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U. S. News and World Report 2019 Award 288501

Scott and White Health Plan was recently recognized as one of the 2019 Best Insurance Companies for Medicare Advantage by U.S. News & World Report—making it one of only two Medicare providers in the state of Texas to be included on this prestigious list.

Our Commitment to provide our members with exceptional service and high-quality care is reflected by this recognition.

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Plan Year 2019 — Enrollment

Select Your County of Residence

Service coverage area eligibility is, by law, based on your county of residence. We offer one or more plans for the following Texas counties:

Don't see your Texas County? Other Texas counties are outside our 2019 service coverage areas.

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SeniorCare Advantage HMO Plan Members

Member Quicklinks

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SeniorCare Advantage PPO Plan Members

Member Quicklinks

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Medicare coverage the way it should be

Enroll Now

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As a Medicare member, you have the right to:

  • • Ask for coverage of a medical service or prescription drug. In some cases, we may allow exceptions for a service or drug that is normally not covered.
  • • File an appeal if your request is denied. An appeal is a formal way of asking us to review and change a coverage decision we made.

You can submit your request for medical service coverage or appeal to the following:

  • Mail:
  • Scott and White Health Plan
  • 1206 West Campus Drive
  • Temple, TX 76502
  • Fax: 1-800-626-3042
  • Phone: 1-866-334-3141 (TTY 711)

You can submit your request for Part D drug coverage or redetermination (appeal) as follows:

Coverage determinations

  • Mail:
 
  • OptumRx
  • Attn: Prior Auth Exceptions
  • P.O. Box 25183
  • Santa Ana, CA 92799

Redetermination (appeal)

  • Mail:
 
  • OptumRx
  • Prior Authorization Department
  • c/o Appeals Coordinator
  • P.O. Box 25184
  • Santa Ana, CA 92799

* Standard Medicare Part D redetermination (appeal) requests must be submitted in writing and cannot be initiated via phone. If you believe waiting 7 days for a standard Medicare Part D redetermination decision could seriously harm the member's life, health, or ability to regain maximum function, you can ask for an expedited decision; expedited Medicare Part D redetermination requests can be initiated via phone.

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ATTENTION: If you speak Spanish, language assistance services, free of charge, are available to you. Call 1-866-334-3141 (TTY: 711).

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