EHN Plan Care with IVTherapy2go™

Chalk Mountain Mobile IV Therapy

EHN Plan Care with IVTherapy2go

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

Chalk Mountain employees enrolled in the PPO or HDHP medical plan may be eligible for certain services through participating EHN Preferred Network providers. Coverage depends on the member’s specific benefits, current eligibility, medical necessity, network participation, and the services provided.

Visit the IVTherapy2go Website to learn more about mobile hydration services and eligible Texas service areas.

What Medical Plans Are Available?

Chalk Mountain employees may be enrolled in one of two medical plans:

• PPO Plan

• HDHP Plan

The PPO Plan lists a $25 primary care copay and a $50 specialist copay.

Members enrolled in the HDHP Plan must meet the applicable deductible before the plan begins paying according to its benefit structure. Copays, coinsurance, and other member costs can vary. Review the medical cost-share information on your insurance card for the most accurate details.

These amounts do not automatically confirm coverage for IV hydration, medications, supplies, or related services. An insurance card does not guarantee coverage or payment.

Who Administers the Chalk Mountain Plans?

Health Plans, Inc., also known as HPI, administers the Chalk Mountain PPO and HDHP plans.

HPI and Pathway Concierge can assist with:

• Member eligibility

• Benefit verification

• Prior authorization requirements

• Claim-status questions

• Provider-network participation

• Copays and cost-sharing information

For prior authorization, benefit verification, or claim-status assistance, call Pathway Concierge at (800) 682-4269 or visit the HPI Provider Resources.

The available plan information also lists (888) 682-4269 for general plan questions. Because the telephone numbers differ by service, members should confirm the correct number on the back of their current insurance card.

What Network Does the Plan Use?

The Chalk Mountain plans use the EHN Preferred Network. This network includes Baylor Scott & White Quality Alliance providers who have elected to participate.

Not every Baylor Scott & White Quality Alliance provider participates in this network. Members should confirm that IVTherapy2go participates with their specific Chalk Mountain plan before receiving care.

To locate or verify an in-network provider:

• Use the HPI Provider Search

• Call HPI at (800) 532-7575

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

Provide the employer name, member identification number, plan name, and requested service when verifying participation.

When May Mobile IV Hydration Be Appropriate?

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

Depending on the patient’s symptoms and medical history, IV 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 after certain illnesses

• Symptoms related to heat exposure

• General weakness associated with inadequate hydration

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 sufficient.

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

Is IV Therapy Covered by Insurance?

Insurance coverage for IV hydration depends on the reason for treatment and the patient’s specific benefits. Medically necessary services may be processed differently from elective hydration or wellness-focused care.

Before receiving care, ask HPI or Pathway Concierge:

• Is IV hydration a covered medical benefit?

• Does IVTherapy2go participate with my specific Chalk Mountain plan?

• Is prior authorization required?

• Must the service meet specific medical-necessity guidelines?

• What deductible, copay, or coinsurance applies?

• Are IV medications or supplies covered?

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

Elective or wellness-focused hydration services may not be covered. Patients should verify their benefits before treatment to understand any possible out-of-pocket cost.

Write down the representative’s name, the date of the call, and the reference number for your records.

Are Specialist Referrals Required?

The available Chalk Mountain plan information does not list a specific specialist-referral requirement.

Referral and authorization requirements may depend on how IV care is classified under the plan. Contact HPI before treatment to confirm whether a referral or prior authorization is required.

What Should I Prepare for My Visit?

Before scheduling mobile hydration care, have the following information available:

• Your Chalk Mountain 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

Please secure all pets before the medical team enters and provide any gate codes or access instructions needed to locate the service address.

Claims Information for Providers

Chalk Mountain claims are administered through Health Plans, Inc.

Electronic claims: Payor ID IHS07

Mailed claims:

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

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

Hydration Care Delivered to You

IVTherapy2go works to make medically appropriate hydration care more convenient and comfortable. Every patient receives an evaluation to determine whether mobile IV therapy or another level of care is the safest next step.

When you are ready, Book Today or call (817) 508-8169. Please have your Chalk Mountain insurance card available so your benefits and network participation can be reviewed before treatment.