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Medicare Advantage without drug coverage · HMO-POS · Plan ID H8142-006

BSW SeniorCare Advantage Premium (HMO-POS)

Offered by Baylor Scott & White Health Plan (Baylor Scott & White Health) · available in 34 counties in TX

Monthly premium$170health coverage only
Yearly out-of-pocket max$4,500in network
Star Rating★★★★½ 4.5 out of 52027 CMS rating

Extra benefits listed in the CMS file

DentalPreventive dental (cleanings, exams, x-rays)
Visionroutine eye exam; eyewear
Hearingroutine hearing exam; hearing aids, plan pays up to $1,000 every 3 years
MealsMeal benefit (usually after a hospital stay or for a qualifying condition)
TransportationRides to health-related locations

Allowances and limits come from the plan's filing with CMS and are simplified here. Some benefits are only for members with certain chronic conditions. The plan's Evidence of Coverage is the final word.

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