SMARTCARE Mobile Hydration Care

Children’s Medical Group IV Therapy

SMARTCARE Mobile Hydration Care

Dehydration and illness can leave you feeling exhausted, weak, and unable to manage your regular routine. IVTherapy2go™ provides mobile hydration care for medically appropriate situations, allowing eligible patients to receive professional care at home, work, or another approved location.

Children’s Medical Group employees enrolled in a SMARTCARE medical plan may be eligible for certain medically necessary services through participating EHN Preferred Network providers. Because coverage and medical costs differ between plans, members should verify their benefits before treatment.

Which SMARTCARE Plans Are Available?

Children’s Medical Group employees may be enrolled in one of the following medical plans:

• SMARTCARE 650100 HSA Plan

• SMARTCARE 350811 Plan

The SMARTCARE 650100 HSA Plan requires members to meet their deductible before the plan begins sharing the cost of covered services. Copays and coinsurance may vary, so members should review their insurance card and benefit documents.

The SMARTCARE 350811 Plan includes:

• $40 copay for a primary care visit

• $100 copay for a specialist visit

These amounts do not automatically confirm coverage for IV hydration or related services. Your financial responsibility may depend on medical necessity, eligibility, network participation, authorization requirements, and the treatment provided.

The available plan information does not list a specific IV therapy copay. Contact Elan Member Services or Coastal Administrative Services before scheduling to confirm whether the requested service is covered.

An insurance card does not guarantee coverage or payment.

Can Children’s Medical Group Employees Use IVTherapy2go?

Eligible employees and covered family members may request an evaluation to determine whether IV hydration is medically appropriate.

Depending on the patient’s symptoms and medical history, mobile hydration may be considered for concerns such as:

• Dehydration related to illness

• Fluid loss from vomiting or diarrhea

• Difficulty maintaining oral hydration

• Migraine-related dehydration

• Fatigue associated with dehydration

• Recovery support after certain illnesses

• Symptoms requiring a medical evaluation before treatment

Every patient must be evaluated before receiving treatment. The medical professional may recommend a different level of care when IV therapy is not safe or appropriate.

You can Book a Mobile Evaluation or call (817) 508-8169 for scheduling assistance.

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

Is IV Therapy Covered by Insurance?

Insurance coverage for IV therapy depends on the reason for treatment and the member’s specific benefits. Services considered medically necessary may be reviewed differently from elective hydration or wellness services.

Before receiving care, ask CAS or Elan Member Services:

• Whether IV hydration is a covered benefit

• Whether IVTherapy2go participates with your specific plan

• Whether prior authorization is required

• Whether the service must meet medical-necessity guidelines

• What copay, deductible, or coinsurance may apply

• Whether medications and medical supplies are covered

• Whether there are any location or network restrictions

Elective or wellness-focused IV services may not be covered by insurance. Members should confirm their benefits before treatment to understand their possible out-of-pocket responsibility.

Who Administers the Children’s Medical Group Plans?

Coastal Administrative Services, also known as CAS, is the third-party administrator for the Children’s Medical Group SMARTCARE plans.

CAS and Elan Member Services can assist with:

• Member eligibility

• Benefit verification

• Prior authorization requirements

• Claim-status questions

• Copays, deductibles, and coinsurance

• Provider-network participation

• Medical-necessity requirements

Members and providers may:

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

• Call CAS at (800) 870-1831

• Visit the CAS Website

Elan Member Services can also assist with benefit and claim-status questions.

What Provider Network Does the Plan Use?

The Children’s Medical Group SMARTCARE 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 this particular network. Members should confirm that the provider and requested service participate before receiving treatment.

To search for an in-network provider:

• Visit the EHN Member Portal

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

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

Provide the member identification number shown on your insurance card and ask whether IVTherapy2go participates with your specific SMARTCARE plan.

How Do I Verify My Benefits?

Before scheduling mobile IV care, contact Elan Member Services at (833) 845-8854 or CAS at (800) 870-1831.

Explain the type of service being requested and ask whether mobile IV hydration is covered under your plan. Request a reference number for the benefit-verification call and keep it with your records.

Benefit information provided by telephone is helpful, but final coverage is determined when the insurance company processes the claim.

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

Are Specialist Referrals Required?

The available Children’s Medical Group plan information does not list a specialist-referral requirement.

However, referral and prior authorization rules may vary depending on how an IV therapy service is classified. Members should contact CAS or Elan Member Services before treatment to confirm whether a referral or additional approval is required.

What Should I Have Ready?

Before scheduling mobile IV care, please have the following information available:

• Your Children’s Medical Group insurance card

• A photo identification card

• A list of current medications

• Known medication or food allergies

• Relevant medical conditions

• Recent symptoms and when they began

• Your preferred pharmacy information

• Any referral or authorization documents

• The address where care is requested

Providing accurate information helps the medical professional evaluate your symptoms and determine whether mobile IV therapy is appropriate.

Claims Information for Providers

Children’s Medical Group SMARTCARE claims are administered through Coastal Administrative Services.

Electronic claims: Payor ID IHS07

Mailed claims:

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

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

Hydration Care Delivered to You

IVTherapy2go is committed to making medically appropriate hydration care more convenient and comfortable. Our team evaluates each patient carefully and helps determine whether mobile IV therapy or another type of medical care is the safest next step.

When you are ready, Book Today or call (817) 508-8169. Please have your Children’s Medical Group SMARTCARE insurance card available so your benefits can be reviewed before treatment.