Lakeland Volunteers Mobile Urgent Care

Two EHN Plans with UrgentCare2go™ Across Texas

When you or a family member needs medical attention, traveling to a clinic may make an already difficult day feel more stressful. UrgentCare2go™ brings professional medical care directly to eligible patients at home, work, or another approved Texas location.

Lakeland Volunteers in Medicine employees may be enrolled in the Rx 15-25 Plan or HSA Rx 15-25 Plan. Both plans use the EHN Preferred Network, but their copays, deductible requirements, and other member costs differ.

Verify your exact benefits and UrgentCare2go’s network participation before scheduling a mobile visit.

What Lakeland Volunteers Medical Plans Are Available?

Lakeland Volunteers in Medicine employees may be enrolled in one of two medical plans:

• Rx 15-25 Plan

• HSA Rx 15-25 Plan

The available plan information lists the following costs.

Rx 15-25 Plan

• $30 copay for a primary care visit

• $75 copay for a specialist visit

HSA Rx 15-25 Plan

• The applicable deductible must be met first

• Copays or coinsurance may vary after the deductible

• Medical cost-sharing information is available on the member’s insurance card

These amounts may not automatically apply to a mobile urgent care appointment. Laboratory testing, medications, injections, procedures, medical supplies, and additional services may be processed separately.

An insurance card does not guarantee coverage or payment. Current eligibility, medical necessity, provider-network participation, deductible status, authorization requirements, service location, and the care provided may affect your final responsibility.

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

Can Lakeland Volunteers Employees Use UrgentCare2go?

Eligible Lakeland Volunteers in Medicine employees and their covered family members may be able to use UrgentCare2go for many non-emergency health concerns.

The mobile medical team can evaluate and treat concerns such as:

• Cold and flu symptoms

• Cough, congestion, or sore throat

• Fever and body aches

• Ear pain or ear infections

• Headaches and migraines

• Nausea, vomiting, or diarrhea

• Urinary symptoms

• Minor infections

• Mild allergic reactions

• Rashes and skin concerns

• Minor injuries

• Routine primary care concerns

• Certain follow-up visits

Coverage depends on the member’s plan, current eligibility, medical needs, provider-network participation, service location, and the care provided.

Call 911 or visit the nearest emergency room for chest pain, severe breathing difficulty, signs of a stroke, fainting, confusion, uncontrolled bleeding, major trauma, or another life-threatening emergency.

Who Administers the Lakeland Volunteers Plans?

Coastal Administrative Services, also known as CAS, is the third-party administrator listed for the Lakeland Volunteers in Medicine plans.

CAS can assist members and providers with:

• Eligibility verification

• Medical benefit questions

• Prior-authorization requirements

• Copays, deductibles, and coinsurance

• Claim-status questions

• Provider-network participation

For assistance:

• Call CAS at (800) 870-1831

• Visit the CAS Website

• Have the member identification number from your insurance card available

Elan Member Services is also listed as a resource for benefit and claim-status assistance:

• Call Elan Member Services at (833) 845-8854

How Do I Verify My Benefits?

Before booking a mobile appointment, contact CAS at (800) 870-1831 and ask:

• Does UrgentCare2go participate with my Lakeland Volunteers plan?

• Is a mobile medical visit covered?

• What copay, deductible, or coinsurance applies?

• Has my HSA Plan deductible been met?

• Are laboratory tests, medications, injections, or medical supplies billed separately?

• Is prior authorization required?

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

• Are there service-area or network restrictions?

Write down the representative’s name, the date of the call, and the reference number provided.

UrgentCare2go can collect your insurance information and help prepare for the appointment, but CAS provides the official explanation of plan benefits. Final coverage is determined when the administrator processes the claim.

Is Prior Authorization Required?

Prior authorization depends on the medical service being requested.

Members and providers should contact CAS at (800) 870-1831 before receiving a service that may require approval.

Prior authorization does not guarantee claim payment. Current eligibility, medical necessity, provider-network participation, deductible requirements, plan exclusions, and other conditions may affect how the claim is processed.

What Network Does the Plan Use?

The Lakeland Volunteers medical plans use the EHN Preferred Network. This network includes Baylor Scott & White Quality Alliance providers who have chosen to participate.

Not every Baylor Scott & White Quality Alliance provider participates in the EHN Preferred Network. Members should confirm that UrgentCare2go and the treating medical professional participate with their exact plan before receiving care.

To locate or verify an in-network provider:

• Use the EHN Provider Search

• Call Elan Member Services at (833) 845-8854

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

• Call CAS at (800) 870-1831

Provide the employer name, exact plan name, member identification number, requested service, and service location when confirming participation.

Are Specialist Referrals Required?

The available Lakeland Volunteers plan information does not list a general specialist-referral requirement.

Certain specialist visits, diagnostic tests, procedures, or treatments may still require prior authorization. Contact CAS before beginning specialty care to confirm the current referral and authorization requirements for your plan.

How Should I Prepare for My Mobile Visit?

Before your appointment, prepare:

• Your Lakeland Volunteers insurance card

• A photo identification card

• The name of your medical plan

• A current medication list

• Known medication or food allergies

• Relevant medical records

• Recent laboratory or imaging results

• Any referral or authorization documents

• A description of your symptoms

• The date your symptoms began

• Your preferred pharmacy information

• Your benefit-verification reference number

Please provide a safe, clean, and well-lit area where the medical professional can complete the appointment. Secure pets before the medical assistant arrives.

UrgentCare2go uses a three-hour arrival window. The medical assistant will send a message when they are on the way.

Claims Information for Providers

Lakeland Volunteers in Medicine claims are submitted through the Employers Health Network.

Electronic claims: Payor ID IHS07

Mailed claims:

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

Providers should verify the member’s current eligibility, exact plan name, deductible status, prior-authorization requirements, and current claim-submission instructions before sending a claim.

Compassionate Medical Care Brought to You

UrgentCare2go helps make non-emergency medical care easier to access when leaving home is difficult. The medical team will listen to your concerns, evaluate your symptoms, and explain whether mobile treatment or a higher level of care is appropriate.

When you are ready, Book a Mobile Visit or call (817) 508-8169. Please have your Lakeland Volunteers insurance card available so your eligibility, benefits, deductible status, and network participation can be reviewed before the visit.