Medicare plans in North Texas.
Understand your Medicare plan options in North Texas.
Benefits made for you.
2024 Medicare Advantage plans from Baylor Scott & White Health Plan are affordable, accessible, and comprehensive.
Our Medicare Advantage plans give you access to MetLife’s nationwide Preferred Dentist Program (PDP) network. Because it’s a PPO, you can visit any licensed dentist—in or out of the MetLife PDP Plus network—and receive benefits.
You have thousands of options for general dentists and specialists, and no referrals are required.†
BSW SeniorCare Advantage plans cover the following North Texas counties:
See Central Texas countiesSee West Texas counties
Medicare Advantage eligibility is based on your county of residence. We offer one or more plans in the following North Texas counties:
Collin
Dallas
Denton
Ellis
Rockwall
Tarrant
Plans with Prescription Drug Benefits
HMO-POS Plans in-network-only medical coverage + –
BSW SeniorCare Advantage Select Rx HMO-POS | $0 monthly + –
Monthly premium: $0
Prescription drug benefits included
- Initial coverage amount: $5,030
- Deductible: $0
Annual deductible: $0
Out-of-pocket maximum: $5,000
Primary care physician office visit: $0 copay
Specialist office visit: $20 copay
Outpatient surgery: $275 copay
Emergency care (within the U.S.; copay waived if admitted within 24 hours): $100 copay
Urgent care (within the U.S.; copay waived if admitted within 24 hours): $50 copay
Ambulance (within the U.S.): $300 copay
Worldwide emergency and urgent care services (outside the U.S.): $0 copay, $5,000 maximum
Virtual care visits (PCP, SCP, Psychiatry Services): $0 copay
Physical/Occupational/Speech Therapy: $35 copay (per visit)
Routine transportation (up to 24 one-way trips per year or 12 round trips up to 50 miles each way)
In-home meal benefits (14 meals per hospital discharge, up to 3 discharges per year)
Hearing aids (allowance toward purchase every 3 years): $1,000
Dental benefits included (up to $3,500 maximum per year)
Vision, hearing and fitness benefits included
Over-the-Counter (OTC) allowance (must use OTC network card at participating retailers; no rollover): $75 per quarter
BSW SeniorCare Advantage Select Rx Assist HMO-POS | $0 monthly + –
Monthly premium: $01
Prescription drug benefits included
- Initial coverage amount: $5,030
- Deductible: $01
Annual deductible: $0
Out-of-pocket maximum: $5,000
Primary care physician office visit: $0 copay
Specialist office visit: $20 copay
Outpatient surgery: $275 copay
Emergency care (within the U.S.; copay waived if admitted within 24 hours): $90 copay
Urgent care (within the U.S.; copay waived if admitted within 24 hours): $50 copay
1Extra Help, also known as a Low Income Subsidy, is a Medicare program that helps people with limited incomes pay for Medicare drug coverage (Part D) premiums, deductibles, coinsurance and other costs. It also relieves those who qualify from having to pay a Part D late enrollment penalty. In the Select Rx Assist plan, if you qualify for Extra Help,* your monthly premium is $0 and your covered prescription drugs are $0. If you don’t qualify, you’ll pay a $28.40 monthly premium and 25% of the cost of covered drugs after a $545 deductible. Find out if you qualify: Medicare.gov/basics/costs/help/drug-costs; OR Social Security Administration at ssa.gov/medicare/part-d-extra-help
Ambulance (within the U.S.): $300 copay
Worldwide emergency and urgent care services (outside the U.S.): $0 copay, $5,000 maximum
Virtual care visits (PCP, SCP, Psychiatry Services): $0 copay
Physical/Occupational/Speech Therapy: $35 copay (per visit)
Routine transportation (up to 24 one-way trips per year or 12 round trips up to 50 miles each way)
In-home meal benefits (14 meals per hospital discharge, up to 3 discharges per year)
Hearing aids (allowance toward purchase every 3 years): $1,000
Dental benefits included (up to $3,500 maximum per year)
Vision, hearing and fitness benefits included
Over-the-Counter (OTC) allowance (must use OTC network card at participating retailers; no rollover): $75 per quarter
PPO Plans in- and out-of-network medical coverage + –
BSW SeniorCare Advantage PPO | $0 monthly + –
Monthly premium: $0
Prescription drug benefits included
- Initial coverage amount: $5,030
- Deductible: $300 applies to Drug Tiers 3-5
Annual deductible: $0
Out-of-pocket maximum: $6,400
Primary care physician office visit: $0 copay
Specialist office visit: $40 copay
Outpatient surgery: $350 copay
Emergency care (within the U.S; copay waived if admitted within 24 hours): $100 copay
Urgent care (within the U.S.; copay waived if admitted within 24 hours): $50 copay
Ambulance (within the U.S.): $325
Worldwide emergency and urgent care services (outside the U.S.): $0 copay, $5,000 maximum
Virtual care visits (PCP, SCP, Psychiatry Services): $0 copay
Physical/Occupational/Speech Therapy: $35 copay (per visit)
Hearing aids (allowance toward purchase every 3 years): $1,000
Dental benefits included (up to $3,500 maximum per year)
Vision, hearing and fitness benefits included
Over-the-Counter (OTC) allowance (must use OTC network card at participating retailers; no rollover): $50 per quarter
Plans without Prescription Drug Benefits
HMO-POS Plans in- and out-of-network medical coverage + –
BSW SeniorCare Advantage Select HMO-POS | $0 monthly + –
Monthly premium: $0
Annual deductible: $0
Out-of-pocket maximum: $5,550
Primary care physician office visit: $0 copay
Specialist office visit: $20 copay
Outpatient surgery: $275 copay
Emergency care (within the U.S.; copay waived if admitted within 24 hours): $90 copay
Urgent care (within the U.S.; copay waived if admitted within 24 hours): $50 copay
Ambulance (within the U.S.): $265 copay
Worldwide emergency and urgent care services (outside the U.S.): $0 copay, $5,000 maximum
Virtual care visits (PCP, SCP, Psychiatry Services): $0 copay
Physical/Occupational/Speech Therapy: $35 copay (per visit)
Routine transportation (up to 24 one-way trips per year or 12 round trips up to 50 miles each way)
In-home meal benefits (14 meals per hospital discharge, up to 3 discharges per year)
Hearing aids (allowance toward purchase every 3 years): $1,000
Dental benefits included (up to $3,500 maximum per year)
Vision, hearing and fitness benefits included
Over-the-Counter (OTC) allowance (must use OTC network card at participating retailers; no rollover): $30 per quarter