Scott & White Health Plan is a Health Maintenance Organization (HMO) located in central Texas that offers a wide range of health care benefits under the Texas Employees Group Benefits Program (GBP). If you live or work in a county within the plan’s service area, you can enroll in Scott & White Health Plan.

Plan Benefits

• You do not have to choose a primary care physician (PCP).
• You do not need referrals to specialists.
• There is no annual medical deductible.
• Preventive services provided by a network doctor – like annual check-ups and vaccinations – are covered at 100 percent.
• You are responsible for copayments and/or coinsurance for some doctor and hospital visits and other medical services, such as outpatient surgery and high-tech radiology.

Service Area

Eligibility

• The plan is available to GBP eligible employees, retirees and dependents who live or work in the service area. Evidence of Insurability is never required to enroll in this plan.
•  You can enroll in this plan during your first 60 days of employment and coverage will begin the first of the month following your 60^th day of employment.  
• You can also enroll when you have a qualifying life event (QLE) such as a birth or marriage and coverage will begin on the date of birth or the first of the month following the event.
• If you are not Medicare-eligible, you can enroll during Summer Enrollment and coverage will begin on September 1 of that year. If you are a Medicare-eligible retiree, you can enroll during Fall Enrollment and coverage will begin on January 1. 

Resources

• Cost sharing and how it works
• Employee Health Plan Comparison (PY18)
• Wellness programs