BSW Medicare 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 Medicare Advantage plans in the following North Texas counties:
Collin
Dallas
Denton (PPO Only)
Ellis
Rockwall
Tarrant (PPO Only)
BSW SeniorCare Advantage HMO Select North Texas | $0 with Rx | $0 without Rx* + –
Monthly premium:
- Select with Rx (with Part D prescription drug coverage): $0
- Select without Rx (without Part D prescription drug coverage): $0*
- Select without Rx pays $50 per month toward your Part B premium
Prescription drug benefits
- Initial coverage amount: $4,660
- Deductible: $0
- HMO plans may be purchased with or without Part D prescription drug coverage
Annual deductible: $0
Out-of-pocket maximum
- Select Rx (with prescription drug benefits): $5,000
- Select (without prescription drug benefits): $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.)
- Select with Rx: $300 copay
- Select without Rx: $265 copay*
Worldwide emergency and urgent care services (outside the U.S.): $0 copay, $5,000 maximum
Telehealth 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 $2,500 maximum per year)
Over-the-Counter (OTC) allowance (must use OTC network card at participating retailers; no rollover)
- Select with Rx: $50 per quarter
- Select without Rx: $30 per quarter*
Vision, hearing, and fitness benefits included
BSW SeniorCare Advantage PPO North Texas | $0 monthly + –
Monthly premium: $0
Prescription drug benefits included in all plans
- Initial coverage amount: $4,660
- 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): $90 copay
Urgent care (within the U.S.; copay waived if admitted within 24 hours): $50 copay
Ambulance (within the U.S.): $325 copay
Worldwide emergency and urgent care services (outside the U.S.): $0 copay, $5,000 maximum
Telehealth 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 $2,500 maximum per year)
Vision, hearing, and fitness benefits included