Prism Electric Employees Access Mobile IV Therapy

Electric Coverage with IVTherapy2go™ Across Texas

When dehydration, illness, or another medical concern leaves you feeling depleted, traveling to a medical facility may be difficult. IVTherapy2go™ brings mobile IV therapy to eligible patients at home, work, a hotel, or another approved Texas location.

IVTherapy2go’s Prism Electric insurance page states that the service accepts eligible Prism Electric employees and the Prism Electric Health Plan. Coverage, member costs, medical-necessity requirements, and network participation should still be verified before every appointment.

Wellness and convenience infusions may not be covered by insurance.

What Prism Electric Plan Costs Apply?

The publicly available Prism Electric insurance page does not list plan-specific copays, deductibles, or coinsurance amounts.

Before requesting mobile IV therapy, review the medical information printed on your insurance card or contact the plan administrator listed on the card. Ask what cost applies to:

• Mobile IV therapy

• IV fluids

• IV medications

• Vitamins or nutrients

• Medical supplies

• Laboratory testing

• Professional services

• Repeated infusion treatments

• Out-of-network services

The copay printed for a primary care, specialist, or urgent care visit may not automatically apply to mobile IV therapy. Fluids, medications, nutrients, laboratory testing, medical supplies, and professional services may be processed separately.

An insurance card does not guarantee coverage or payment. Current eligibility, medical necessity, network participation, plan exclusions, authorization requirements, and the treatment provided may affect your final responsibility.

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

Can Prism Electric Employees Use IVTherapy2go?

Eligible Prism Electric employees and their covered family members may be able to request mobile IV therapy when clinically appropriate.

Depending on the patient’s needs and the medical professional’s evaluation, IV services may support care related to:

• Dehydration

• Nausea or vomiting

• Fluid loss associated with illness

• Fatigue related to dehydration

• Physician-directed hydration

• Certain vitamin or nutrient deficiencies

• Recovery support

• Other medically appropriate concerns

A medical evaluation may be required before treatment. The medical professional will determine whether IV therapy is appropriate, whether additional testing is needed, or whether the patient should receive another level of care.

Insurance coverage generally depends on documented medical necessity and the member’s exact benefits. IV therapy requested only for wellness, energy, athletic recovery, convenience, or general hydration may be excluded.

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

Who Administers the Prism Electric Health Plan?

The plan administrator’s name and contact information should appear on the front or back of the Prism Electric insurance card.

The administrator can help members and providers confirm:

• Current eligibility

• IV-therapy benefits

• Medical-necessity requirements

• Copays, deductibles, and coinsurance

• Provider-network participation

• Prior-authorization requirements

• Referral or provider-order requirements

• Claim status

• Claims-submission instructions

When requesting assistance, have the following information available:

• Member name

• Member identification number

• Group number

• Prism Electric plan name

• Requested IV treatment

• Proposed service location

• Proposed date of service

Different Prism Electric employees may have different plans, networks, or coverage requirements. Verify benefits using the exact information on the member’s insurance card.

How Do I Verify My IV-Therapy Benefits?

Before scheduling mobile IV therapy, call the member-services number printed on your insurance card and ask:

• Is mobile IV therapy covered under my Prism Electric plan?

• Does IVTherapy2go participate with my exact plan?

• Does the treatment require documented medical necessity?

• Is a provider order or referral required?

• Is prior authorization required?

• What copay, deductible, or coinsurance applies?

• Are IV fluids, medications, vitamins, supplies, or laboratory tests covered?

• Are wellness or convenience infusions excluded?

• Is my requested service location eligible?

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

Write down the representative’s name, the date and time of the call, and the reference number provided.

IVTherapy2go can collect your insurance information before treatment, but the administrator listed on your insurance card provides the official explanation of benefits. Final coverage is determined when the claim is processed.

Is Prior Authorization Required?

Prior-authorization requirements depend on the member’s exact plan, diagnosis, treatment, and medical-necessity criteria.

Before receiving IV therapy, contact the plan administrator and ask whether authorization is required for:

• Mobile IV treatment

• IV fluids

• IV medications or nutrients

• Repeated infusion services

• Laboratory testing

• Medical supplies

• Provider-administered treatment

• Services performed outside a traditional clinic

Confirm whether the member, ordering provider, or treating provider must request authorization.

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

How Do I Confirm Network Participation?

Network information should be verified through the member-services number or provider-search website printed on the Prism Electric insurance card.

Ask the representative to confirm the participation of:

• IVTherapy2go

• The treating medical professional

• The requested IV treatment

• The proposed mobile service location

• Any laboratory, pharmacy, or supporting provider

Provide the employer name, plan name, member identification number, requested treatment, and service location.

A medical professional may participate with one network but not every employer plan using that network. Confirm participation with the exact Prism Electric plan before receiving treatment.

Is a Referral or Provider Order Required?

The publicly available Prism Electric insurance page does not identify a general referral or provider-order requirement for IV therapy.

Some plans require an order from a primary care provider or treating medical professional before IV treatment is covered. Others may require both a referral and prior authorization.

Contact the administrator listed on your insurance card and ask:

• Is a provider order required?

• Must the order include a diagnosis?

• Is a primary care referral required?

• Does the referral need to be submitted electronically?

• Is prior authorization also required?

• Are repeated treatments covered under one authorization?

Receiving treatment without a required order, referral, or authorization may result in additional member responsibility.

How Should I Prepare for Mobile IV Therapy?

Before your appointment, prepare:

• Your Prism Electric insurance card

• A photo identification card

• A current medication list

• Known medication or food allergies

• Relevant medical records

• Recent laboratory results

• Any provider order or referral

• Prior-authorization information

• Your benefit-verification reference number

• A description of your symptoms

• The date your symptoms began

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

Choose a clean, comfortable area where the medical professional can safely complete the evaluation and treatment. Secure pets before the medical team arrives.

Tell the medical professional about pregnancy, kidney disease, heart disease, blood-pressure concerns, medication reactions, or any other condition that may affect IV treatment.

Claims Information for Providers

The electronic payer identification number and claims mailing address should be confirmed from the member’s insurance card before submitting a claim.

Providers should verify:

• Current eligibility

• The exact Prism Electric plan name

• The administrator responsible for claims

• The correct electronic payer ID

• The current claims mailing address

• Medical-necessity requirements

• Provider-network participation

• Referral or authorization requirements

• Timely-filing requirements

• Appropriate billing codes and supporting documentation

Claims information may change. Providers should not use information from another employer plan solely because the insurance logos appear similar.

Compassionate IV Care Brought to You

IVTherapy2go helps make medically appropriate IV treatment more accessible when traveling to a facility is uncomfortable or difficult. The medical team will review your concerns, determine whether mobile IV therapy is appropriate, and explain when another form of care may be safer.

Coverage varies, and wellness or convenience infusions may not be covered by insurance. Verify your benefits and obtain any required provider order, referral, or authorization before treatment.

When you are ready, request mobile IV therapy or call (817) 508-8169. Please have your Prism Electric insurance card available so eligibility, benefits, network participation, medical necessity, and authorization requirements can be reviewed.