KPA Mobile IV Therapy

High Plains Health Plan Care with IVTherapy2go™

When you are not feeling well, traveling to receive supportive medical care may add more stress to your day. IVTherapy2go™ brings medically appropriate IV therapy to eligible patients at home, work, or another approved Texas location.

Kasberg, Patrick & Associates, LP employees may be enrolled in the High Plains Health Plan Option 4. The plan uses the EHN Preferred Network. Coverage for mobile IV therapy depends on medical necessity, the services provided, and the plan’s current requirements.

Members should verify their benefits and provider-network participation before requesting an appointment.

What Does the High Plains Health Plan Option 4 Include?

The available plan information lists the following costs:

• Primary care visit: $0 copay

• Specialist visit: $0 copay

• Third-party administrator: Health Plans, Inc.

• Provider network: EHN Preferred Network

These listed copays do not automatically apply to mobile IV therapy. IV fluids, medications, vitamins, laboratory testing, medical supplies, procedures, and mobile services may be processed separately or excluded from coverage.

Some wellness-focused or elective IV treatments may not be covered by health insurance. A service may require medical necessity, supporting documentation, or prior authorization to qualify for coverage.

An insurance card does not guarantee coverage or payment. Eligibility, medical necessity, network participation, authorization requirements, and the services provided may affect your final responsibility.

For scheduling assistance, call IVTherapy2go at (817) 508-8169.

Can KPA Employees Use IVTherapy2go?

Eligible KPA employees and their covered family members may be able to use IVTherapy2go when mobile IV treatment is considered safe and medically appropriate.

After reviewing the patient’s symptoms and medical history, the medical team will determine whether an IV treatment can be provided. Depending on the clinical evaluation, services may include supportive care for concerns such as:

• Dehydration

• Nausea or vomiting

• Reduced fluid intake

• Certain migraine symptoms

• Fluid loss related to a non-emergency illness

• Recovery support when clinically appropriate

• Provider-recommended hydration

• Certain vitamin or nutrient treatments

Not every patient or medical concern is appropriate for mobile IV therapy. The medical professional may recommend laboratory testing, an in-person examination, urgent care, or emergency evaluation instead.

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

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

Who Administers the KPA Health Plan?

Health Plans, Inc., also known as HPI, is the third-party administrator listed for the KPA High Plains Health Plan Option 4.

HPI can assist members and providers with:

• Eligibility verification

• Medical benefit questions

• Mobile IV therapy coverage

• Medical-necessity requirements

• Prior-authorization requirements

• Claim-status questions

• Copays, deductibles, and coinsurance

• Provider-network participation

Call HPI at (877) 734-6692 or visit the Health Plans, Inc. website.

Have the member identification number from your insurance card and the High Plains Health Plan Option 4 plan name available when requesting assistance.

How Do I Verify My IV Therapy Benefits?

Before requesting an appointment, contact HPI at (877) 734-6692 and ask:

• Does IVTherapy2go participate with the High Plains Health Plan Option 4?

• Is mobile IV therapy covered by my plan?

• Must the treatment be medically necessary?

• Does the $0 primary care copay apply to the medical evaluation?

• Are IV fluids, medications, vitamins, and medical supplies covered?

• Are mobile or convenience fees excluded?

• Is prior authorization required?

• Do I need a provider’s order or supporting medical records?

• Will I have a deductible, coinsurance, or time-of-service responsibility?

• Are there service-area or network restrictions?

Explain the reason for the requested treatment and provide the name of the IV service when asking about coverage.

Write down the representative’s name, the date of the call, and the reference number provided. Final coverage is determined when HPI processes the claim.

IVTherapy2go can collect your insurance information and help prepare for the appointment, but HPI provides the official explanation of plan benefits.

Is Prior Authorization Required?

Prior authorization depends on the treatment, medication, and medical reason for the requested IV service.

Members and providers should contact HPI at (877) 734-6692 before receiving care that may require approval. Ask whether authorization must be obtained by the member, ordering provider, or treating provider.

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

If a requested treatment is not covered, ask IVTherapy2go about the available self-pay cost before the appointment.

What Network Does the Plan Use?

The High Plains Health Plan Option 4 uses 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 IVTherapy2go and the treating medical professional participate with the KPA plan before receiving care.

To locate or verify an in-network provider:

• Use the EHN Provider Search

• Call HPI at (877) 734-6692

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

Provide the employer name, plan name, member identification number, requested IV treatment, medical reason for the service, and service location when confirming participation.

Are Specialist Referrals Required?

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

However, certain medications, IV treatments, diagnostic tests, or specialist services may require a provider’s order or prior authorization. Contact HPI before receiving treatment to confirm the current requirements for your plan.

How Should I Prepare for My Mobile IV Appointment?

Before your appointment, prepare:

• Your KPA insurance card

• A photo identification card

• A current medication list

• Known medication, food, or adhesive allergies

• Relevant medical records

• Recent laboratory or imaging results

• Any provider orders or authorization documents

• A description of your symptoms

• The date your symptoms began

• Information about recent food and fluid intake

• 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 evaluation and treatment. Secure pets before the medical team arrives.

Drink fluids if you can safely do so unless a medical professional has instructed you to restrict fluids. Wear comfortable clothing that allows the medical team to reach your arm easily.

Tell the medical team if you have a history of difficult IV placement, heart disease, kidney disease, fluid restrictions, blood-clotting concerns, pregnancy, or a previous reaction to an IV medication.

Claims Information for Providers

KPA 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 eligibility, plan name, medical-necessity requirements, authorization requirements, covered medications, and current claim-submission instructions before sending a claim.

Supportive IV Care Brought to You

IVTherapy2go helps eligible patients receive medically appropriate IV care in a familiar setting. The medical team will review your health concerns, assess whether IV treatment is suitable, and explain when another type or level of medical care is safer.

When you are ready, Request a Mobile IV Appointment or call (817) 508-8169. Please have your KPA insurance card available so your eligibility, benefits, network participation, and potential financial responsibility can be reviewed before the appointment.