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Kohl’s Employees Find Compassionate Urgent Care

Two Centivo Plans at Z-2-H™ Texas ClinicsUploaded Image

When you or a family member needs medical attention, understanding your benefits before arriving can help make the experience feel less stressful. Z-2-H™ Family Med & Urgent Care Clinic provides compassionate primary care, family medicine, and urgent care at eligible Texas clinic locations.

Kohl’s employees may be enrolled in the High Performance Plan Basic or High Performance Plan Plus. Both plans are administered by Centivo, but their copays, deductible requirements, and referral rules differ.

Verify your exact benefits and the clinic’s network participation before receiving care.

What Kohl’s Medical Plans Are Available?

Kohl’s employees may be enrolled in one of two medical plans:

  • High Performance Plan Basic

  • High Performance Plan Plus

The available plan information lists the following member costs.

High Performance Plan Basic

  • $0 copay for visits to a Kohl’s Wellness Center

  • $0 copay for Centivo virtual primary care

  • $25 copay plus the applicable deductible for primary care

  • $90 copay plus the applicable deductible for specialist care

  • $25 copay plus the applicable deductible for OB/GYN care

High Performance Plan Plus

  • $0 copay for visits to a Kohl’s Wellness Center

  • $0 copay for Centivo virtual primary care

  • $20 copay for primary care

  • $50 copay for specialist care

  • $20 copay for OB/GYN care

The $0 benefits listed for Kohl’s Wellness Centers and Centivo virtual primary care do not automatically apply to an appointment at Z-2-H.

Laboratory testing, imaging, medications, injections, procedures, medical supplies, and additional services may be processed separately. Members enrolled in the Basic Plan may also need to satisfy the applicable deductible.

An insurance card does not guarantee coverage or payment. Current eligibility, medical necessity, clinic and provider participation, referral requirements, deductible status, and the services provided may affect your final responsibility.

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

Can Kohl’s Employees Visit Z-2-H?

Eligible Kohl’s employees and their covered family members may be able to visit Z-2-H for primary care, urgent care, preventive services, and many everyday health concerns.

The medical team can evaluate and treat concerns such as:

  • Cold and flu symptoms

  • Cough, congestion, or sore throat

  • Fever and body aches

  • Ear pain or ear infections

  • Headaches and migraines

  • Nausea, vomiting, or diarrhea

  • Urinary symptoms

  • Minor infections

  • Mild allergic reactions

  • Rashes and skin concerns

  • Minor injuries

  • Routine primary care concerns

  • Chronic condition follow-ups

  • Preventive care

  • Physical examinations

Coverage depends on the member’s plan, current eligibility, medical needs, provider-network participation, clinic location, and the services provided.

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

Who Administers the Kohl’s Health Plans?

Centivo is the third-party administrator for the Kohl’s High Performance Plan Basic and High Performance Plan Plus.

Centivo can assist members and providers with:

  • Eligibility verification

  • Medical benefit questions

  • Primary and urgent care coverage

  • Deductible and copay information

  • Specialist-referral requirements

  • Prior-authorization requirements

  • Claim-status questions

  • Provider-network participation

For benefit, authorization, or claim assistance:

Have the member identification number from your insurance card and your High Performance Plan name available when requesting assistance.

How Do I Verify My Benefits?

Before scheduling an appointment, contact Centivo at (855) 785-9389 and ask:

  • Does my preferred Z-2-H location participate with my Kohl’s plan?

  • Is the treating medical professional in network?

  • Is the requested medical service covered?

  • What copay applies to my appointment?

  • Does the Basic Plan deductible apply?

  • Are laboratory tests, imaging, medications, injections, or procedures billed separately?

  • Is a referral or prior authorization required?

  • Will I have a time-of-service responsibility?

  • Are there clinic or network restrictions?

Write down the representative’s name, the date of the call, and the reference number provided.

Z-2-H can collect your insurance information before the appointment, but Centivo provides the official explanation of plan benefits. Final coverage is determined when Centivo processes the claim.

Is Prior Authorization Required?

Prior authorization depends on the medical service being requested.

Members and providers should contact Centivo at (855) 785-9389 before receiving a service that may require approval. Providers can also review authorization requirements through the Centivo Provider Portal.

Prior authorization does not guarantee claim payment. Current eligibility, medical necessity, provider-network participation, referral requirements, plan exclusions, and other conditions may affect how the claim is processed.

What Network Does the Plan Use?

Kohl’s High Performance plans use a Centivo-managed provider network that includes participating Baylor Scott & White Quality Alliance providers.

Not every healthcare provider or clinic participates with every Centivo plan. Members should confirm that their preferred Z-2-H location and treating medical professional participate with their specific Kohl’s plan before receiving care.

To locate or verify a participating provider:

Provide the employer name, exact plan name, member identification number, preferred clinic location, and requested service when confirming participation.

Are Specialist Referrals Required?

The Kohl’s High Performance plans require a provider referral before beginning new specialty care.

Referral exceptions include:

  • OB/GYN care

  • Mental health care

  • Chiropractic care

  • Laboratory testing

  • X-rays

  • Occupational therapy

  • Physical therapy

  • Speech therapy

A referral exception does not necessarily mean the service is covered without prior authorization or member cost-sharing.

Without a required referral, the member may be responsible for the full cost of specialty care. Contact Centivo before scheduling with a specialist to confirm the referral, authorization, and network requirements for your plan.

Providers can submit referrals through the Centivo Provider Portal.

What Should I Bring to My Appointment?

Please bring or prepare:

  • Your Kohl’s insurance card

  • A photo identification card

  • The name of your High Performance plan

  • A current medication list

  • Known medication or food allergies

  • Relevant medical records

  • Recent laboratory or imaging results

  • Any referral or authorization documents

  • A description of your symptoms

  • The date your symptoms began

  • Your preferred pharmacy information

  • Your benefit-verification reference number

Providing complete and accurate information can help prevent delays with eligibility verification and claim processing.

Claims Information for Providers

Kohl’s claims are administered through Centivo.

Electronic claims: Payor ID 45564

Mailed claims:

Centivo
P.O. Box 211681
Eagan, MN 55121

Providers should verify the member’s current eligibility, exact plan name, deductible status, referral requirements, prior-authorization requirements, and current claim-submission instructions before sending a claim.

Compassionate Care at a Texas Clinic

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

When you are ready, Book an Appointment or call (469) 283-0076. Please have your Kohl’s insurance card available so your eligibility, benefits, referral requirements, and network participation can be reviewed before the appointment.