Hill Country Transit Employees Access Mobile IV Care

SMARTCARE EHN Coverage with IVTherapy2go™

Hill Country Transit District employees enrolled in the SMARTCARE 500814 Rx 30-25 plan may be able to receive certain medically necessary IV treatments without traveling to a clinic. IVTherapy2go™ brings professional mobile IV care directly to eligible patients in the comfort of their homes.

Before scheduling treatment, it is important to verify your benefits. Insurance coverage can depend on medical necessity, the treatment ordered, network participation, prior authorization requirements, and the terms of your individual health plan.

Hill Country Transit District Plan Details

The information available for the Hill Country Transit District plan includes:

• Plan: SMARTCARE 500814 Rx 30-25

• Primary care copay: $30

• Specialist copay: $75

• Third-party administrator: Coastal Administrative Services

• Network: EHN Preferred Network

• Specialist referral required: No

Copays listed on your plan do not automatically determine what you will pay for mobile IV treatment. Deductibles, coinsurance, medical-necessity guidelines, and exclusions may also apply.

Can Hill Country Transit Employees Use IVTherapy2go?

Hill Country Transit District employees and eligible dependents may request care through IVTherapy2go. Before the appointment is confirmed, the team may review your symptoms, location, medical needs, and insurance information.

A licensed medical professional must determine whether IV treatment is appropriate. Depending on your condition, you may be referred to an urgent care center, emergency department, primary care provider, or another healthcare facility instead.

Does Insurance Cover Mobile IV Therapy?

Insurance may cover mobile IV therapy when the treatment is medically necessary and included under the member’s benefits. Examples may include physician-directed treatment for dehydration, nausea, vomiting, or another qualifying medical condition.

Elective hydration, wellness infusions, vitamin infusions, and treatments requested for general energy or lifestyle purposes may not be covered. These services may require self-payment even when the patient has active health insurance.

Coverage is never guaranteed until the claim is reviewed and processed by the plan.

Who Administers the Plan?

Coastal Administrative Services, also known as CAS, is the third-party administrator associated with the Hill Country Transit District plan.

For benefit verification, prior authorization, or claim-status questions, members and providers may contact:

• Elan Member Services: (833) 845-8854

• Coastal Administrative Services: (800) 870-1831

• Online services: AccessCAS.com

Have the insurance card available when calling. The representative may request the member’s name, date of birth, member ID, group number, and information about the requested treatment.

Verify Your Benefits Before Treatment

Before receiving care, ask the plan administrator to verify:

• Whether mobile IV therapy is a covered benefit

• Whether the requested treatment meets medical-necessity requirements

• Whether IVTherapy2go or the treating provider participates in the plan’s network

• Whether prior authorization is required

• Whether a deductible, copay, or coinsurance applies

• Whether elective hydration or wellness infusions are excluded

• Whether any remaining balance may become the patient’s responsibility

Benefit verification is an estimate based on the information available at that time. It is not a guarantee that the insurance company will pay the claim.

Is Prior Authorization Required?

Prior authorization requirements can vary according to the treatment, medication, diagnosis, and location of care. Even though the plan does not require a specialist referral, certain IV services may still require authorization.

If authorization is required, treatment should generally not begin until approval has been obtained. Receiving care without required authorization may result in reduced benefits or a denied claim.

Confirm EHN Network Participation

The SMARTCARE plan uses the EHN Preferred Network. The network includes BSWQA providers who have chosen to participate, but not every BSWQA provider is included.

Employees can use the EHN member provider directory to review participating providers. For additional help navigating BSWQA services, call BSWQA Care Navigation at 1-844-279-7589.

Because provider participation can change, confirm network status directly before receiving care.

What Happens If the Service Is Not Covered?

If the requested IV treatment is excluded, considered elective, not medically necessary, or provided outside the network, the patient may be responsible for the cost.

Before treatment, ask for available self-pay pricing and a written estimate. The final amount may change if the clinical assessment shows that additional services or medications are needed.

Preparing for Your Mobile IV Appointment

To help the visit go smoothly:

• Keep your photo ID and insurance card available.

• Provide an accurate medication list and medical history.

• Tell the clinical team about allergies and current symptoms.

• Choose a clean, safe, and well-lit area for treatment.

• Secure pets before the medical professional arrives.

• Plan for a three-hour arrival window.

• Watch for a text message from the medical assistant when they are on the way.

If symptoms become severe or life-threatening—including chest pain, difficulty breathing, confusion, fainting, severe weakness, or signs of a medical emergency—call 911 immediately.

Claims Information for Providers

Claims for the EHN Preferred Network may be submitted using:

• Electronic payer ID: IHS07

• Mailing address: Employers Health Network, P.O. Box 507, Arnold, MD 21012

Providers should confirm current submission instructions and authorization requirements before filing a claim.

Request Mobile IV Care

IVTherapy2go helps eligible patients receive professional IV care without the stress of traveling to a traditional medical facility. Every request is reviewed to help determine whether mobile treatment is clinically appropriate.

To request an appointment, check the service area and begin scheduling online or call (817) 508-8169.

Insurance benefits, network status, and medical necessity should be verified before treatment. Coverage is subject to the terms of the member’s plan and the insurance administrator’s final claim determination.