BayCarePlus bundles medical, hospital and prescription drug coverage together into one convenient plan. With one insurance card and one number to call, we eliminate the hassle and cost of dealing with multiple insurance companies so you can focus on more important things.
With BayCarePlus, there are no additional premiums to pay. There are also no annoying deductibles to meet. Your coverage begins right away.
Whether you’re making a trip out of state or out of the country, BayCarePlus has you covered. If you ever get sick or injured when away from home, you can rest easy knowing you have emergency or urgent care coverage.
All of our plans include out-of-pocket protection that limits your annual health care costs and protects your savings in case of an emergency or unexpected illness. This important protection isn’t offered by traditional Medicare plans.
The BayCarePlus Complete (HMO) plan also includes preventive dental coverage, transportation to and from doctor appointments, hearing aid coverage and even coverage for over-the-counter health care expenses.
New for 2021, BayCarePlus Complete (HMO) members will also receive acupuncture benefits, post-hospitalization meals and access to BayCareAnywhere® 24/7 virtual doctor visits via video chat at no additional cost.
The BayCarePlus provider network includes many of the area’s doctors and hospitals. These providers all share our commitment to delivering high-quality care and personal and attentive service. As a member of BayCarePlus, you’ll have access to the hospitals and doctors of BayCare, plus other hospitals and doctors throughout the Tampa Bay region. As a BayCarePlus member, you’ll choose a participating primary care physician to serve as your personal doctor. Your physician will work closely with you, help you manage your health and help coordinate your care with specialists and others.
The following tables highlight some of the many benefits available to you as a valued BayCarePlus member. For more details and a complete list of benefits, please review our downloadable Summary of Benefits or Evidence of Coverage below.
Your BayCarePlus plan provides comprehensive medical and hospital coverage with no annual deductible and low copayments.
Hospital and Medical Coverage |
|
|---|---|
Monthly Premium |
$0 |
Part B Premium Reduction |
$0 per Month |
Maximum Out-of-Pocket Limit |
$3,500 per Year |
Annual Deductible |
$0 |
Preventive Care/Screenings |
$0 Copay |
Primary Care Physician Visits |
$0 Copay |
Specialist Doctor Visits |
$15 Copay |
Urgent Care |
$35 Copay |
Emergency Care |
$90 Copay |
Lab Services |
$0 Copay |
Home Health Care |
100% Coverage |
Chiropractic Services |
$20 Copay |
Inpatient Hospital Care |
$175 per Day for Days 1-5 $0 per Day for Day 6 and Beyond |
Outpatient Surgery at Hospital |
$125 Copay |
Outpatient Surgery at Ambulatory Surgery Center |
$75 Copay |
This table shows the drug tiers associated with your plan, and the copayments or co-insurance that you will pay in each tier. A drug formulary provides a list of drugs that are covered by our plan.
Part D Drug Coverage |
|
|---|---|
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% Co-insurance |
Mail Order – 90 Day Supply |
$0 / $0 / $95 / $245 / no coverage |
Initial Coverage Limit |
$4,130 |
Your BayCarePlus plan offers many valuable extras not offered by Original Medicare or Medicare supplement plans – at no additional cost to you.
Extra Benefits |
|
|---|---|
Vision Care |
$0 Copay: routine eye exam $0 Copay: eyeglasses or contacts ($100 max benefit/calendar year) |
Preventive Dental Care |
$0 Copay |
Comprehensive Dental Care |
Some limitations apply. See Evidence of Coverage for complete details. Services must be received from an Argus dental provider. |
Over-the-Counter (OTC) Items |
$70 per Quarter |
Hearing |
Up to two hearing aids every two calendar years (one per ear), $699 or $999 copay per hearing aid |
Transportation Assistance |
$0 Copay for 16 One-Way Trips to Approved Locations per Calendar Year |
Fitness Club Membership |
Included at no Additional Cost |
Travel Benefits |
Emergency or Urgent Care Coverage if you are making a trip out of state or country |
Meals |
56 Home-delivered, post-discharge meals per calendar year |
Therapeutic Massage |
No Coverage |
Acupuncture |
$20 Copay for up to 20 visits |
Download your FREE Medicare Advantage info kit or request a copy by mail.
Request Your Kit
Learn more about BayCarePlus plans at a FREE live seminar or webinar.
Sign Up for a Seminar
Get your questions answered in a virtual or in-person appointment with a BayCarePlus advisor.
Schedule a Consultation
Discuss your options with a licensed Medicare advisor.
Call (877) 549-1741 (TTY: 711)
