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BayCarePlus (HMO) Plans in Pinellas County

New for 2021! BayCarePlus is proud to introduce an exciting new plan, available exclusively to residents of Pinellas County. Our new BayCarePlus Premier (HMO) plan is rich in Medicare coverage and chock-full of even more money-saving extra benefits than ever. Find out if a BayCarePlus Premier (HMO) plan is right for you!

All of the BayCarePlus (HMO) plans bundle your hospital, medical and prescription drug benefits into one plan and include money-saving extra benefits like dental and vision coverage and free health club memberships. Below is an overview of each plan so that you may quickly and easily compare your options.

BayCarePlus
Complete
(HMO)

BayCarePlus
Rewards
(HMO)

BayCarePlus
Premier
(HMO)

Medical and Hospital

Monthly Premium

$0
  • $0
  • And your Part B premium is reduced by $114
$33

Special Features

  • LOWER Co-pays
  • BIGGER OTC allowance
  • Transportation
  • Meals
  • You Save $114/month on your Part B Premium
  • No Referrals Required*

Preventive Care/Screenings

$0 Copay $0 Copay $0 Copay

Primary Care Physician Visits

$0 Copay $0 Copay $0 Copay

Specialist Doctor Visits

A referral from your PCP may be required to see a specialist.

$15 Copay
A referral is required for specialist visits except for visits with an obstetrician/gynecologist, chiropractor, podiatrist or dermatologist.
$35 Copay
A referral is required for specialist visits except for visits with an obstetrician/gynecologist, chiropractor, podiatrist or dermatologist.
$10 Copay
A referral is not required to see specialists on this plan, except for home health, occupational therapy, physical therapy and speech therapy.

Annual Out-of-Pocket Maximum

This is the most you’d pay in a year for covered medical services. Once you reach it, your plan pays all the costs.

$3,500 per Year $4,500 per Year $2,800 per Year

Part D Drug Coverage

Annual Pharmacy Deductible

$0 $0 $0

30-Day Retail Pharmacy Supply

If you get Extra Help from Medicare, your costs may be lower

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

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% Co-insurance

Tier 1 – Preferred Generics:

  • $0 Copay

Tier 2 – Generics:

  • $0 Copay

Tier 3 – Preferred Brands:

  • $35 Copay

Tier 4 – Non-Preferred Brands:

  • $85 Copay

Tier 5 – Specialty Drugs:

  • 33% Co-insurance

90-Day Mail Order Supply

If you get Extra Help from Medicare, your costs may be lower.

Tier 1 – Preferred Generics:

  • $0 Copay

Tier 2 – Generics:

  • $0 Copay

Tier 3 – Preferred Brands:

  • $95 Copay

Tier 4 – Non-Preferred Brands:

  • $245 Copay

Tier 5 – Specialty Drugs:

  • no coverage

Tier 1 – Preferred Generics:

  • $0 Copay

Tier 2 – Generics:

  • $0 Copay

Tier 3 – Preferred Brands:

  • $125 Copay

Tier 4 – Non-Preferred Brands:

  • $275 Copay

Tier 5 – Specialty Drugs:

  • no coverage

Tier 1 – Preferred Generics:

  • $0 Copay

Tier 2 – Generics:

  • $0 Copay

Tier 3 – Preferred Brands:

  • $95 Copay

Tier 4 – Non-Preferred Brands:

  • $245 Copay

Tier 5 – Specialty Drugs:

  • no coverage
View the drugs covered
by this plan
View the drugs covered
by this plan
View the drugs covered
by this plan
Search Our Prescription Drug Formulary

Extra Benefits

Preventive Dental

Exams, horizontal bitewing x-rays & cleanings

$0 Copay $0 Copay $0 Copay

  • Fillings and extractions included

Comprehensive Dental

Optional supplemental dental coverage is available for an additional monthly premium. Optional supplemental dental coverage is available for an additional monthly premium. Optional supplemental dental coverage is available for an additional monthly premium.

Vision Care

  • $0 Copay for routine eye exam
  • $0 Copay for a pair of eyeglasses (lenses and frames) or contacts ($100 max benefit/calendar year)
  • $0 Copay for routine eye exam
  • $0 Copay for a pair of eyeglasses (lenses and frames) or contacts ($100 max benefit/calendar year)
  • $0 Copay for routine eye exam
  • $0 Copay for a pair of eyeglasses (lenses and frames) or contacts ($200 max benefit/calendar year)

Fitness Benefit

SilverSneakers® Membership Included SilverSneakers® Membership Included SilverSneakers® Membership Included

Transportation Assistance

Rides to and from your doctor

$0 Copay (16 one-way trips to approved locations per calendar year) No Coverage $0 Copay (24 one-way trips to approved locations per calendar year)

Over-the-Counter Benefit

For items like toothpaste, vitamins, blood pressure cuffs, band-aids and more

$70 Per Quarter No Coverage $100 Per Quarter

New for 2021! Post-Hospitalization Meals

Up to 56 home-delivered, post-discharge meals per calendar year No Coverage Up to 56 home-delivered, post-discharge meals per calendar year

New for 2021! Therapeutic Massage

No Coverage No Coverage $20 Copay for up to 30 combined total visits between acupuncture and therapeutic massage, per calendar year

New for 2021! Acupuncture

$20 Copay for up to 20 visits $20 Copay for up to 20 visits $20 Copay for up to 30 combined total visits between acupuncture and therapeutic massage, per calendar year
View Complete Plan Details View Rewards Plan Details View Premier Plan Details

Tap one of the buttons/plan names below to select a plan and scroll to view included benefits. Tap on a different button at anytime to view other BayCarePlus plans.

BayCarePlus Complete (HMO)

Medical and Hospital

Monthly Premium

$0

Special Features

  • LOWER Co-pays
  • BIGGER OTC allowance
  • Transportation
  • Meals

Preventive Care Screenings

$0 Copay

Primary Care Physician Visits

$0 Copay

Specialist Visits

A referral from your PCP may be required to see a specialist.

$15 Copay
A referral is required for specialist visits except for visits with an obstetrician/gynecologist, chiropractor, podiatrist or dermatologist.

Annual Out-of-Pocket Maximum

This is the most you’d pay in a year for covered medical services. Once you reach it, your plan pays all the costs.

$3,500 per Year

Part D Drug Coverage

Annual Pharmacy Deductible

$0

30-Day Retail Pharmacy Supply

If you get Extra Help from Medicare, your costs may be even lower

Preferred Generics:

  • $0 Copay

Generics:

  • $4 Copay

Preferred Brands:

  • $35 Copay

Non-Preferred Brands:

  • $85 Copay

Specialty Drugs:

  • 33% Co-insurance

90-Day Mail Order Supply

If you get Extra Help from Medicare, your costs may be lower.

Preferred Generics:

  • $0 Copay

Generics:

  • $0 Copay

Preferred Brands:

  • $95 Copay

Non-Preferred Brands:

  • $245 Copay

Specialty Drugs:

  • no coverage
View the drugs covered by this plan

Extra Benefits

Preventive Dental

Exams, horizontal bitewing x-rays & cleanings

$0 Copay

Comprehensive Dental

Optional supplemental dental coverage is available for an additional monthly premium.

Vision Care

$0 Copay for routine eye exam
$0 Copay for a pair of eyeglasses (lenses and frames) or contacts ($100 max benefit/calendar year)

Fitness Benefit

SilverSneakers® Membership Included

Transportation Assistance

Rides to and from your doctor

$0 Copay (16 one-way trips to approved locations per calendar year)

Over-the-Counter Benefit

For items like toothpaste, vitamins, blood pressure cuffs, band-aids and more

$70 Per Quarter

New for 2021! Post-Hospitalization Meals

Up to 56 home-delivered, post-discharge meals per calendar year

New for 2021! Therapeutic Massage

No Coverage

New for 2021! Acupuncture

$20 Copay for up to 20 visits
View Complete Plan Details

Ready to learn more about a BayCarePlus (HMO) plan?

BayCarePlus Request a Kit
Request an
information kit

Download your FREE Medicare Advantage info kit or request a copy by mail.

Request Your Kit
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free seminar

Learn more about BayCarePlus plans at a FREE live seminar or webinar.

Sign Up for a Seminar
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Schedule a
personal consultation

Get your questions answered in a virtual or in-person appointment with a BayCarePlus advisor.

Schedule a Consultation
BayCarePlus Call CTA
Talk to a
licensed advisor

Discuss your options with a licensed Medicare advisor.

Call (877) 549-1741 (TTY: 711)