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BayCare Information Kit Book

Request your free, no-obligation BayCarePlus Information Kit today and …

  • Compare BayCarePlus plan options
  • Review plan benefits and costs
  • Complete your Enrollment Application
  • Be confident you’re getting the most out of Medicare

Ready to get the all-in-one coverage of a BayCarePlus plan?

BayCarePlus Medicare Advantage (HMO) plans are good for your health and budget.

Choose from a variety of comprehensive plans with money-saving benefits like these:

  • $0 monthly premium
  • $0 copay for primary care visits
  • $0 copay for preferred generics
  • $0 medical and drug deductibles
  • No outside insurance companies
  • Save $114 per month on your Part B premium
    (BayCarePlus Rewards (HMO) plan)
  • WORLDWIDE emergency and urgent care coverage
  • FREE SilverSneakers® fitness membership
  • Thousands of local doctors and hospitals in network

Have questions? You’re new to this, and we understand you probably do.
Our Medicare advisors are here to help you get you the answers you need.

Call (866) 727-1388 (TTY: 711)

8am-8pm, seven days a week*

New to Medicare? Let’s Get Together!

Attend a no-obligation New to Medicare seminar or webinar to get answers from our Medicare experts about costs, plan coverage, benefit details, enrolling and more**.

Reserve Your Seat

Which BayCarePlus plan is right for you?

BayCarePlus
Complete
(HMO)

BayCarePlus
Rewards
(HMO)

BayCarePlus
Signature
(HMO)

Medical and Hospital

Monthly Premium

$0
  • $0
  • And your Part B premium is reduced by $114
$28

Special Features

  • LOWER Co-pays
  • BIGGER OTC allowance
  • Transportation
  • Meals
You Save $114/month on your Part B Premium
  • LOWER copays
  • LOWER maximum out-of-pocket limits
  • BIGGER OTC allowance
  • and more

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 you PCP may be required to see a specialist.

$15 Copay $35 Copay $10 Copay

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

Extra Benefits

Preventive Dental

Exams, horizontal bitewing x-rays & cleanings

$0 Copay $0 Copay $0 Copay

  • Fillings and extractions included

Comprehensive Dental

  • Additional monthly premium $14
  • $0 copay
  • No annual deductible
  • No maximum benefit amount per year
  • Crowns – one per calendar year
  • Root canals – one per calendar year
  • Complete or partial dentures – one set once per five years (upper and lower)

Services must be received from an Argus dental provider. See Evidence of Coverage for details.

  • Additional monthly premium $14
  • $0 copay
  • No annual deductible
  • No maximum benefit amount per year
  • Crowns – one per calendar year
  • Root canals – one per calendar year
  • Complete or partial dentures – one set once per five years (upper and lower)

Services must be received from an Argus dental provider. See Evidence of Coverage for details.

  • Additional monthly premium $14
  • $0 copay
  • No annual deductible
  • No maximum benefit amount per year
  • Crowns – one per calendar year
  • Root canals – one per calendar year
  • Complete or partial dentures – one set once per five years (upper and lower)

Services must be received from an Argus dental provider. See Evidence of Coverage for details.

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

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