribution Calculator
• FSA Calculator

Transition of Care

Enrollees in Active Treatment

New Scott and White Health Plan enrollees in active treatment for medical conditions with non-Scott and White Health Plan network providers may be granted up to 90 days to transition care to network providers, based on individual case review.

• Continuity of Care Request Form
• Member Transition of Care Form

Please fill out a transition of care form and submit it to Scott and White Health Plan at:

Baylor Scott & White Health Plan
1206 W. Campus Drive
Temple, TX 76502
Attention: Customer Advocacy

Or fax it to:
254.298.3663, Attention: Customer Advocacy

Member Rights and Responsibilities

As a member of our health plan, you have a right to:

1. Receive information about your health plan, including the services we offer and our providers and caregivers
2. Be treated with respect
3. Have others recognize your dignity
4. Privacy
5. Work with providers to make decisions about your healthcare
6. Talk openly about appropriate and medically necessary treatment options for your conditions, regardless of cost or benefit coverage
7. Timely access to your covered services and drugs
8. Voice complaints or appeals about your health plan, benefit coverage or your medical care
9. Information about your rights and responsibilities and a right to make recommendations about our member rights and responsibilities

You are responsible for doing your best to:

1. Give your health plan and providers information they need to provide your care; tell your health plan if you move
2. Follow plans and instructions for care that you have agreed to with your providers
3. Understand your health problems and take part in the treatment plan you and your providers make together

Health Insurance Explained

Health insurance can be confusing, so we've compiled some resources to help you understand your plan and ask the right questions about your coverage.

• Health Insurance 101