Baylor Scott & White Individual Plan Changes for 2027
Baylor Scott & White Health Plan has announced its intent to discontinue individual coverage after December 31, 2026, pending regulatory approval. Current 2026 coverage remains in place.
2026 coverage continuesCurrent members remain covered through their enrollment period
Individual plans affectedOn- and off-Marketplace individual coverage is expected to end
Health system remainsBaylor Scott & White doctors and hospitals are not closing
Understanding the announcement
What is changing—and what is not
The announcement applies to Baylor Scott & White individual health plans. It does not mean the Baylor Scott & White health system is leaving the Marketplace or ending other types of coverage.
01
Individual plans are ending
Pending regulatory approval, Baylor Scott & White individual plans purchased on or off the ACA Marketplace will not be offered for coverage beginning January 1, 2027.
02
Current coverage remains active
Nothing changes immediately for 2026 members. Continue using your current benefits and paying premiums until the plan year ends or you receive different official instructions.
03
Other BSW coverage continues
The change does not apply to employer-group or Medicare Advantage plans. Baylor Scott & White hospitals and physicians will continue operating.
Details and availability can change. View the official Baylor Scott & White Marketplace announcement for current information.
Preparing for 2027
What to compare in a replacement plan
A replacement plan should protect access to the care you use—not merely offer the lowest monthly premium.
Baylor Scott & White providers
Confirm that your doctors, specialists, hospitals, and facilities participate in the exact replacement plan network.
Prescription coverage
Check each medication against the new plan formulary, including tiers, pharmacy network, and prior-authorization rules.
Total annual costs
Compare premiums, deductibles, copayments, coinsurance, and the annual out-of-pocket limit.
Marketplace savings
Complete or update your Marketplace application to determine whether financial assistance changes your available options.
A practical transition
Steps current members can take
Members do not need to cancel their 2026 coverage. Instead, prepare for the next enrollment period and watch for official communications from Baylor Scott & White Health Plan.
- Keep all notices from Baylor Scott & White and the Marketplace.
- Make a current list of doctors, facilities, prescriptions, and preferred pharmacies.
- Compare exact provider networks when 2027 plans become available.
- Enroll in replacement coverage by the applicable deadline to avoid a gap.
Important: The discontinuation remains subject to regulatory approval. Use Baylor Scott & White Health Plan communications as the authoritative source for your current policy.
Frequently asked questions
Questions about Baylor Scott & White Individual Plan Changes for 2027
When will Baylor Scott & White individual plans end?
Baylor Scott & White Health Plan has stated that its individual plans are expected to end after December 31, 2026, pending regulatory approval.
Does my 2026 coverage end immediately?
No. Current coverage remains in place through the end of the enrollment period unless the insurer sends different official instructions.
Are Baylor Scott & White hospitals and doctors closing?
No. The announcement concerns individual insurance plans, not the Baylor Scott & White health system.
Will other Marketplace plans include BSW doctors and hospitals?
Some may, but networks differ by carrier and by plan. Confirm participation in the exact plan before enrolling.
Does this affect BSW Medicare Advantage or employer coverage?
Baylor Scott & White states that the individual-plan change does not affect employer-group or Medicare Advantage plans.
For general information, visit our Marketplace FAQ, Medicare FAQ, or enrollment guide.
Need help comparing replacement coverage?
A licensed Precise Insurance agent can help current Baylor Scott & White members review 2027 options, provider networks, prescriptions, and total costs when replacement plans become available.