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Medicare | Baylor ScottWhite Health Plan') . Please upgrade . Chat Shop for a Plan Member Resources Find a Provider Contact Us portal I am... A Member An Employer A Provider An Agent Shopping for a Plan Plan Information Medicare Advantage Plan details, resources and pharmacy information. Marketplace Plan details, resources and pharmacy information. STAR Medicaid/CHIP Low-income families and Children's Health Insurance Program plans. SmallLarge Group Plans Plans for organizations of all sizes. Resources MyBSWHealth App Stay connected to your health. Health and Wellness Programs Preventive care, wellness webinars and more. Advance Care Planning Tools to create a Living Will, DNR, etc. COVID-19 Resources related to COVID-19. Quick Links Virtual Care Access to board-certified healthcare online. Make a Marketplace Payment Make a payment securely online. Plan Documents Documents available in PDF format for download. Pharmacy Information Formularies, pharmacy locator and more. Chat Shop for a Plan Member Resources Find a Provider Contact Us Log In ▼ IndividualsFamilies Medicare Advantage Overview Member Resources BSW SeniorCare Advantage HMO-POS BSW SeniorCare Advantage PPO Covenant Health Advantage HMO Plan Comparison PharmacyDrugs Make a Payment Marketplace Overview Member Resources Plan Details PharmacyDrugs Make a Payment Medicaid CHIP Medicare   BSWHPIndividualsFamiliesMedicareMedicare Advantage BSW SeniorCare Advantage HMO-POS and PPO and Covenant Advantage HMO plans Enroll Now Member Resources How Can We Help You? Enrollment/Resources Enroll Now Check Application Status Pharmacy Coverage Info Find Your Plan Information BSW SeniorCare Advantage HMO-POS BSW SeniorCare Advantage PPO Covenant Health Advantage HMO Shopping for a Plan? Central Texas North Texas West Texas Award-Winning Medicare Advantage Plans Baylor ScottWhite Health Plan offers HMO-POS and PPO Medicare Advantage plans Texans trust. Our top priority is your health, that's why our BSW SeniorCare Advantage plans are designed to coordinate your doctors, simplify your experience and eliminate unnecessary expenses. Plans are available with or without prescription drug coverage and start as low as $0/month. As a patient of Baylor ScottWhite Health and a member of a BSW SeniorCare Advantage plan, you can access healthcare and insurance information in one secure portal through the MyBSWHealth app or website — schedule appointments, message a provider, visit test results and review and pay bills. Budget-Friendly Benefits to Keep You Healthy $0 to low monthly premium and $0 in-network deductible $0 primary care visits $0 virtual care $0 dental premium $0 routine vision and hearing coverage, with eyewear and hearing aid allowances $0 fitness membership $0 over-the-counter card ($30-$75 per quarter) Prescription drug coverage included on most plans: $0 generic prescriptions Three-month supply of prescriptions for the cost of two months (mail order and preferred retail) $0 routine transportation and in-home meals on most plans And more! Members with multiple chronic conditions may also be eligible for in-home medical visits by doctors and other providers, including routine house calls, urgent house calls and 24/7 phone support for needs such as prescribing medications, labs, behavioral health, nutrition and social work support. Bonus Benefits and Additional Care Programs BSW Care Management Kidney Health Program 844.279.7589 7 AM to 9 PM weekdays 9 AM to 7 PM weekends MetLife Dental Dental Benefits 855.676.9337 MetLife.com SilverFit Fitness Benefits 877.427.4788 SilverandFit.com ModivCare Routine Transportation Benefits for HMO-POS Plans 866.428.0212 ModivCare.com Landmark Health In-home Acute Care Program 877.260.9992 LandmarkHealth.org InComm Over-the-counter Benefits for most plans 866.334.3141 MyOTCCard.com More details are available on our Member Resources page . Where We Offer Medicare Advantage Plans Medicare Star Ratings HMO Overall 4 out of 5 stars HMO Overall 4 out of 5 stars PPO Overall 3.5 out of 5 stars PPO Overall 3.5 out of 5 stars Every year, Medicare evaluates plans based on a 5-star rating system. Medicare Basics Medicare is a national social insurance program administered by the US federal government. It guarantees access to health insurance for Americans ages 65 years old and older, people with disabilities and people with End-Stage Renal Disease (ESRD). Overview of Medicare parts Medicare has four parts: A, B, C and D. Each is designed to cover specific services based on different healthcare needs and budgets. Part A (Original Medicare) Partial coverage for inpatient hospital Partial coverage for skilled nursing facility Partial coverage for home healthcare Part B (Original Medicare) Partial coverage for primary care physician visits Partial coverage for outpatient surgery Partial coverage for lab services Partial coverage for durable medical equipment Part C (Medicare Advantage Offered through BSW SeniorCare) Similar to and takes the place of Part A and B with predictable out-of-pocket costs and more coverage. Including: Hearing benefits Vision benefits Dental benefits Gym membership Part D (Medicare Prescription Drug Coverage) Coverage for prescription drugs beyond what is covered by Original Medicare. Our plans are available with or without Part D coverage. Compare HMO-POS and PPO Medicare Plans Central Texas Central Texas North Texas North Texas West Texas West Texas What to Consider Your Medicare Healthcare plan should meet your needs There are a number of factors to consider when choosing a Medicare plan for the first time or changing your Medicare plan. If you have current health or prescription drug coverage, get a clear understanding of how it works with Medicare. If you're covered through your employer, Indian Health or Tribal Health Program, talk to your benefits administrator or insurer before making any changes in your plan. When you're ready to enroll in a new Medicare coverage plan, you can do so during designated enrollment periods . When choosing any healthcare plan, ask yourself: Are you in good health? How often do you see your doctor? Do you take prescription drugs? How much can you afford each month? Are you willing to change doctors if it means lower healthcare costs? Medical Costs How much are your premiums, deductibles and other costs? How much do you pay for services like hospital stays or doctor visits? Is there a yearly limit on what you could pay out of pocket for medical services? Prescription Costs Do you currently have prescription drug coverage? Will you pay a penalty if you join a drug plan later? What will your prescription drugs cost under each plan? Are your drugs covered under the plan's formulary? Are there any coverage rules that apply to your prescriptions? Is your pharmacy in the plan's network? Medical Care Do your doctors accept the coverage? Are the doctors you want to see accepting new patients? Do you have to choose your hospital and healthcare providers from a network? Do you need to get referrals? Are you satisfied with your medical care? Low Income Subsidies If you have limited resources and income, you may be eligible for a low income subsidy (also called Extra Help), which helps pay your Medicare prescription coverage (lowers your premium payment amount), and in some cases, can help lower copay costs of prescriptions. This could add up to about $4,000 per year. How much lower your premiums may be depends on what percentage of the costs Medicare will cover for you. Learn More About Getting Extra Help Read about the Best Available Evidence for Low Income Subsidy (LIS) Beneficiaries You must receive all routine care...