BayCarePlus (HMO) Plans in Your Area

All BayCarePlus plans bundle your hospital, medical and prescription drug benefits into one plan for $0 monthly premium. They also include money-saving extra benefits like dental, vision and health club memberships. The BayCarePlus Rewards (HMO) plan also includes a $100 monthly reduction on your Part B premium. The BayCarePlus Complete (HMO) plan includes lower copays for specialist visits and prescription drugs, comprehensive dental benefits, transportation assistance, hearing benefits and coverage on over-the-counter items. The chart below gives a quick overview of each plan so you can compare your options.

Coverage Highlights
BayCarePlus Complete (HMO) BayCarePlus Rewards (HMO)
Medical and Hospital
Monthly Premium $0 $0
Part B Premium Reduction $0 $100 Per Month
Preventive Care/Screenings $0 Copay $0 Copay
Primary Care Physician Visits $0 Copay $0 Copay
Specialist Doctor Visits $35 Copay $45 Copay
Maximum Out-of-Pocket Limit $3,900 Per Year $5,900 Per Year
Part D Drug Coverage
Annual Deductible $0 $0
Tier 1 – Preferred Generics $0 Copay $0 Copay
Tier 2 – Generics $4 Copay $10 Copay
Tier 3 – Preferred Brands $35 Copay $47 Copay
Tier 4 – Non-Preferred Brands $85 Copay $100 Copay
Tier 5 – Specialty Drugs 33% Coinsurance 33% Coinsurance
Mail Order – 90 Day Supply $0 / $0 / $95 / $245/ no coverage $0 / $0 / $125 / $275/ no coverage
View the drugs covered by this plan View the drugs covered by this plan
Extra Benefits Included
Preventive Dental
Exams, horizontal bite-wings x-rays, cleanings
$0 Copay $0 Copay
Comprehensive Dental Care
Exams, horizontal bite-wing X-ray, cleanings
$100 Deductible, $1000 Maximum Year Benefit Per Year No Coverage
Routine Vision $15 Copay for routine eye exam $15 Copay for routine eye exam
SilverSneakers® Included at No Additional Cost Included at No Additional Cost
Transportation Assistance
Transportation to and from doctors appointments
$0 Copay for 16 one-way trips to approved locations per year No Coverage
Over the Counter (OTC) $50 Per Quarter No Coverage
View Plan Details View Plan Details
BayCarePlus Complete (HMO)

Medical & Hospital

Monthly Premium $0
Part B Premium Reduction $0
Preventive Care/Screenings $0 Copay
Primary Care Physician Visits $0 Copay
Specialist Doctor Visits $35 Copay
Maximum Out-of-Pocket Limit $3,900 Per Year

Part D Drug Coverage

View Drug Formulary
Annual Deductible $0
Tier 1 – Preferred Generics $0 Copay
Tier 2 – Generics $4 Copay
Tier 3 – Preferred Brands $35 Copay
Tier 4 – Non-Preferred Brands $85 Copay
Tier 5 – Specialty Drugs 33% Coinsurance
Mail Order – 90 Day Supply $0 / $0 / $95 / $245/ no coverage

Extra Benefits Included

Preventive Dental
Exams, horizontal bite-wings x-rays, cleanings
$0 Copay
Comprehensive Dental Care
Exams, horizontal bite-wing X-ray, cleanings
$100 Deductible, $1000 Maximum Year Benefit Per Year
Routine Vision $15 Copay for routine eye exam
SilverSneakers® Included at No Additional Cost
Transportation Assistance
Transportation to and from doctors appointments
$0 Copay for 16 one-way trips to approved locations per year
Over the Counter (OTC) $50 Per Quarter
View All BayCarePlus Complete Benefits
BayCarePlus Rewards (HMO)

Medical and Hospital

Monthly Premium $0
Part B Premium Reduction $100 Per Month
Preventive Care/Screenings $0 Copay
Primary Care Physician Visits $0 Copay
Specialist Doctor Visits $45 Copay
Maximum Out-of-Pocket Limit $5,900 Per Year

Part D Drug Coverage

View Drug Formulary
Annual Deductible $0
Tier 1 – Preferred Generics $0 Copay
Tier 2 – Generics $10 Copay
Tier 3 – Preferred Brands $47 Copay
Tier 4 – Non-Preferred Brands $100 Copay
Tier 5 – Specialty Drugs 33% Coinsurance
Mail Order – 90 Day Supply $0 / $0 / $125 / $275/ no coverage

Extra Benefits Included

Preventive Dental
Exams, horizontal bite-wings x-rays, cleanings
$0 Copay
Comprehensive Dental Care
Exams, horizontal bite-wing x-ray, cleanings
No Coverage
Routine Vision $15 Copay for routine eye exam
SilverSneakers® Included at No Additional Cost
Transportation Assistance
Transportation to and from doctors appointments
No Coverage
Over the Counter (OTC) No Coverage
View All BayCarePlus Rewards Benefits