Medicare Advantage · HMOPOS · 2027
BSW SeniorCare Advantage Premium (HMO-POS)
No referral needed to see a specialist
At a glance: $170 monthly premium and $0 primary care visits.
This plan does not include Part D drug coverage. Before enrolling, confirm how your prescriptions will be covered. Read before you enroll
- Monthly premium
- $170
- Part B premium separate
- Yearly limit
- $4,500
- Most you’d pay for in-network care
- Hearing
- $1,000
- Hearing aid allowance per 3 years
- Doctor visits
- $0
- Primary care · specialists $0
Check this plan for you
Add your doctors to see if they’re in this plan’s network.
- HearingHearing aid allowance per 3 years
- $1,000
- VisionEyewear allowance
- $125/yr
- DentalRoutine dental benefit
- Included
- Transportation24 one-way trips/year
- Included
- MealsMeal benefit
- Included
This is a supplemental benefit with plan-specific limits. See plan documents for details.
Talk to a licensed agent
Talk with a licensed advisor
A licensed agent can review this plan and other plans in your area that fit your needs.
TTY: 711 · Monday to Friday, 8:00 AM to 6:00 PM CST
Before you enroll
Prescription coverage and who this plan may fit
This plan does not include Part D drug coverage
Who this type of plan may fit
MA-Only plans are generally considered by people who already have creditable prescription drug coverage, such as coverage from the VA, TRICARE, or a current or former employer or union. Your coverage provider (not this page) must tell you whether your current drug coverage is creditable.
Before you enroll
- Find your current plan's annual Notice of Creditable Coverage or ask its benefits administrator.
- Do not drop existing drug coverage until you understand how the change affects both coverages.
Costs and copays
Deductible, yearly limit, visits, hospital stays and drug coverage
- Medical deductiblePer year
- $0
- Drug coveragePart D
- Not included
- Yearly limitIn-network care, not counting drugs
- $4,500
- Primary doctorPer visit
- $0
- SpecialistPer visit · no referral needed
- $0
- Hospital stayPer stay
- $100 per stay
- Inpatient mental healthHospital stay
- $100 per stay
- Outpatient surgeryPer procedure
- $0
- Emergency roomPer visit
- $90
- Urgent carePer visit
- $40
Our take
Where this plan shines, and what to know
Where this plan shines
- This plan’s out-of-pocket maximum is below the national median.
- See your primary doctor for $0.
- The specialist copay ($0) is among the more affordable options.
- No separate medical deductible.
- Highly rated by CMS (4.5 stars).
- Some out-of-network care is covered (HMO-POS).
Things to know before you enroll
- Limited coverage while traveling outside the plan’s service area.
- Does not include prescription drug coverage. You can't add a separate Part D plan to this plan. Joining one would end your Medicare Advantage coverage, so make sure you have other drug coverage, like VA or TRICARE.
- Late enrollment penalty risk if you go without creditable drug coverage for 63+ days.
Similar plans
Other Medicare Advantage plans offered in Texas
Browse the full 2027 Medicare Advantage without drug coverage directory. This plan is offered in Texas. Plan availability can vary by county.
More Medicare Advantage without drug coverage options
These plans are offered in at least one of the same states. Check your ZIP or county before choosing a plan.
- BSW SeniorCare Advantage Preferred (HMO-POS)Baylor Scott & White Health Plan · H8142-005Offered in Texas
- BSW SeniorCare Advantage Select (HMO-POS)Baylor Scott & White Health Plan · H8142-004Offered in Texas
- BSW SeniorCare Advantage Select (HMO-POS)Baylor Scott & White Health Plan · H8142-008Offered in Texas
- AARP Medicare Advantage Patriot No Rx TX-MA01 (HMO-POS)UnitedHealthcare · H4527-024Offered in Texas
- AARP Medicare Advantage Patriot No Rx TX-MA02 (HMO-POS)UnitedHealthcare · H0609-055Offered in Texas
- AARP Medicare Advantage Patriot No Rx TX-MA03 (HMO-POS)UnitedHealthcare · H0609-056Offered in Texas
Common questions
6 answers about this plan
What does BSW SeniorCare Advantage Premium (HMO-POS) (HMOPOS) cover?
BSW SeniorCare Advantage Premium (HMO-POS) (HMOPOS) is a Medicare Advantage plan that the current plan record identifies as not including Part D prescription drug coverage. The plan record does not identify Part D prescription drug coverage. Published supplemental benefits include dental (Routine dental benefit), vision ($125/yr eyewear allowance), hearing ($1,000 hearing aid allowance per 3 years), and transportation (24 one-way trips/year). Review the plan documents for covered services, limits, and rules. Coverage can change each plan year.
Learn about Medicare AdvantageHow much does BSW SeniorCare Advantage Premium (HMO-POS) (HMOPOS) cost in 2027?
The published 2027 monthly plan premium for BSW SeniorCare Advantage Premium (HMO-POS) (HMOPOS) is $170. Any Medicare premiums you owe are separate from the listed plan premium. The listed medical deductible is $0. The in-network medical out-of-pocket maximum is $4,500; it does not include Part D drug spending. Published visit costs include primary care $0 and specialist visits $0. These figures are plan data, not a personal yearly-cost estimate.
Can I use my current doctors with BSW SeniorCare Advantage Premium (HMO-POS) (HMOPOS)?
CMS lists BSW SeniorCare Advantage Premium (HMO-POS) (HMOPOS) as a HMOPOS plan. The plan record says specialist referrals are not required. The record also identifies point-of-service flexibility, but exact out-of-network rules can vary. A network label alone does not confirm that a specific doctor participates. Use the doctor lookup tool, then confirm with the doctor's office and the plan before receiving care. Provider networks and member costs can change. Emergency care and travel coverage can follow different network rules.
Check your doctorsDoes BSW SeniorCare Advantage Premium (HMO-POS) (HMOPOS) include prescription drug coverage?
BSW SeniorCare Advantage Premium (HMO-POS) (HMOPOS) is listed in the current plan record as a Medicare Advantage plan without Part D prescription drug coverage. You can't add a separate Part D plan to this plan. Joining one would end your Medicare Advantage coverage, so make sure you have other drug coverage, like VA or TRICARE. Confirm how your prescriptions will be covered before enrolling.
What extra benefits does BSW SeniorCare Advantage Premium (HMO-POS) (HMOPOS) offer beyond Original Medicare?
The current plan record for BSW SeniorCare Advantage Premium (HMO-POS) (HMOPOS) lists dental (Routine dental benefit), vision ($125/yr eyewear allowance), hearing ($1,000 hearing aid allowance per 3 years), transportation (24 one-way trips/year), and meals (Meal benefit). The current data does not list over-the-counter (OTC) and fitness as offered benefits. Benefit allowances, frequency, eligibility, and participating providers can have additional limits, so review the Summary of Benefits or Evidence of Coverage for the complete rules.
When can I enroll in BSW SeniorCare Advantage Premium (HMO-POS) (HMOPOS)?
BSW SeniorCare Advantage Premium (HMO-POS) (HMOPOS) is a 2027 Medicare Advantage plan. The Annual Enrollment Period runs from October 15 through December 7, with changes taking effect January 1. The Medicare Advantage Open Enrollment Period runs from January 1 through March 31 for people already enrolled in Medicare Advantage. A qualifying circumstance may create a Special Enrollment Period outside those dates. Confirm the enrollment window and effective date that apply to you before changing coverage.
Review Medicare enrollment periodsPlan documents
Summary of Benefits and Evidence of Coverage
- Summary of Benefits (PDF)Download the plan's official Summary of Benefits document
- Evidence of Coverage (PDF)Complete plan details and rules
- Check Your DoctorsSee if your doctors accept this plan
- Documentos en españolLlame a The Pocket Protector al 1-866-764-3312 (TTY: 711) para recibir ayuda con documentos en español
Talk to a licensed agent
Talk with a licensed advisor
A licensed agent can review this plan and other plans in your area that fit your needs.
TTY: 711 · Monday to Friday, 8:00 AM to 6:00 PM CST
