Convenient Healthcare Across Texas

Care for BSW Marketplace Members at Z-2-H

Understanding your health insurance can feel complicated, especially when you or a family member needs medical attention. Z-2-H Family Med & Urgent Care Clinic helps eligible Baylor Scott & White Marketplace Plan members access primary and urgent care at convenient Texas locations.

Coverage, copays, deductibles, and network requirements depend on the specific plan listed on your insurance card. Our team can help gather the information needed to review your benefits before your appointment.

Visit the Z-2-H Website to learn more about our clinics and medical services.

What Is a Baylor Scott & White Marketplace Plan?

Baylor Scott & White Health Plan provides individual and family coverage through the Affordable Care Act Health Insurance Marketplace. Marketplace plans may have Gold, Silver, or Bronze coverage levels with different copays, deductibles, coinsurance, and benefits.

Many of these plans use the BSW Premier HMO network. Because coverage and participating providers can vary, patients should verify that their selected Z-2-H clinic and provider are in network before receiving non-emergency care.

Review the Baylor Scott & White Insurance Page for information about receiving care at Z-2-H.

Does Z-2-H Accept BSW Marketplace Insurance?

Z-2-H may provide in-network care for eligible Baylor Scott & White Marketplace Plan members. Coverage cannot be confirmed using the Baylor Scott & White name alone because individual plans can have different networks and benefits.

Please have the following information ready when scheduling:

• Insurance card
• Member identification number
• Group number, when listed
• Patient’s date of birth
• Plan name or coverage level
• Reason for the appointment

This information helps our team review the correct plan. Baylor Scott & White Health Plan makes the final determination regarding coverage and patient responsibility.

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

What Will My Appointment Cost?

Copays, deductibles, coinsurance, and out-of-pocket costs vary among Baylor Scott & White Marketplace plans. The cost listed on another member’s insurance card may not apply to your plan.

Review your insurance card and member benefits for information about:

• Primary care copays
• Urgent care copays
• Specialist copays
• Deductible requirements
• Coinsurance
• Out-of-pocket limits
• Network requirements
• Prior authorization

Benefit verification is not a guarantee of payment. Final coverage is determined after Baylor Scott & White Health Plan receives and processes the claim.

What Services Does Z-2-H Provide?

Z-2-H provides primary care, urgent care, preventive services, and ongoing medical support for patients throughout Texas.

Depending on your medical needs, our team may help with:

• Cold and flu symptoms
• Fever, cough, and sore throat
• Minor illnesses and injuries
• Urinary symptoms
• Nausea, vomiting, or diarrhea
• Headaches and migraines
• Minor allergic reactions
• Skin concerns
• Routine checkups
• Chronic-condition follow-up
• Preventive care
• Laboratory testing

Services may vary by clinic. Contact Z-2-H before your appointment if you have questions about a specific test, treatment, or service.

Call 911 or go to the nearest emergency room for chest pain, severe breathing difficulty, stroke symptoms, uncontrolled bleeding, loss of consciousness, or another potentially life-threatening emergency.

How Can I Verify Benefits or Check a Claim?

Members can review their coverage through the Baylor Scott & White Health Plan website or the MyBSWHealth app.

Providers can use the Baylor Scott & White Health Plan provider portal for eligibility, authorization, and claim information. Prior-authorization assistance is available by calling (866) 384-3488 or faxing (800) 626-3042.

Have your member identification number and date of birth available when contacting the health plan.

How Do I Schedule an Appointment?

Z-2-H has clinics in Arlington, Austin, Brownwood, El Paso, Farmers Branch, Houston, Keller, and San Antonio. Available services and appointment times may vary by location.

You can Book an Appointment online by selecting your preferred clinic and providing the requested patient and insurance information.

Bring your insurance card and valid photo identification to your appointment. Having these items ready can make the check-in and benefit-verification process easier.

How Can I Find an In-Network Provider?

Members can search the Baylor Scott & White Health Plan provider directory through the BSWHP Member Website or contact the BSWQA Care Navigation team at 1-844-279-7589.

Marketplace plans may use the BSW Premier HMO network. Confirm that the selected clinic and provider participate in your plan before receiving non-emergency care.

Do BSW Marketplace Plans Require Specialist Referrals?

Specialist Referral Requirements: N/A

The available information does not list one referral rule that applies to every Baylor Scott & White Marketplace Plan. Requirements can vary by plan. Contact Baylor Scott & White Health Plan before scheduling specialty care to confirm whether your coverage requires a referral or prior authorization.

Compassionate Care Close to Home

Z-2-H helps eligible Baylor Scott & White Marketplace Plan members receive understandable, convenient medical care at clinics throughout Texas.

Review the Baylor Scott & White Insurance Page for additional information. When you are ready, Book Today or call (469) 283-0076 for assistance.