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Do more for your family with RightCare's extra member benefits

Explore Extra Member Benefits

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Program Overview

RightCare from Scott and White Health Plan provides STAR Medicaid services. STAR is managed care Medicaid. You pick a medical plan that provides your Medicaid services and a main doctor that is your point of contact for Medicaid services. In addition to your main doctor, each plan has a large group of specialists, therapists, clinics, and hospitals that can provide you with Medicaid services.


Background

Scott and White Health Plan and Insurance Company of Scott and White (SWHP) started operations in January 1982 as a nonprofit Health Maintenance Organization. Since then, our mission has been: "To provide the most personalized, comprehensive, highest quality health care, enhanced by medical education and research." SWHP was first called Centroplex Health Plan, and our service area was focused primarily in Bell and Coryell counties. Since then, we've grown our membership to more than 240,000 members and our service area to 80 counties in the Central, East, North, and West Texas regions. New insurance plans, including self-insured plans, a Medicare prescription plan, and a Medicaid plan, have been introduced to meet the needs of members, employers, and the community.

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Enjoy full Medicaid benefits with RightCare, plus so much more

Drawing upon the rich history of service and high-quality care provided throughout the Baylor Scott & White Healthcare network, RightCare offers Medicaid families in Texas everything children and pregnant moms need to be healthy. This includes all of the services covered by the Texas Medicaid program, STAR, plus these additional benefits and services.

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Our RightCare network puts you closer to the providers your family needs

Find a Provider

4,200+

Doctors & Specialists

200+

Pharmacies

40+

Hospitals & Clinics

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Availability of Materials in Alternate Formats

If you need any RightCare Materials in a different format such as audio, large print, braille, or in a language other than English and Spanish; contact RightCare Member Services.

OIG Website Link:

Report Waste, Abuse, or Fraud to the Inspector General

Important Phone Numbers

Member Services

If you have questions, call us at 1-855-TX-RIGHT. Our staff is bilingual in English and Spanish. If you speak another language or are hearing impaired, call Member Services at 1-855-TX-RIGHT for help. 


Regular Business Hours: Monday to Friday, 8 a.m. to 5 p.m. Central Time (Except for state-approved holidays.) If a medical condition is life-threatening, members should go to the emergency room. If the medical condition is non-life-threatening you can seek care at an urgent care facility or get urgent medical care from your primary care provider (PCP) within 24 hours.


Provider Services Hotline

If you have questions, call us at 1-855-TX-RIGHT. Regular Business Hours: Monday to Friday, 8 a.m. to 5 p.m. Central Time (Except for state-approved holidays.) Provider can call to verify eligibility and claim inquiries.



Behavioral Health Hotline Number

If you need mental health or substance abuse services, you can call a Behavioral Health Case Manager at 1-855-395-9652. Behavioral Health Services are private so you do not need permission from your PCP to get these services. If you are in crisis, you can call the behavioral health crisis line anytime 24 hours a day, 7 days a week, you will not get a recording. Our staff is bilingual in English and Spanish. If you need, we can arrange for an interpreter to help you. If a medical condition is life-threatening, members should go to the emergency room. If the medical condition is non-life-threatening you can seek care at an urgent care facility or get urgent medical care from your primary care provider (PCP) within 24 hours.



STAR Program Help Line (Enrollment Broker)

Regular Business Hours: Monday to Friday, 8 a.m. to 5 p.m. Central Time (Except for state-approved holidays.) The Texas STAR Program Help Line can help members change their address or phone number, or sign up their baby after birth. TTY: (800) 267-5008.

Fair Hearing

In addition to the complaint processes, members have the right to ask for a Fair Hearing from the State of Texas at any time during the appeal process. They have a right to ask for a Fair Hearing even if an appeal hasn’t been filed with RightCare. They have the right to ask for a health care service the member or the member’s doctor requested has been denied, delayed or modified. Members may ask for a State Fair Hearing by contacting us toll-free at 855-897-4448 (1-855-TX-RIGHT). RightCare’s Member Services can help you file a fair hearing.



Subcontractor Information

RightCare uses the following subcontractors to provide members and providers the best experience:

  • Prescription Benefits Manager: Navitus Health Solutions: (www.navitus.com) (1-855-897-4448) 
  • Vision: Superior Vision (www.superiorvision.com) (1-800-879-6901)



Office of Consumer Credit Commissioner 

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Language Center

ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-855-897-4448 (TTY: 7-1-1).

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-855-897-4448 (TTY: 7-1-1).

View our multi-language assistance and non-discrimination notices.

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