Scott and White Care Plans is a Health Maintenance Organization (HMO) located in central Texas that offers a wide range of health care benefits under the Texas Employees Group Benefits Program (GBP). If you live in a county within the plan’s service area, you can enroll in Scott and White Care Plans. 

Please note: Scott and White Care Plans will not be part of the GBP offerings as of September 1, 2021.

Plan Benefits

• You do not have to choose a primary care physician (PCP).
• You do not need referrals to specialists.
• There is no annual medical deductible.
• Preventive services provided by a network doctor—like annual check-ups and vaccinations—are covered at 100%.
• You are responsible for copayments and/or coinsurance for some doctor and hospital visits and other medical services, such as outpatient surgery and high-tech radiology.

Service Area

Austin Bastrop Bell Bosque Brazos Burleson Burnet Coryell

Falls Freestone Grimes Hamilton Hill Lampasas Lee Leon

Limestone Llano Madison McLennan Milam Mills Robertson San Saba

Somervell Travis Waller Walker Washington Williamson

Eligibility

• The plan is available to GBP eligible employees, retirees and dependents who live or work in the service area. Evidence of Insurability is never required to enroll in this plan.
• You can enroll in this plan during your first 60 days of employment and coverage will begin the first of the month following your 60^th day of employment.  
• You can also enroll when you have a qualifying life event (QLE) such as a birth or marriage and coverage will begin on the date of birth or the first of the month following the event.
• If you are not Medicare-eligible, you can enroll during Summer Enrollment and coverage will begin on September 1 of that year. If you are a Medicare-eligible retiree, you can enroll during Fall Enrollment and coverage will begin on January 1. 

Resources

• Cost sharing and how it works
• Health plan comparison charts
• Wellness programs