KPA Urgent Care & Primary Care For Z-2-H

High Plains Health Plan Care at Z-2-H™

When you or a family member needs medical care, understanding your health plan can make the experience less stressful. Employees of Kasberg, Patrick & Associates, LP may have access to primary and urgent care through the High Plains Health Plan Option 4.

At Z-2-H™, our care team helps patients understand their coverage, prepare for their appointments, and receive convenient care for many common health concerns.

Understanding Your KPA Health Plan

According to the available plan information, the High Plains Health Plan Option 4 includes:

• Primary care copay: $0

• Specialist copay: $0

• Third-party administrator: Health Plans, Inc. (HPI)

• Network: Employers Health Network Preferred Network

A $0 copay does not necessarily mean every service is free. Laboratory testing, imaging, medications, procedures, medical supplies, or services outside the plan’s covered benefits may be billed separately.

Coverage can also depend on whether the provider participates in the EHN Preferred Network. Not every Baylor Scott & White Quality Alliance provider participates, so network status should be confirmed before receiving care.

Care Available at Z-2-H™

Z-2-H provides accessible primary and urgent care for many non-life-threatening health concerns, including:

• Cold and flu symptoms

• Allergies and sinus infections

• Cough, sore throat, and fever

• Ear infections

• Minor cuts, burns, and injuries

• Sprains and strains

• Skin irritation and rashes

• Urinary symptoms

• Nausea and digestive concerns

• Routine health evaluations

• Preventive care needs

• Follow-up care for certain conditions

The appropriate services will depend on your symptoms, medical history, and the provider’s clinical evaluation.

Do You Need a Specialist Referral?

The available plan information does not show a general specialist referral requirement. However, certain treatments, procedures, imaging services, or medications may still require prior authorization.

Before scheduling specialized care, contact HPI to confirm:

• Whether the provider is in network

• Whether a referral is required

• Whether prior authorization is needed

• Whether the service is covered

• Whether deductibles, coinsurance, or other costs apply

How to Verify Your Benefits

Health benefits and network participation can change. Before your visit, call the member services number printed on your insurance card or contact HPI at (877) 734-6692.

You can also visit the HPI website for information about benefits, eligibility, prior authorization, claim status, and plan questions.

To search for participating providers, use the Employers Health Network provider directory.

If you need assistance navigating care through Baylor Scott & White Quality Alliance, contact BSWQA Care Navigation at 1-844-279-7589.

What to Bring to Your Visit

To help the registration and benefit-verification process go smoothly, please bring:

• Your High Plains Health Plan Option 4 insurance card

• A valid photo ID

• A current list of medications

• Information about allergies

• Relevant medical records or recent test results

• Any referral or authorization documents provided by your plan

Presenting the correct insurance card helps the care team use the appropriate plan and claims information.

Claims Information

Claims for this plan may use the following information:

• Electronic Payor ID: IHS07

• Claims mailing address: Employers Health Network, P.O. Box 507, Arnold, MD 21012

Patients should confirm the current claims information shown on their insurance card before receiving care.

When to Seek Emergency Care

Z-2-H is intended for primary care and non-life-threatening urgent medical concerns. Call 911 or go to the nearest emergency room for symptoms such as:

• Chest pain or severe difficulty breathing

• Signs of a stroke

• Severe bleeding

• Loss of consciousness

• A serious head injury

• Severe allergic reaction

• Suicidal thoughts or an immediate mental health crisis

Schedule Care with Z-2-H™

KPA employees and eligible family members can schedule a visit with Z-2-H or call (469) 283-0076 for assistance.

Please have your insurance card available when scheduling. Coverage, network participation, and patient responsibility should always be verified directly with HPI before services are provided.

This article is for general informational purposes and is not a guarantee of coverage or payment. Your insurance card and official plan documents control your benefits. Contact HPI for the most current information about eligibility, coverage, prior authorization, network participation, and costs.