Talk to our Medicare Advisors today, 8am-8pm, seven days a week*
Talk to our Medicare Advisors today, 8am-8pm, seven days a week*
Your no-cost, no-obligation information kit will be available for immediate download upon submitting your information
* Denotes required fields
Request your free, no-obligation BayCarePlus Information Kit today and …
Choose from a variety of comprehensive plans with money-saving benefits like these:
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) 727-1386 (TTY: 711)
8am-8pm, seven days a week*
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**.
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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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 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 Year | $4,500 per Year | $2,800 per 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:
|
Tier 1 – Preferred Generics:
Tier 2 – Generics:
Tier 3 – Preferred Brands:
Tier 4 – Non-Preferred Brands:
Tier 5 – Specialty Drugs:
|
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:
|
Tier 1 – Preferred Generics:
Tier 2 – Generics:
Tier 3 – Preferred Brands:
Tier 4 – Non-Preferred Brands:
Tier 5 – Specialty Drugs:
|
Tier 1 – Preferred Generics:
Tier 2 – Generics:
Tier 3 – Preferred Brands:
Tier 4 – Non-Preferred Brands:
Tier 5 – Specialty Drugs:
|
Extra Benefits |
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Preventive DentalExams, horizontal bitewing x-rays & cleanings |
$0 Copay | $0 Copay | $0 Copay
|
Comprehensive Dental |
Services must be received from an Argus dental provider. See Evidence of Coverage for details. |
Services must be received from an Argus dental provider. See Evidence of Coverage for details. |
Services must be received from an Argus dental provider. See Evidence of Coverage for details. |
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 |
300 Park Place Blvd.
Suite 170
Clearwater, FL 33759
*You may reach a messaging service on weekends from April 1 through September 30 and holidays. Please leave a message, and your call will be returned the next business day.
**For accommodations of persons with special needs at meetings, call (877) 256-5786.
BayCare Select Health Plans is an HMO plan with a Medicare contract. Enrollment in BayCare Select Health Plans depends on contract renewal. All BayCare Select Health Plans include Part D drug coverage.
To enroll, you must have both Medicare Parts A and B and reside in the plan service area.
You must continue to pay your Medicare Part B premium. Enrollment in a BayCare Select Health Plan may be limited to specific times of the year.
Members must use plan providers except in emergency or urgent care situations. If a member obtains routine care from an out-of-network provider without prior approval from BayCare Select Health Plans, neither Medicare nor BayCare Select Health Plans will be responsible for the costs.
Information on our utilization management processes, including prior authorization, concurrent review, post service review and appeals, can be found online at Member.BayCarePlus.org/s/Utilization.
Every year, Medicare evaluates plans based on a 5-star rating system.
BayCare Select Health Plans complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
©2020 BayCare Select Health Plans
H2235_21-257_M — Last updated 10/21/2020
