All of the BayCarePlus Medicare Advantage (HMO) plans bundle your hospital, medical, and prescription drug coverage, plus offer you extra benefits like dental, vision, hearing and more. Below is an overview of each 2027 plan so can easily compare your options. You'll also find important documents like the Evidence of Coverage and Summary of Benefits with additional benefit details.
| Benefit | BayCarePlus
Rewards (HMO) H2235-002 |
BayCarePlus
Complete (HMO) H2235-001 |
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|---|---|---|---|---|---|---|
Medical and Hospital |
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Monthly Premium |
$0 |
$0 | ||||
Part B Premium Savings |
$120 per month | Not covered | ||||
Maximum Out-Of-Pocket Limit |
$3,700 per calendar year | $2,000 per calendar year | ||||
Annual Deductible |
$0 | $0 | ||||
Primary Care Physician Visits |
$0 copay | $0 copay | ||||
Specialist Visits |
$25 copay | $15 copay | ||||
Inpatient Hospital Care |
$200 copay per day, per stay: days 1–5 $0 copay per day, per stay: days 6 and beyond |
$150 copay per day, per stay: days 1–5 $0 copay per day, per stay: days 6 and beyond |
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Urgent Care |
$20 copay | $20 copay | ||||
Emergency Care |
$150 copay | $150 copay | ||||
Lab Services |
$0 copay |
$0 copay |
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Part D Prescription Drug Coverage |
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Annual Deductible |
Tier 1-2 - $0 Tier 3-5 - $700 |
Tier 1-2 - $0 Tier 3-5 - $250 |
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Tier 1 Preferred Generic |
$0 copay | $0 copay | ||||
Tier 2 Generic |
$0 copay | $5 copay | ||||
Tier 3 Preferred Brand |
$47 copay | $47 copay | ||||
Tier 4 Non-Preferred Brand |
25% coinsurance | 25% coinsurance | ||||
Tier 5 Specialty Drug |
25% coinsurance | 30% coinsurance | ||||
Tier 1-4 Mail Order (up to a 100 Day Supply) |
$0 / $0 / $121 / 25% * |
$0 / $15 / $121 / 25% * |
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Tier 5 Mail Order (30 Day Supply) |
25% coinsurance | 30% coinsurance | ||||
Diabetic Insulin (One Month Supply) |
Tier 1 - $0 copay |
Tier 1 - $0 copay |
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Initial Coverage Limit |
$2,400 |
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*coinsurance |
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Extra Benefit Highlights |
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Dental |
0% coinsurance for covered preventive dental services including oral exams, X-rays and cleanings |
0% coinsurance for covered preventive dental services including oral exams, X-rays and cleanings |
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Vision |
$0 copay for routine eye exam |
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Hearing Aids |
Up to two hearing aids every year (one per ear per year). $699 or $999 copay per hearing aid |
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Over-the-Counter (OTC) Items |
Not covered |
$50 per quarter |
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Transportation Assistance |
Not covered |
$0 copay for 10 one-way trips to approved locations per calendar year |
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Meals |
Not covered |
28 home-delivered, post-discharge meals per calendar year |
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Travel Benefits |
Emergency or urgent care coverage if you’re making a trip out of state or country. | |||||
Important Documents (All Plans) |
Provider Directory (Available on or before 10/15/26) |
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Documentos Importantes (Todos los planes) |
Directorio de Proveedores |
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Important Documents (Plan Specific) |
Evidence of Coverage |
Evidence of Coverage |
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Documentos Importantes (Específico del Plan) |
Evidencial de Cobertura |
Evidencial de Cobertura |
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Medical and Hospital |
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Part D Prescription Drug Coverage |
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Extra Benefit Highlights |
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Download your FREE Medicare Advantage Decision Guide or request a copy by mail.
Learn more about BayCarePlus plans at a FREE live seminar or webinar.
Get your questions answered in a virtual or in-person appointment with a BayCarePlus advisor.
Discuss your options with a licensed Medicare advisor.
