SOTA Benefits Members Access Mobile IV Therapy

Mobile Hydration Support with SOTA Plan Benefits

When dehydration or another medical concern leaves you feeling unwell, traveling to an infusion center may feel difficult. IVTherapy2go™ brings medically appropriate hydration and infusion services to eligible patients at their Texas home, workplace, hotel, or another approved location.

Members enrolled in an employer-sponsored SOTA Benefits plan may be able to use their medical benefits for certain IV services. Coverage depends on the member’s employer plan, medical network, reason for treatment, prescribed therapy, provider participation, and medical-necessity requirements.

What Is SOTA Benefits?

SOTA Benefits is a health insurance program manager that develops healthcare plans for employers and brokers. Depending on the employer’s plan, benefits may include direct health-system contracts, a national provider-network wrap, virtual telemedicine, Direct Primary Care, and prescription-assistance resources.

SOTA states that some plan designs include a $0 deductible and no copays in many situations. These features do not apply identically to every employer, provider, medication, or infusion service. Members should verify the benefits connected to their current enrollment before receiving treatment.

What IV Therapy Benefits Are Available?

Coverage for hydration and infusion therapy varies by employer plan. Some medically necessary treatments may be covered when the plan’s clinical, network, prescription, and authorization requirements are satisfied.

Review the front and back of your insurance card for:

• Employer and medical plan name

• Medical network

• Member and group identification numbers

• Infusion or hydration benefits

• Deductible and coinsurance

• Prescription-benefit administrator

• Member-services telephone number

• Provider-search website

• Prior-authorization information

• Claims-submission instructions

Insurance plans may process the medical evaluation, IV fluids, medications, supplies, laboratory testing, and follow-up services separately.

An insurance card does not guarantee coverage or payment. Final responsibility may depend on eligibility, medical necessity, provider participation, deductible status, prior authorization, plan exclusions, and the services provided.

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

Can SOTA Benefits Members Use IVTherapy2go?

Members enrolled in an eligible SOTA Benefits employer plan may be able to use IVTherapy2go when hydration or infusion therapy is medically appropriate.

Services may be considered for concerns such as:

• Dehydration

• Fluid loss caused by vomiting or diarrhea

• Difficulty maintaining oral hydration

• Certain migraine-related symptoms

• Recovery support following an illness

• Provider-ordered vitamin replacement

• Provider-ordered iron therapy

• Certain prescribed medications

• Other medically appropriate infusion needs

A medical evaluation may be required before treatment. The medical professional will review the patient’s symptoms, medical history, medications, allergies, and requested service to determine whether mobile IV therapy is appropriate.

Some patients may require laboratory testing, an in-person examination, a traditional infusion center, or emergency care instead of mobile treatment.

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

Are Wellness IV Services Covered?

Insurance plans generally evaluate IV therapy based on medical necessity. Services requested only for general wellness, energy, athletic recovery, or convenience may not be covered.

Before scheduling, ask the plan administrator whether the requested service is considered:

• Medically necessary hydration

• A covered infusion service

• A prescription benefit

• A medical benefit

• An excluded wellness service

• A service requiring prior authorization

If the plan does not cover the requested treatment, the patient may be responsible for the full cost.

Does a $0 Deductible Mean IV Therapy Is Free?

No. A $0 deductible does not automatically mean that every infusion or related service is provided at no cost.

Depending on the employer’s plan, the member may still be responsible for:

• A medical visit copay

• Coinsurance

• Medication costs

• IV fluids or supplies

• Laboratory testing

• Out-of-network charges

• Noncovered wellness services

• Services received without required authorization

• Treatment that does not meet medical-necessity criteria

Some SOTA plans may provide $0 out-of-pocket access for certain services. Members should verify whether those benefits apply to IVTherapy2go, the treating medical professional, the service location, and the requested treatment.

How Do I Verify My IV Therapy Benefits?

Before booking, call the member-services number on your SOTA Benefits insurance card and ask:

• Does IVTherapy2go participate with my medical network?

• Is the treating medical professional in-network?

• Is mobile IV hydration covered?

• Are home, workplace, or hotel infusion visits covered?

• Does the treatment require medical-necessity documentation?

• Is a prescription or provider order required?

• Is my deductible $0?

• What copay or coinsurance applies?

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

• Is prior authorization required?

• Are laboratory tests required before treatment?

• Does the medication use a separate pharmacy benefit?

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

Provide the representative with the requested service or medication name whenever possible. Write down the representative’s name, the date of the call, and the reference number provided.

IVTherapy2go can collect the patient’s insurance information and review available benefits. However, the organization administering the plan provides the official explanation of benefits, and final coverage is determined after the claim is processed.

How Do I Identify My Medical Network?

SOTA Benefits plans may use different medical networks based on the employer, service area, and plan design.

Look for the medical network’s name or logo on the front or back of your insurance card. When contacting member services, provide:

• Employer name

• Medical plan name

• Medical network

• Member identification number

• Group number

• Requested infusion or medication

• Texas service address

Ask the representative to verify both IVTherapy2go and the individual treating medical professional. Participation with one SOTA Benefits plan does not guarantee participation with every employer plan.

Is Prior Authorization Required?

Certain hydration and infusion services may require approval before treatment.

Prior authorization may depend on:

• The patient’s diagnosis

• Medical-necessity requirements

• The requested medication or solution

• The treatment location

• Previous treatments

• Laboratory results

• Step-therapy requirements

• Provider-network participation

Ask whether authorization is required specifically for mobile or home-based infusion services.

Prior authorization does not guarantee claim payment. Current eligibility, medical necessity, provider participation, deductible requirements, plan exclusions, and other rules may still affect the claim.

Is a Prescription or Provider Order Required?

Some IV services require a prescription, provider order, supporting diagnosis, or recent laboratory results.

Requirements may vary based on:

• The requested treatment

• The medication being administered

• The patient’s medical history

• The employer’s plan

• Treatment frequency

• Medical-necessity guidelines

Do not assume that a previous prescription or authorization is still valid. Confirm current requirements before each new treatment series.

The medical professional may postpone or decline treatment when necessary information is unavailable or when mobile IV therapy is not medically appropriate.

What Should I Prepare Before the Appointment?

Have the following information available:

• SOTA Benefits insurance card

• Photo identification

• Employer and plan name

• Medical network information

• Current medication list

• Medication and food allergies

• Relevant medical history

• Recent laboratory results

• Provider order or prescription

• Prior-authorization documents

• A description of current symptoms

• Previous infusion information

• Preferred pharmacy information

• Benefit-verification reference number

• Requested service address

Providing complete information can help the medical team determine whether treatment is safe and appropriate before arriving.

What Should I Expect During a Mobile Visit?

After booking, the patient will receive an estimated arrival window. A medical assistant may send a text message when the care team is on the way.

Prepare a clean, well-lit area with a comfortable place to sit or recline. Please secure pets before the team arrives.

The medical professional may:

• Review symptoms and medical history

• Check medications and allergies

• Measure vital signs

• Review provider orders or laboratory results

• Explain the proposed treatment

• Monitor the patient during the infusion

• Provide aftercare instructions

• Recommend follow-up or a higher level of care

Treatment is provided only when the medical professional determines that it is appropriate and safe.

Claims Information for Providers

Providers should use the current insurance card to identify the claims administrator and submission instructions for the member’s exact SOTA Benefits plan.

Verify:

• Electronic payer identification number

• Claims mailing address

• Member eligibility

• Employer and plan name

• Medical network

• Hydration or infusion benefits

• Medication coverage

• Provider participation

• Prior-authorization requirements

• Medical-necessity documentation

• Timely filing limits

Claims information associated with another SOTA Benefits employer plan should not be used unless the current administrator confirms that it applies.

After the claim is processed, the member may receive an explanation of benefits. This document is not a bill. It explains how the claim was reviewed, what the plan paid, and what amount may be the member’s responsibility.

Compassionate IV Care Brought to Your Location

IVTherapy2go helps eligible patients receive medically appropriate hydration and infusion support without making an unnecessary trip while feeling unwell. The medical team will review your needs, explain the proposed care, and determine whether mobile treatment is suitable.

Visit IVTherapy2go or call (817) 508-8169 for scheduling and insurance-verification assistance.

When you are ready, request a mobile IV therapy appointment at your Texas home, workplace, hotel, or another approved location. Please have your SOTA Benefits insurance card, medication list, provider order, and available authorization documents ready for review.