EHN Plan Care at Your Door

Chalk Mountain Mobile Urgent Care

EHN Plan Care at Your Door

When you are sick or dealing with a minor injury, traveling to a clinic may add more stress to an already difficult day. UrgentCare2go™ brings professional medical care directly to eligible patients at home, work, or another approved location.

Chalk Mountain employees enrolled in the PPO or HDHP medical plan may be eligible to receive care through participating EHN Preferred Network providers. Coverage and member costs depend on the specific plan, current eligibility, medical necessity, and the services provided.

Visit the UrgentCare2go Website to learn more about mobile medical services and eligible Texas service areas.

What Medical Plans Are Available?

Chalk Mountain employees may be enrolled in one of two medical plans:

• PPO Plan

• HDHP Plan

The PPO Plan lists a $25 primary care copay and a $50 specialist copay.

Members enrolled in the HDHP Plan must meet the applicable deductible before the plan begins paying according to its benefit structure. Copays, coinsurance, and other member costs can vary. Review the medical cost-share information printed on your insurance card for the most accurate details.

These amounts do not automatically confirm how a mobile urgent care visit will be processed. Members should verify their benefits before scheduling. An insurance card does not guarantee coverage or payment.

Who Administers the Chalk Mountain Plans?

Health Plans, Inc., also known as HPI, administers the Chalk Mountain PPO and HDHP plans.

HPI and Pathway Concierge can assist with:

• Member eligibility

• Benefit verification

• Prior authorization requirements

• Claim-status questions

• Network participation

• Copays and cost-sharing information

For prior authorization, benefit verification, or claim-status assistance, call Pathway Concierge at (800) 682-4269 or visit the HPI Provider Resources.

The available plan information also lists (888) 682-4269 for general plan questions. Because the contact numbers differ by service, members should confirm the appropriate number on the back of their current insurance card.

What Network Does the Plan Use?

The Chalk Mountain plans use the EHN Preferred Network. This network includes Baylor Scott & White Quality Alliance providers who have elected to participate.

Not every Baylor Scott & White Quality Alliance provider participates in the EHN Preferred Network. Members should confirm that UrgentCare2go participates with their specific plan before receiving care.

To locate or verify an in-network provider:

• Use the HPI Provider Search

• Call HPI at (800) 532-7575

• Contact BSWQA Care Navigation at 1-844-279-7589

Provide the employer name, member identification number, plan name, and requested service when verifying participation.

Can Chalk Mountain Employees Use UrgentCare2go?

Eligible Chalk Mountain employees and covered family members may request mobile care for many non-life-threatening illnesses and minor injuries.

UrgentCare2go may evaluate concerns such as:

• Cold and flu symptoms

• Cough, fever, or congestion

• Sore throat

• Ear pain or ear infections

• Headaches and body aches

• Nausea, vomiting, or diarrhea

• Urinary symptoms

• Minor allergic reactions

• Rashes and skin concerns

• Minor injuries

• Dehydration concerns

• Medication-related questions

• Follow-up medical visits

Coverage depends on eligibility, network participation, medical necessity, plan benefits, and the services provided.

For help before scheduling, call UrgentCare2go at (817) 508-8169.

How Do I Verify My Benefits?

Before your appointment, contact HPI or Pathway Concierge and ask:

• Does UrgentCare2go participate with my specific Chalk Mountain plan?

• Is a mobile medical visit covered?

• What copay, deductible, or coinsurance applies?

• Is prior authorization required?

• Are laboratory services processed separately?

• Are there network or service-area restrictions?

• Will I have any time-of-service responsibility?

Write down the representative’s name, the date of the call, and the reference number. Keep this information with your records in case you have questions after the visit.

Are Specialist Referrals Required?

The available Chalk Mountain plan information does not list a specific specialist-referral requirement.

Referral and authorization requirements may depend on the requested service and the member’s plan. Contact HPI before beginning specialist care to confirm whether a referral or prior authorization is required.

What Should I Prepare for My Mobile Visit?

Before scheduling, have the following information ready:

• Your Chalk Mountain insurance card

• A photo identification card

• A list of current medications

• Known medication or food allergies

• Relevant medical conditions

• A description of your symptoms

• The date your symptoms began

• Any referral or authorization documents

• The address where care is requested

UrgentCare2go uses a three-hour arrival window for mobile visits. The medical assistant will send a message when traveling to the appointment. Please secure all pets before the medical team enters.

Claims Information for Providers

Chalk Mountain claims are administered through Health Plans, Inc.

Electronic claims: Payor ID IHS07

Mailed claims:

Employers Health Network
P.O. Box 507
Arnold, MD 21012

Providers should verify current claim-submission instructions before sending a claim.

Medical Care Without the Waiting Room

UrgentCare2go helps make non-emergency healthcare more convenient by bringing the medical visit to the patient. Our team evaluates each patient carefully and provides treatment guidance based on their symptoms and medical needs.

When you are ready, Book Today or call (817) 508-8169. Please have your Chalk Mountain insurance card available so your benefits and network participation can be reviewed before care.