Zero in on the right plan.
Zero ($0) copay for:
▪ Preventive care coverage
▪ Virtual care
▪ First in-person sick visit for adults
▪ PCP visits (dependents ages 0-18)
▪ Nurse Line—talk to a nurse 24/7
Zero barriers to care:
▪ No referrals needed to see in-network providers —even specialists
▪ No requirement to select a Primary Care Physician (PCP)
Welcome to Baylor Scott & White Health Plan
We’re a not-for-profit organization established in 1982. We’re based in Texas and are part of the Baylor Scott & White Health family of companies. Whether you’ve been with us for years or you’re thinking about joining our family of members, we’re here in Texas and here for you.
NEW this year: THREE plan options.
We’ve added a Value Plan to our Basic Plan and Standard Plan options. The Value Plan is a great choice for people who are generally healthy and looking for an option with a lower monthly premium cost.
With Baylor Scott & White Health Plan (BSWHP), all FEHB members enjoy the benefits of the BSW Premier HMO network—with in-network options for care available in 140 Texas counties—no matter which of our plans you choose.
What's so great about open access?
Unlike most other HMOs, our BSW Premier HMO is “open access.” That means as a BSWHP FEHB member, you:
▪ Are not required to get a referral to see in-network specialists. Just make an appointment with the network specialist of your choice.
▪ Are not required to select a Primary Care Provider (PCP). You are encouraged to establish a relationship with a primary care physician (PCP), but you are not required to designate one in your member record, and you are not obligated to visit the same PCP routinely.
Top tip for new and prospective members:
Check out the Find a Doctor/Pharmacy tool at BSWHealthPlan.com/FEHB to see if your current providers are in your network before making an appointment. If they’re not, you can find options for care in the same search tool. You can look for providers by name, specialty, location, hospital affiliation and more.
MyBSWHealth member portal
Whether you need care now, need a prescription refilled or want to see test results, you can use MyBSWHealth to connect with the resources you need to stay well—24 hours a day, 7 days a week. Inside the portal, you can:
▪ Get help finding care
▪ View or print your ID card
▪ See benefit plan documents
▪ View lab results and past visit summaries
▪ Complete a telehealth visit, get a diagnosis and a prescription
▪ View deductible, out-of-pocket max, and claims information and more!
Your MyBSWHealth account is secure, and only you can access your private information. Sign up for an account or sign in at MyBSWHealth.com.
hub for benefits information and more.
Provider search tool
Brochures, forms and guides
Health & wellness programs
Discount programs
Pharmacy information
Access to the MyBSWHealth member portal
Extra help when you need it
Case management
If you or one of your dependents is diagnosed with complicated health problems, case managers are available to help. A nurse case manager will work with you, your family and the physician to create a plan to meet ongoing complex care needs. Case managers:
▪ Advocate for members.
▪ Help you set goals and make a personal plan to improve your health.
▪ Assist with arrangements for necessary services and community support.
▪ Answer questions and provide education to help you have a better understanding of your condition and plan of care.
Disease management
Disease management empowers you, working with your healthcare providers, to manage chronic conditions and prevent complications. Programs are available for members with asthma, breathing trouble (such as bronchitis, emphysema), diabetes, heart problems and many other conditions.
Maternity Care Management
Members who are expecting a baby can get helpful tips and assistance during pregnancy and for one year after birth. Benefits include:
▪ Access to a nurse 24/7 during pregnancy
▪ In-home support for high-risk conditions (such as diabetes, hypertension and severe nausea)
▪ Depression screening following delivery
▪ Parental education for newborn health during the first year
▪ Immunization reminders
▪ Planning for returning to work
Wellness
Tips and information on how to get and stay well, delivered to your inbox every month. If you miss one, you can find the latest version on the Wellness page at BSWHealthPlan.com/FEHB.
#WebinarWednesdays
Join the BSW Be Well team at 11 AM CT on the first Wednesday of every month for a free online session. Each month brings a new topic to help you live healthier and happier.
WebMD: Wellness at Your Side
Get personalized support to live well through our digital wellness platform. With Wellness at Your Side, WebMD’s standalone app, a healthier lifestyle is always at your fingertips.
WondrTM Health
As a Baylor Scott & White Health Plan member, you have access to Wondr —a digital weight loss program that teaches the science of health and nutrition, so you can enjoy the foods you love. No counting calories. No restrictions. No guilt.
Learn more about these benefits and more in the Health & Wellness section of BSWHealthPlan.com/FEHB.
If you have Type 2 Diabetes, you should be aware of the risks and take it seriously. Without proper management, diabetes can lead to other serious health issues. In fact, this “silent killer” is the eighth leading cause of death in adults in the United States.*
But, you can be well—even with diabetes.
That's what this program is all about. At Baylor Scott & White Health Plan, our goal is to keep our members healthier. BSW Be Well with Diabetes provides support to help improve your health, better manage your diabetes, and save you money.
What this program can do for you.
If you apply and complete the initial health activities:
▪ Your copays for covered diabetes medications and testing supplies will be waived ($0 copayments) up to a year.
▪ You will be eligible for a free blood glucose monitor and a free app to track your blood sugar.
▪ You will be referred to a BSW Be Well coach and meet with them for eight required virtual sessions.
▪ A clinical pharmacist will review your medications and will be available to meet with you virtually for any questions you may have.
Are you eligible?
FEHB members and their dependents, who are at least 18 years old with Type 2 diabetes, may apply for the program. Learn more at BSWHealthPlan.com/BeWell/Diabetes.
Skip the waiting room.
Baylor Scott & White Health Plan members have two options for virtual care: BSWHealth and Teladoc.
Baylor Scott & White Health Plan members have options for care anytime. Even bedtime. You can access virtual urgent care 24/7/365, or make an appointment with a therapist or psychiatrist (7 AM to 9 PM)—all from the comfort of home or wherever you are.
Need care now?
If it’s an emergency, call 911 or go to the nearest Emergency Room. If it’s not an emergency something like seasonal allergies, cold and flu, bladder infection (UTI), stomach issues, mental health concerns, and so on—virtual care could be just what the doctor ordered. If you need a prescription, it will be sent to the pharmacy of your choice.
MyBSWHealth
When in Texas, you can get care through your MyBSWHealth member portal. Choose a face-to-face virtual visit (using a camera on your smartphone, tablet or computer) or a questionnaire-based eVisit, both available anytime, day or night.
▪ Online: MyBSWHealth.com
▪ App: Download at MyBSWHealth or text “BETTER” to 88408
Download the MyBSWHealth app today.
You can access urgent care and behavioral health services through Teladoc anywhere in the US (including Texas).
Feeling crummy?
With a same-day virtual visit you can talk to a licensed provider by phone or video for common conditions like sinus problems, allergies, flu symptoms and much more.
Overwhelmed? Anxious? Depressed?
Private therapy is available. You can choose a therapist or psychiatrist who fits your needs. You can also select a time that works best for you. Therapists and psychiatrists are available seven days a week from 7:00 AM to 9:00 PM.*
To register, call 1.800.TELADOC (1.800.835.2362).
Be sure to have your member ID card handy when you call.
After registration, you can access care:
▪ Phone: 1.800.TELADOC
▪ Online: TeladocHealth.com
▪ App: Download the
Plans by county
You can choose the Basic, Standard or Value Plan in any of the following counties.
North and West Texas counties
Andrews, Armstrong, Bailey, Borden, Brewster, Briscoe, Brown, Callahan, Carson, Castro, Childress, Cochran, Collin, Collingsworth, Comanche, Cottle, Crane, Crosby, Dallam, Dallas, Dawson, Deaf Smith, Denton, Dickens, Donley, Eastland, Ector, Ellis, Erath, Fisher, Floyd, Gaines, Garza, Glasscock, Gray, Grayson, Hale, Hall, Hansford, Hartley, Haskell, Hemphill, Hockley, Hood, Howard, Hutchinson, Johnson, Jones, Kent, King, Knox, Lamb, Lipscomb, Loving, Lubbock, Lynn, Martin, Midland, Mitchell, Moore, Motley, Navarro, Nolan, Ochiltree, Oldham, Parmer, Pecos, Potter, Randall, Reeves, Roberts, Rockwall, Scurry, Shackelford, Sherman, Somervell, Stephens, Stonewall, Swisher, Tarrant, Taylor, Terry, Throckmorton, Upton, Ward, Wheeler, Winkler and Yoakum
Central Texas counties
Austin, Bastrop, Bell, Bexar, Blanco, Bosque, Brazos, Burleson, Burnet, Caldwell, Coke, Coleman, Comal, Concho, Coryell, Crockett, Falls, Fayette, Freestone, Grimes, Guadalupe, Hamilton, Hays, Hill, Houston, Irion, Kimble, Lampasas, Lee, Leon, Limestone, Llano, Madison, Mason, McCulloch, McLennan, Menard, Milam, Mills, Reagan, Robertson, Runnels, San Saba, Schleicher, Sterling, Sutton, Tom Green, Travis, Walker, Waller, Washington and Williamson
2026 summary of benefits & services
Note: The deductible applies to all benefits below marked with an asterisk (*)
Individual
Doctor Office Visits
Primary care visit to treat an injury or illness
Adults first sick visit Dependents
$1,500 $2,000
$3,000 $4,000
$3,000 $4,000
$6,000 $9,000
$12,000 $18,000
$12,000 $18,000
$25 copay/visit
$0 copay
$0 copay/visit
$50 copay/visit
$30 copay/visit
$0 copay
$0 copay/visit
$75 copay/visit
$50 copay/visit $75 copay/visit
$8 / $20
/$25
$20 / $50 $25 / $62.50
$60 / $150 $90 / $225
$120 / $300 $200 / $500
20%, up to a maximum of $400
20%, up to a maximum of $400
2026 premiums
North and West Texas
Central Texas
#1 in Member Satisfaction among Commercial Health Plans in Texas
The J.D. Power 2025 U.S. Commercial Member Health Plan Study mea sures satisfaction across key factors, including coverage and benefits, provider choice, cost, customer service, and trust.
Baylor Scott & White Health Plan ranks #1 in Texas across the following categories:
▪ Product/Coverage Offerings
▪ Ease of Doing Business
▪ Trust
▪ Helps Save Time or Money
▪ Ability to Get Health Services How/When I Want
▪ Digital Channels
▪ People
Baylor Scott & White Health Plan, anchored by Baylor Scott & White Health, continues to innovate and evolve to meet the needs of members across Texas. From digital tools that simplify access to care to personalized wellness programs, Baylor Scott & White Health Plan is redefining what it means to be a health partner.
The health plan is also accredited by the National Committee for Quality Assurance (NCQA) and a recipient of a 2024 Human Experience of Excellence award by Press Ganey. It’s ranked among the top 5% of health plans nationwide, and its small and large group commercial HMO plans earned the highest physician care CAHPS ratings.
For J.D. Power 2025 award information, visit jdpower.com/awards.
