Feedback
En EspaƱol

TRS Member Handbook

Plan Year 2011 Enrollee Handbook

Table of Contents

New Enrollee Information

  • About Scott & White Health Plan
  • Enrollee Rights and Responsibilities
  • Your Privacy is Very Important to Us
  • Notice of Mandatory Benefits

Customer Service

  • Language Line
  • Information About Practitioners
  • Complaints and Appeals
  • Identification (ID) Card
  • Maternal Options Maintenance Support (MOMS)
  • Requests for Coverage of New Technical Procedures

Accessing Care

  • Primary Care
  • Physical Examinations
  • Routine Appointments
  • Specialty Care
  • Hospital Admissions and Tests
  • Urgent and Emergency Care
  • Out-of-Network Care
  • Optometry Care
  • Behavioral Health Care
  • OB/GYN Care
  • Podiatry Care
  • Skilled Nursing Facility
  • Nursing Home

SWHP Billing

  • Claims
  • Claims Status Notification
  • Coordination of Benefits
  • Workers' Compensation

Pharmacy Prescriptions

  • Prescription Drug Benefit
  • Generic Drugs
  • Maintenance Drugs

Value Added Benefits

  • SWHP Website
  • SWHP VitalCare
  • VitalCare Lifestyle Management Programs
  • Poison Control Center
  • Quality Improvement Program

Status Changes

  • Continuation of Coverage
  • Continuity of Treatment

Frequently Asked Questions

Glossary

SWHP Telephone Directory

SWHP Service Area