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 calendar year	$4,500 per calendar year	$2,800 per calendar 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)

BayCarePlus
Rewards
(HMO)

BayCarePlus
Premier
(HMO)

BayCarePlus Complete (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 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 calendar year	$4,500 per calendar year	$2,800 per calendar 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 even lower	Preferred Generics: $0 Copay Generics: $4 Copay Preferred Brands: $35 Copay Non-Preferred Brands: $85 Copay Specialty Drugs: 33% Co-insurance	Preferred Generics: $0 Copay Generics: $10 Copay Preferred Brands: $47 Copay Non-Preferred Brands: $100 Copay Specialty Drugs: 33% Co-insurance	Preferred Generics: $0 Copay Generics: $0 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	Preferred Generics: $0 Copay Generics: $0 Copay Preferred Brands: $125 Copay Non-Preferred Brands: $275 Copay Specialty Drugs: no coverage	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		View the drugs covered by this plan		View the drugs covered by this plan
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 eyeglass frames
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

BayCarePlus (HMO) Plans in Pinellas County

BayCarePlusComplete(HMO)

BayCarePlusRewards(HMO)

BayCarePlusPremier(HMO)

Medical and Hospital

Monthly Premium

Special Features

Preventive Care/Screenings

Primary Care Physician Visits

Specialist Doctor Visits

Annual Out-of-Pocket Maximum

Part D Drug Coverage

Annual Pharmacy Deductible

30-Day Retail Pharmacy Supply

90-Day Mail Order Supply

Extra Benefits

Preventive Dental

Comprehensive Dental

Vision Care

Fitness Benefit

Transportation Assistance

Over-the-Counter Benefit

New for 2021! Post-Hospitalization Meals

New for 2021! Therapeutic Massage

New for 2021! Acupuncture

BayCarePlus Complete (HMO)

BayCarePlus Rewards (HMO)

BayCarePlus Premier (HMO)

Medical and Hospital

Monthly Premium

Special Features

Preventive Care Screenings

Primary Care Physician Visits

Specialist Visits

Annual Out-of-Pocket Maximum

Part D Drug Coverage

Annual Pharmacy Deductible

30-Day Retail Pharmacy Supply

90-Day Mail Order Supply

Extra Benefits

Preventive Dental

Comprehensive Dental

Vision Care

Fitness Benefit

Transportation Assistance

Over-the-Counter Benefit

New for 2021! Post-Hospitalization Meals

New for 2021! Therapeutic Massage

New for 2021! Acupuncture

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

Request aninformation kit

Attend afree seminar

Schedule apersonal consultation

Talk to alicensed advisor

Sign Up for Emails

BayCarePlus
Complete
(HMO)

BayCarePlus
Rewards
(HMO)

BayCarePlus
Premier
(HMO)

Request an
information kit

Attend a
free seminar

Schedule a
personal consultation

Talk to a
licensed advisor