Baylor Scott & White Well being Plan
3.96
CMS Star Ranking
Baylor Scott & White Well being Plan sells Medicare Benefit plans in 47 Texas counties. It has nice member expertise scores and common general high quality rankings from CMS.
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Members in high-rated plans
Excessive (90% or extra)
Member expertise
4.51 (Above common)
Members in high-rated plans
Excessive (90% or extra)
Member expertise
4.51 (Above common)
Execs
- Robust rankings for member expertise.
- Some plans supply $0 generic medication and an allowance for over-the-counter pharmacy gadgets.
Cons
- Fewer $0-premium plans than many opponents.
- Obtainable solely in Texas.
Baylor Scott & White Well being Plan Medicare Benefit plans can be found in 47 Texas counties. The corporate excels on measures of member expertise, and its general high quality rankings are about common.
Right here’s what you must learn about Baylor Scott & White Well being Plan Medicare Benefit.
Baylor Scott & White Medicare Benefit professionals and cons
Baylor Scott & White’s Medicare Benefit plans have benefits and drawbacks.
Execs
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Member expertise: Baylor Scott & White Well being Plan will get nice member expertise rankings on metrics together with customer support and care coordination.
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Pharmacy advantages: Baylor Scott & White Well being Plan advertises $0 generic prescriptions and a card that covers $30-$75 per quarter for over-the-counter gadgets.
Cons
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Restricted availability: Baylor Scott & White plans can be found solely in 47 of the 254 counties in Texas.
Baylor Scott & White Medicare star rankings
Common star ranking, weighted by enrollment: 3.96
The Facilities for Medicare & Medicaid Providers’ (CMS) annual star rankings rank Medicare plans from finest (5 stars) to worst (1 star). The company’s rankings are based mostly on knowledge measuring plans’ high quality of care and buyer satisfaction.
Primarily based on the latest yr of knowledge and weighted by enrollment, Baylor Scott & White Well being Plan’s 2024 Medicare Benefit plans get a median general ranking of three.96 stars.
For comparability, the typical star ranking for plans from all suppliers for 2024 is 4.04.
What does Baylor Scott & White Medicare Benefit value?
Prices for Medicare Benefit plans will rely in your plan, geographic location and well being wants.
Premiums
One of many prices to contemplate is the plan’s premium. In 2024, about 39% of Baylor Scott & White’s Medicare Benefit plans have $0 premiums.
At the same time as a Medicare Benefit person, you’ll nonetheless be chargeable for paying your Medicare Half B premium, which is $164.90 monthly in 2023 ($174.70 in 2024), though some plans cowl half or all of this value.
Copays, coinsurance and deductibles
Necessities for copays, coinsurance and deductibles differ relying in your plan, location and the providers you utilize. Different out-of-pocket prices to contemplate embody:
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Whether or not the plan covers any a part of your month-to-month Medicare Half B premium.
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The plan’s yearly deductibles and some other deductibles, reminiscent of a drug deductible.
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Copayments and/or coinsurance for every go to or service. For example, there could also be a $10 copay for seeing your main physician and a $45 copay for seeing a specialist.
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The plan’s in-network and out-of-network out-of-pocket maximums.
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Whether or not your medical suppliers are in-network or out-of-network, or how typically chances are you’ll go out-of-network for care.
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Whether or not you require additional advantages, and whether or not the plan expenses for them.
To get a way of prices, use Medicare’s plan discovering device to match data amongst obtainable plans in your space. You possibly can choose by insurance coverage service to see solely Baylor Scott & White plans or examine throughout carriers. You may as well store instantly from Baylor Scott & White Well being Plan’s web site by getting into your ZIP code.
Baylor Scott & White Medicare Benefit plan varieties
There are a number of sorts of Baylor Scott & White Medicare Benefit plans, and so they differ in construction, prices and advantages. About 65% of Baylor Scott & White Medicare Benefit plans embody prescription drug protection.
Plan choices embody the next varieties:
Baylor Scott & White Medicare Benefit service space
Baylor Scott & White Well being Plan presents Medicare Benefit plans in 47 counties in Texas. The corporate covers about 29,000 Medicare Benefit beneficiaries.
Examine Medicare Benefit suppliers
Get extra data beneath about a few of the main Medicare Benefit suppliers. These insurers supply plans in most states. The plans you may select from will rely in your ZIP code and county.
Discover the best Medicare Benefit plan
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What are the plan’s prices? Do you perceive what the plan’s premium, deductibles, copays and/or coinsurance will probably be? Are you able to afford them?
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Is your physician in-network? In case you have a most well-liked medical supplier or suppliers, be certain that they take part within the plan’s community.
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Are your prescriptions coated? In the event you’re on treatment, it’s essential to know how the plan covers it. What tier are your prescribed drugs on, and are there any protection guidelines that apply to them?
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Is there dental protection? Does the plan supply routine protection for imaginative and prescient, dental and listening to wants?
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Are there extras? Does the plan supply any additional advantages, reminiscent of health memberships, transportation advantages or meal supply?