LiveWire EV Employees Explore Mobile IV Care

High Performance Plan Benefits with IVTherapy2go™

When a medical professional recommends IV treatment, receiving care at an approved home, workplace, or other Texas location may make the experience more manageable. IVTherapy2go™ provides mobile IV services when they are medically appropriate and safely ordered for the patient.

LiveWire EV employees may be enrolled in the Centivo High Performance Plan. The available plan information lists a $0 primary care copay and a $30 specialist copay. These office-visit copays do not confirm coverage for mobile IV therapy. Benefits, medical necessity, network participation, and authorization requirements must be verified before treatment.

What Does the LiveWire EV Plan Include?

LiveWire EV offers the High Performance Plan administered by Centivo.

The available plan information lists:

• Primary care visit: $0 copay

• Specialist visit: $30 copay

IV therapy may be processed under a different benefit category. The cost may depend on the reason for treatment, prescribed medication or fluids, supplies, administration services, service location, deductible status, and authorization requirements.

An insurance card does not guarantee coverage or payment. Members should not assume the listed primary care or specialist copay applies to mobile IV therapy.

For scheduling and service questions, call IVTherapy2go at (817) 508-8169.

Can LiveWire EV Employees Use IVTherapy2go?

Eligible LiveWire EV employees and their covered family members may be able to receive mobile IV services when ordered by an authorized medical professional and supported by medical necessity.

Depending on the patient’s needs, provider orders, and plan coverage, services may include:

• IV hydration ordered for a medical concern

• Prescribed IV medications

• Certain medically necessary infusions

• Treatment monitoring

• Follow-up care related to an ordered infusion

• Coordination with the ordering medical professional

The patient must be evaluated to determine whether mobile IV care is safe and appropriate. Some medications, conditions, or symptoms may require treatment in a clinic, infusion center, hospital, or emergency room.

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

Who Administers the LiveWire EV Plan?

Centivo administers the LiveWire EV High Performance Plan.

Centivo can assist members and providers with:

• Eligibility verification

• IV and infusion benefit questions

• Provider-network participation

• Referral requirements

• Prior-authorization requirements

• Medical-necessity requirements

• Claim-status questions

• Copays and other member costs

For assistance:

• Call Centivo Customer Service at (800) 924-7150

• Visit the Centivo Member Website

• Providers may use the Centivo Provider Portal

Have the member identification number from your LiveWire EV insurance card and information about the requested treatment available when contacting Centivo.

How Do I Verify My IV Therapy Benefits?

Before scheduling treatment, contact Centivo at (800) 924-7150 and ask:

• Does IVTherapy2go participate with my LiveWire EV High Performance Plan?

• Is mobile IV therapy covered for my diagnosis?

• Is the prescribed medication or infusion covered?

• Must I use a designated infusion provider or location?

• Is prior authorization required?

• Is a provider order or referral required?

• Are medications, fluids, supplies, and administration billed separately?

• What copay, deductible, or coinsurance applies?

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

Provide the name of the prescribed medication or fluid, diagnosis, ordering provider, requested service location, and any relevant procedure or medication codes if available.

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

IVTherapy2go can collect your insurance information and treatment order, but Centivo provides the official explanation of plan benefits.

Is Prior Authorization Required?

Prior authorization may be required for IV medications, infusion therapy, or related services.

The ordering provider or treating provider may need to submit:

• The patient’s diagnosis

• A signed treatment order

• Clinical notes supporting medical necessity

• Recent laboratory results

• Medication and dosage information

• Previous treatments and the patient’s response

• The requested treatment schedule

• The proposed service location

Members and providers should contact Centivo at (800) 924-7150 or use the Centivo Provider Portal before treatment.

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

What Network Does the Plan Use?

The LiveWire EV High Performance Plan provides access to participating Baylor Scott & White Quality Alliance providers.

Not every Baylor Scott & White provider, infusion provider, or mobile medical service may participate with this specific plan. Members should confirm that IVTherapy2go, the treating medical professional, and any medication supplier participate before receiving care.

To locate or verify an in-network provider:

• Visit the Centivo Member Website

• Call Centivo Customer Service at (800) 924-7150

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

Provide the employer name, High Performance Plan name, member identification number, prescribed treatment, and requested service location when confirming participation.

Are Referrals Required?

The LiveWire EV High Performance Plan requires a provider referral before most new specialty care begins.

The plan lists certain referral exceptions, but those exceptions do not automatically confirm coverage for mobile IV therapy. An order, referral, or prior authorization may still be required depending on the medication, diagnosis, and type of treatment.

Without a required referral or authorization, the member may be responsible for the full cost of care.

Contact Centivo before treatment to confirm the current requirements. Providers can submit referrals and review plan requirements through the Centivo Provider Portal.

How Should I Prepare for Mobile IV Care?

Before your appointment, prepare:

• Your LiveWire EV insurance card

• A photo identification card

• The signed IV therapy or infusion order

• Prior-authorization information

• Your benefit-verification reference number

• A current medication list

• Known medication or food allergies

• Relevant medical records

• Recent laboratory results

• Your diagnosis and treatment history

• The ordering provider’s contact information

• Your preferred pharmacy information

Drink fluids if your medical professional has advised that it is safe to do so. Wear comfortable clothing that allows access to your arm.

Please provide a safe, clean area where the medical professional can complete the treatment. Secure pets before the medical assistant arrives.

Claims Information for Providers

LiveWire EV High Performance Plan claims are submitted to Centivo.

Electronic claims: Payor ID 45564

Mailed claims:

Centivo
P.O. Box 211681
Eagan, MN 55121

Providers should verify the member’s eligibility, network participation, medical-necessity requirements, referral requirements, prior authorization, medication coverage, and current claim-submission instructions before providing treatment or submitting a claim.

Medically Appropriate IV Care Brought to You

IVTherapy2go helps eligible patients receive prescribed IV care in a familiar setting when mobile treatment is medically appropriate. The medical team will review the order, patient needs, safety considerations, and available plan information before treatment.

When you are ready, Request Mobile IV Care or call (817) 508-8169. Please have your LiveWire EV insurance card, treatment order, and authorization information available so the service can be reviewed before scheduling.