Employee Health Plan Care at Z-2-H

City of Temple Urgent Care

Employee Health Plan Care at Z-2-H

When you or a family member needs medical attention, understanding where to receive care can make the experience less stressful. Z-2-H™ Family Med & Urgent Care Clinic provides compassionate primary and urgent care at locations across Texas.

City of Temple employees enrolled in Plan 2 or Plan 5 may have access to participating providers through the EHN Preferred Network. Because medical costs and benefits vary by plan, members should verify their coverage before scheduling an appointment.

Which Plans Are Available to City of Temple Employees?

City of Temple employees may be enrolled in one of these medical plans:

• Plan 2

• Plan 5 – Family

• Plan 5 – Single

The available benefit information identifies both PPO and high-deductible plan structures.

Under the PPO structure:

• Primary care visits have a $0 copay

• Specialist visits have a $0 copay

Under the high-deductible structure, medical costs vary according to the provider’s network status and the member’s deductible. Review your insurance card for the most accurate cost-sharing information.

The available plan information does not list a specific urgent care copay. Contact Health Plans, Inc. before your appointment to confirm which plan structure applies and what you may owe.

An insurance card does not guarantee coverage or payment. Eligibility, medical necessity, deductibles, network participation, and the services provided may affect your financial responsibility.

Can City of Temple Employees Visit Z-2-H?

Eligible City of Temple employees and covered family members may visit Z-2-H for primary care, urgent care, preventive services, and many everyday medical concerns.

Z-2-H can evaluate and treat concerns such as:

• Cold and flu symptoms

• Cough, congestion, or sore throat

• Fever and body aches

• Headaches and migraines

• Nausea, vomiting, or diarrhea

• Urinary symptoms

• Minor infections

• Mild allergic reactions

• Minor injuries

• Routine primary care concerns

• Preventive care and physical examinations

Coverage depends on eligibility, medical necessity, plan benefits, network participation, and the services provided.

You can Book an Appointment or call (469) 283-0076 for scheduling assistance.

Call 911 or go to the nearest emergency room for chest pain, severe difficulty breathing, signs of a stroke, confusion, fainting, uncontrolled bleeding, major trauma, or another life-threatening emergency.

Who Administers the City of Temple Plans?

Health Plans, Inc., also known as HPI, is the third-party administrator for the City of Temple medical plans.

HPI can assist members and providers with:

• Member eligibility

• Benefit verification

• Prior authorization requirements

• Precertification questions

• Claim-status assistance

• Copays, deductibles, and coinsurance

• Provider-network participation

Members and providers may:

• Call HPI Customer Service at (877) 734-6692

• Visit the HPI Website

When contacting HPI, provide the member identification number shown on your City of Temple insurance card.

What Provider Network Does the Plan Use?

The City of Temple medical plans use the EHN Preferred Network. This network includes Baylor Scott & White Quality Alliance providers who have chosen to participate.

Not every Baylor Scott & White Quality Alliance provider participates in this specific network. Members should verify the clinic’s participation before receiving care.

To search for an in-network provider:

• Visit the HPI Provider Search

• Call HPI at (877) 734-6692

• Contact BSWQA Care Navigation at 1-844-279-7589

Ask whether Z-2-H participates with your specific City of Temple plan and whether the requested service is covered.

How Do I Verify My Benefits?

Before your appointment, contact HPI at (877) 734-6692.

Consider asking these questions:

• Does Z-2-H participate with my specific City of Temple plan?

• Is my plan structured as a PPO or a high-deductible plan?

• Is the requested medical service covered?

• What copay, deductible, or coinsurance will apply?

• Is prior authorization or precertification required?

• Are laboratory services billed separately?

• Are medications and medical supplies covered separately?

• Are there any clinic or network restrictions?

Ask the representative for a reference number and keep it with your records. Benefit information provided by telephone is helpful, but final coverage is determined when the insurance company processes the claim.

For additional assistance, call Z-2-H at (469) 283-0076.

Are Specialist Referrals Required?

The available City of Temple plan information does not list a specialist-referral requirement.

However, referral and prior authorization requirements can vary according to the requested service. Members should contact HPI before beginning specialist care to confirm whether additional approval is required.

What Should I Bring to My Appointment?

Please bring or have the following information available:

• Your City of Temple insurance card

• A photo identification card

• A list of current medications

• Known medication or food allergies

• Relevant medical conditions

• A brief description of your symptoms

• The date your symptoms began

• Your preferred pharmacy information

• Any referral or authorization documents

Providing accurate information can help the care team prepare for your appointment and understand your medical needs.

Claims Information for Providers

City of Temple medical claims are administered through Health Plans, Inc.

Electronic claims: Payor ID IHS07

Mailed claims:

Employers Health Network
P.O. Box 507
Arnold, MD 21012

Providers should verify current claim-submission instructions and member eligibility before sending a claim.

Compassionate Care Across Texas

Z-2-H makes primary and urgent care easier to access and understand. Whether you need help with a sudden illness, minor injury, preventive care, or an ongoing health concern, our team will listen and help you understand the next step.

When you are ready, Book Today or call (469) 283-0076. Please have your City of Temple insurance card available so your benefits can be reviewed before your appointment.