Scott and White Health Plan doesn’t require members to select a primary care physician (PCP). You have the
flexibility of using any of our network providers. However, if you choose to select a PCP, you can. In fact,
everyone on your plan can select their own PCP.
Browse providers online
How we update physician information
How we update hospital information
Languages Spoken by Physician/Provider:
You may search for doctors who speak a certain language using our online
Provider Search. Enter requested information into the form and click "Search." In the “Customize
Results” field, select “language.” You may also select gender, group affiliation, hospital affiliation, board
certification, and accepting new patients.
Some professional services provided by physicians at an SWHP-participating facility or hospital might be considered
out of network (OON). These may include services provided by specialists such as anesthesiologists or
radiologists. You may be responsible for payment of all or part of the fees for those professional services that
are not paid or covered by the member's health benefit plan. SWHP has established a fee schedule for
out-of-network (OON) hospital-based providers. SWHP will reimburse the out-of-network provider up to
the amount on the fee schedule, minus any applicable co-payments, co-insurance and/or deductibles.
To confirm whether or not your hospital utilizes participating physicians such as anesthesiologists or
radiologists, please contact SWHP customer service at 1-800-321-7947.
See a list of in-network and
out-of-network hospital based providers for select commercial plans
Urgent Care and Extended Hours Clinics
If you or a family member has an urgent health matter or needs to see a physician after hours, urgent care centers
are listed in our provider search
Referrals and Prior Authorizations
Certain services require prior authorization by Scott and White Health
All services must be medically necessary and appropriate and meet Scott and White Health Plan coverage criteria where
applicable. If your plan does not offer an out-of-network benefit, all services must be rendered by in-network
physicians/providers (unless otherwise authorized in advance) in order to be eligible for payment.
After completing residency training in their specialty, a physician needs to pass an exam and meet certain
requirements established by their Board to become Board Certified. Learn more about Board Certification or check the Board Certification status of a