Whether you're a small, medium or large business, we have a plan for you.
If your organization is headquartered in our 141-county service area, we are uniquely set up to help you and your employees get the most out of your healthcare coverage. You'll enjoy affordable in-network access to the world-renowned doctors and hospitals of Baylor Scott & White Health as well as other providers across the state. You'll enjoy affordable in-network access to the world-renowned doctors and hospitals of Baylor Scott & White Health as well as other providers across the state.
We are here to support you with the expertise and programs you need for your company to thrive. Because healthy employees are happy employees.
More products & services
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Administrative services
Let us handle that for you
Self-funding can be a cost-effective alternative for many businesses. We offer experienced, professional contract administration and local, accurate adjudication of medical claims.
Baylor Scott & White Health Plan Administrative Services provides:
- Detailed design and administration of your customized benefit plan
- Responsive and friendly Texas-based customer service
- Accurate adjudication of medical claims
- Reporting, when you need it
- Access to multiple reinsurance carriers to provide excess loss protections for high-dollar claims
- Pharmacy benefits
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SteadyFund level-funded products
Funding solutions for small- & mid-size businesses
SteadyFund is a level-funded approach that helps businesses with as few as 20 employees enjoy the flexibility of engineering their own plan while keeping healthcare expenses predictable.
The group pays a fixed dollar amount each month, regardless of actual claims. When claims exceed that fixed amount, stop-loss coverage kicks in to cover the extra cost. That means the group will never pay more than their set maximum monthly payment per employee.
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Accountable Care Organization
Offering the best of both worlds, BSW Premier HMO combines our high-efficiency Accountable Care Organization (ACO) network models with our broader service area. BSW Premier members have in-network options for care in 141 counties, with additional rate discounts offered in multiple counties in North, Central and West Texas.
How is that possible? We teamed up with Baylor Scott & White Quality Alliance (BSWQA) — the accountable care organization affiliated with Baylor Scott & White Health — and Covenant Health. Together, we created an integrated health solution that combines care, coverage and technology.
BSW Premier is more than just a health plan. It's a unique blend of doctors, hospitals, and an insurance plan, all coming together to better engage members in managing their health. Doctors who are part of the ACOs offered through Baylor Scott & White Quality Alliance and Covenant Health are held accountable for achieving specific quality, patient satisfaction and cost measures. By combining all aspects of health, BSW Premier delivers care and payment more efficiently, offering employers and employees a higher quality care experience at a lower cost.
The result: Members receive the most comprehensive, compassionate and cost-effective care possible.
To get the most out of care coordination, we encourage BSW Premier members to establish a relationship with a primary care physician (PCP) and continue to see them for care. However, members are not required to select or register with a PCP and do not need a referral to see an in-network specialist.