Marketplace issuer snapshot

Baylor Scott & White Health Plan coverage profile

Review marketplace plan availability, current source quality, formulary footprint, and linked HealthPorta plan coverage for Baylor Scott & White Health Plan.

Plans tracked: 19 State: Texas Coverage exceptions: 1
Browse plan directory Healthcare data dashboard View source-quality details
Plans tracked 19
Formularies 19
Latest refresh Tue, 10 Mar 2026 06:40 GMT
HealthPorta issuer coverage analytics

HealthPorta market view

Coverage, formulary, and source-quality context in one issuer profile

This issuer view combines plan availability, drug coverage footprint, and source-quality context so teams can review current marketplace status quickly.

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Issuer coverage metrics

Marketplace coverage snapshot

Plans tracked 19
State served

Texas

Latest source refresh Tue, 10 Mar 2026 06:40 GMT
Coverage exceptions 1

Drug coverage overview

76,570 drugs tracked across 19 formularies

Prior authorization requirements
Status Drugs
Required 18,012
Not Required 58,558

Plan roster

Marketplace plans from Baylor Scott & White Health Plan

Plan ID Plan name Year Network Last update
40788TX0460014 BSW Diabetes Care Gold HMO 014 2026 BSW PREMIER Oct 15, 2025
40788TX0460001 BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) 2026 BSWPREMIERHMO Oct 15, 2025
40788TX0460004 BSW Elite Gold HMO 004 2026 BSWPREMIERHMO Oct 15, 2025
40788TX0460012 BSW Elite Gold HMO 012 2026 BSW PREMIER Oct 15, 2025
40788TX0460003 BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) 2026 BSWPREMIERHMO Oct 15, 2025
40788TX0460005 BSW Prime Silver HMO 005 2026 BSW PREMIER Oct 15, 2025
40788TX0460008 BSW Prime Silver HMO 008 2026 BSW PREMIER Oct 15, 2025
40788TX0460006 BSW Savers Bronze HMO H S A 006 2026 BSWPREMIERHMO Oct 15, 2025
40788TX0460007 BSW Savers Bronze HMO H S A 007 (CMS Standardized Plan with $0 Pediatric PCP copay) 2026 BSW PREMIER Oct 15, 2025
40788TX0460009 BSW Savers Bronze HMO H S A 009 2026 BSWPREMIERHMO Oct 15, 2025
40788TX0460001 BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) 2025 TXN001 Sep 17, 2024
40788TX0460004 BSW Elite Gold HMO 004 (Two free PCP visits, $0 Pediatric PCP visits) 2025 TXN001 Sep 17, 2024
40788TX0460012 BSW Elite Gold HMO 012 2025 TXN001 Sep 17, 2024
40788TX0460003 BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) 2025 TXN001 Sep 17, 2024
40788TX0460005 BSW Prime Silver HMO 005 2025 TXN001 Sep 17, 2024
40788TX0460008 BSW Prime Silver HMO 008 (Two free PCP visits, $0 Pediatric PCP visit) 2025 TXN001 Sep 17, 2024
40788TX0460006 BSW Savers Bronze HMO H S A 006 2025 TXN001 Sep 17, 2024
40788TX0460007 BSW Vital Bronze HMO 007 (CMS Standardized Plan with $0 Pediatric PCP copay) 2025 TXN001 Sep 17, 2024
40788TX0460009 BSW Vital Bronze HMO 009 (One free PCP visit, $0 Pediatric PCP visit) 2025 TXN001 Sep 17, 2024

Data notes

Source notes and references

Note: This dashboard reflects recurring imports from CMS marketplace source files. Figures may lag issuer submissions or change when upstream source files are revised.

Source: CMS.gov and the HealthPorta Healthcare MRF API.