EHN Plan Care at Z-2-H™

Chalk Mountain Employee Urgent Care

EHN Plan Care at Z-2-H

When you or a family member needs medical attention, knowing where to receive care can make the experience feel less stressful. Z-2-H provides compassionate family medicine and urgent care at participating Texas clinic locations.

Chalk Mountain employees enrolled in the PPO or HDHP medical plan may be eligible to receive services through participating EHN Preferred Network providers. Coverage and member costs depend on the specific plan, current eligibility, medical necessity, and the services provided.

Visit the Z-2-H Website to learn more about available services and participating clinic locations.

What Medical Plans Are Available?

Chalk Mountain employees may be enrolled in one of two medical plans:

• PPO Plan

• HDHP Plan

The PPO Plan lists a $25 primary care copay and a $50 specialist copay.

Members enrolled in the HDHP Plan must meet the applicable deductible before the plan begins paying according to its benefit structure. Copays, coinsurance, and other member costs can vary. Review the medical cost-share information printed on your insurance card for the most accurate details.

These amounts do not automatically confirm how every service at Z-2-H will be processed. Members should verify their benefits and provider-network participation before scheduling. An insurance card does not guarantee coverage or payment.

Who Administers the Chalk Mountain Plans?

Health Plans, Inc., also known as HPI, administers the Chalk Mountain PPO and HDHP plans.

HPI and Pathway Concierge can assist with:

• Member eligibility

• Benefit verification

• Prior authorization requirements

• Claim-status questions

• Provider-network participation

• Copays and cost-sharing information

For prior authorization, benefit verification, or claim-status assistance, call Pathway Concierge at (800) 682-4269 or visit the HPI Provider Resources.

The available plan information also lists (888) 682-4269 for general plan questions. Because the telephone numbers differ by service, members should confirm the correct number on the back of their current insurance card.

What Network Does the Plan Use?

The Chalk Mountain plans use the EHN Preferred Network. This network includes Baylor Scott & White Quality Alliance providers who have elected to participate.

Not every Baylor Scott & White Quality Alliance provider participates in this network. Members should confirm that Z-2-H participates with their specific Chalk Mountain plan before receiving care.

To locate or verify an in-network provider:

• Use the HPI Provider Search

• Call HPI at (800) 532-7575

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

Provide the employer name, member identification number, plan name, and requested service when verifying participation.

Can Chalk Mountain Employees Visit Z-2-H?

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

The clinic may evaluate and treat concerns such as:

• Cold and flu symptoms

• Cough, congestion, or sore throat

• Fever and body aches

• Ear pain or ear infections

• Minor infections

• Headaches and migraines

• Nausea, vomiting, or diarrhea

• Urinary symptoms

• Minor allergic reactions

• Rashes and skin concerns

• Minor injuries

• Routine primary care concerns

• Chronic condition follow-ups

• Preventive care and physical examinations

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

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

How Do I Verify My Benefits?

Before your appointment, contact HPI or Pathway Concierge and ask:

• Does Z-2-H participate with my specific Chalk Mountain plan?

• Is the requested medical service covered?

• What copay, deductible, or coinsurance applies?

• Is prior authorization required?

• Are laboratory services processed separately?

• Are there location or network restrictions?

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

Write down the representative’s name, the date of the call, and the reference number. Keep this information with your records in case you have questions after the visit.

Are Specialist Referrals Required?

The available Chalk Mountain plan information does not list a specific specialist-referral requirement.

Referral and authorization requirements may depend on the requested service and the member’s plan. Contact HPI before beginning specialist care to confirm whether a referral or prior authorization is required.

What Should I Bring to My Appointment?

Please bring or prepare:

• Your Chalk Mountain insurance card

• A photo identification card

• A current medication list

• Known medication or food allergies

• Relevant medical records

• Recent laboratory or imaging results, when available

• Any referral or authorization documents

• A brief description of your symptoms

• The date your symptoms began

Accurate insurance information can help prevent delays with eligibility verification and claim processing.

Claims Information for Providers

Chalk Mountain 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 before sending a claim.

Compassionate Care Across Texas

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

When you are ready, Book Today or call (469) 283-0076. Please have your Chalk Mountain insurance card available so your benefits and network participation can be reviewed before the visit.