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Provider Information

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.

Hospital-Based Physicians

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 1-844-633-5325.

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 tool.

Referrals and Prior Authorizations

Certain services require prior authorization by Scott and White Health Plan.

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.

Board Certification

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 provider.