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
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BayCarePlus
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BayCarePlus
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Medical and Hospital |
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Monthly Premium |
$0 |
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$33 |
Special Features |
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Preventive Care/Screenings |
$0 Copay | $0 Copay | $0 Copay |
Primary Care Physician Visits |
$0 Copay | $0 Copay | $0 Copay |
Specialist Doctor VisitsA 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 MaximumThis 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 |
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Annual Pharmacy Deductible |
$0 | $0 | $0 |
30-Day Retail Pharmacy SupplyIf you get Extra Help from Medicare, your costs may be lower |
Tier 1 – Preferred Generics:
Tier 2 – Generics:
Tier 3 – Preferred Brands:
Tier 4 – Non-Preferred Brands:
Tier 5 – Specialty Drugs:
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Tier 1 – Preferred Generics:
Tier 2 – Generics:
Tier 3 – Preferred Brands:
Tier 4 – Non-Preferred Brands:
Tier 5 – Specialty Drugs:
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Tier 1 – Preferred Generics:
Tier 2 – Generics:
Tier 3 – Preferred Brands:
Tier 4 – Non-Preferred Brands:
Tier 5 – Specialty Drugs:
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90-Day Mail Order SupplyIf you get Extra Help from Medicare, your costs may be lower. |
Tier 1 – Preferred Generics:
Tier 2 – Generics:
Tier 3 – Preferred Brands:
Tier 4 – Non-Preferred Brands:
Tier 5 – Specialty Drugs:
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Tier 1 – Preferred Generics:
Tier 2 – Generics:
Tier 3 – Preferred Brands:
Tier 4 – Non-Preferred Brands:
Tier 5 – Specialty Drugs:
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Tier 1 – Preferred Generics:
Tier 2 – Generics:
Tier 3 – Preferred Brands:
Tier 4 – Non-Preferred Brands:
Tier 5 – Specialty Drugs:
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View the drugs covered by this plan |
View the drugs covered by this plan |
View the drugs covered by this plan |
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Search Our Prescription Drug Formulary | |||
Extra Benefits |
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Preventive DentalExams, horizontal bitewing x-rays & cleanings |
$0 Copay | $0 Copay | $0 Copay
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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 |
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Fitness Benefit |
SilverSneakers® Membership Included | SilverSneakers® Membership Included | SilverSneakers® Membership Included |
Transportation AssistanceRides 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 BenefitFor 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.
Medical and Hospital |
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Monthly Premium |
$0 | $0 And your Part B premium is reduced by $114 |
$33 | ||
Special Features |
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Preventive Care Screenings |
$0 Copay | $0 Copay | $0 Copay | ||
Primary Care Physician Visits |
$0 Copay | $0 Copay | $0 Copay | ||
Specialist VisitsA 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. |
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Annual Out-of-Pocket MaximumThis 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 |
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Annual Pharmacy Deductible |
$0 | $0 | $0 | ||
30-Day Retail Pharmacy SupplyIf you get Extra Help from Medicare, your costs may be even lower |
Preferred Generics:
Generics:
Preferred Brands:
Non-Preferred Brands:
Specialty Drugs:
|
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90-Day Mail Order SupplyIf you get Extra Help from Medicare, your costs may be lower. |
Preferred Generics:
Generics:
Preferred Brands:
Non-Preferred Brands:
Specialty Drugs:
|
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View the drugs covered by this plan | |||||
Extra Benefits |
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Preventive DentalExams, horizontal bitewing x-rays & cleanings |
$0 Copay | $0 Copay | $0 Copay
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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 |
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Fitness Benefit |
SilverSneakers® Membership Included | SilverSneakers® Membership Included | SilverSneakers® Membership Included | ||
Transportation AssistanceRides 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 BenefitFor 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 |
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