MedicareWire

Best Medicare plan, cost, and enrollment tools for seniors.

Speak with a Licensed Sales Agent[1]

1-855-728-0510 (TTY 711)

Mon-Fri 5 AM-6 PM, Sat 6 AM-5 PM PT

Plan H2032-002-0: BSW SeniorCare Advantage Basic (PPO) – 2025 Coverage Details for Llano County, TX

This page provides coverage, cost, and availability details for Baylor Scott & White Health Plan’s H2032-002-0 Medicare Advantage plan for 2025.

See more Medicare Advantage Plans in Llano County, Texas.

CMS 2025 Rating: ☆☆☆☆☆*

*CMS rated this Baylor Scott & White Health Plan plan (H2032-002-0) 3.5 (Above Average) out of 5 stars.

* Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. The Baylor Scott & White Health Plan logo is a registered trademark.[2] Its use by MedicareWire is strictly for editorial purposes. This is not a solicitation of insurance.

BSW SeniorCare Advantage Basic Basic Plan Details

Plan ID
H2032-002-0
Plan Type
PPO
Plan Year
2025
Premium
$0.00/mo
Plus your Medicare Part B premium.
Health Plan Deductible
$0.00
Out-of-Pocket Maximum
6,750.00 /yr (in-network)
Part B Reduction
$0.00/mo
Drug Plan Benefit
Enhanced, $250.00 deductible
Supplemental Benefits
Vision, Hearing
Availability
Llano County, TX
Insured By
Baylor Scott & White Health Plan
Summary of Benefits

We're Here to Help You Enroll

Secure Online Enrollment

Or Call for Licensed Insurance Agent Support
1-855-728-0510 (TTY 711)
Mon-Fri 5am-6pm, Sat 6am-5pm PT

Health Plan Out-of-Pocket Costs

This Baylor Scott & White Health Plan Part C plan has cost-sharing. These are costs you pay out-of-pocket when you use approved health services. The following table summarizes the most common in-network out-of-pocket costs in plan H2032-002-0.

NOTE: Certain preventive services are covered 100% by the plan as a Part B benefit.

Doctor's Office Visits

Primary
Not Covered
Specialist
$35 Copay

Emergency, Urgent, and Inpatient Hospital Coverage

Emergency room care
$120 Copay
Urgent care
$50 Copay
Ground ambulance
$325 Copay
Inpatient hospital care
$325.00 per day for days 1 through 6
$0.00 per day for days 7 and beyond
Skilled Nursing Facility
$0.00 per day for days 1 through 20
$214.00 per day for days 21 and beyond

Foot Care

Foot Exams and Treatments (Medicare-covered)
$45 Copay
Routine Foot Care
Not Covered

Chiropractic Care

Medicare-covered chiropractic
$15 Copay
Routine chiropractic
Not Covered

Mental Health Services

Outpatient individual therapy
$40 Copay
Outpatient group therapy
$40 Copay
Inpatient psychiatric hospital care
$318.00 per day for days 1 through 5
$0.00 per day for days 6 and beyond

Rehabilitation Services

Physical therapy and speech and language therapy
$35 Copay
Occupational therapy
$35 Copay

Medical Equipment and Supplies

Diabetes supplies
Not Covered
Durable medical equipment
20% Coinsurance
Prior Authorization Required
Prosthetics
20% Coinsurance

Diagnostics, Lab Services, and Imaging

Diagnostic radiology services
$300 Copay
Prior Authorization Required
Lab services
Not Covered
Outpatient x-rays
Not Covered
Diagnostic tests and procedures
Not Covered

Medicare Part B Drugs

Chemotherapy
20% Coinsurance
Other Part B drugs (Medicare-covered)
20% Coinsurance

Dental Services

Medicare Covered Preventive Dental
Not Covered
Oral exam
$0
Dental x-rays
$0
Cleaning
$0
Periodontics
Not Covered
Endodontics
Not Covered
Restorative Services
Not Covered
Maximum dental benefit
$3,500.00 (Every year)

Hearing Aids and Services

Fitting/evaluation
Covered
Limits may apply
Hearing aids
Not Covered
Hearing exam
Covered
Limits may apply

Vision Services

Medicare-covered eye exam
$ to $40 Copay
Routine eye exam
Covered
Limits may apply
Eyewear benefits
None
Do you have questions about costs in this plan? Call 1-855-728-0510 (TTY 711) to speak with a licensed insurance agent and learn more about this plan and other plans on this site (Mon-Fri 5am-6pm, Sat 6am-5pm PT).

Prescription Drug Costs & Benefits

BSW SeniorCare Advantage Basic includes enhanced benefit Medicare Part D. Enhanced benefits offer greater coverage than basic, typically providing lower cost-sharing, broader drug coverage, and additional benefits, such as covering drugs not included in the standard formulary. These plans usually have higher premiums due to the extra coverage and flexibility they provide, but they cover a larger percentage of overall drug costs.

As of 2023, approximately 75% of people on Medicare are enrolled in enhanced plans.

Prescription Drug Premium with Extra Help

Extra Help is a Social Security program that helps people with limited income and resources lower or cut Part D costs. The following table outlines premium assistance details with Extra Help.

Low Income Premium Subsidy:${part_d_lips_amount}
Low Income Premium Subsidy CMS Pays:$0.00
Low Income Subsidy Premium:$0.00

If you would like more information about the Extra Help program, you can refer to the Social Security Extra Help page.

Prescription Drug Deductible

The Medicare Part D annual deductible with this plan is $250.00. You must pay this amount at the pharmacy before Baylor Scott & White Health Plan begins paying its share.

Prescription Drug Out-of-Pocket Costs

In addition to the plan's monthly premium and deductible, BSW SeniorCare Advantage Basic has out-of-pocket costs you must pay when you pick up your prescriptions.

Drug Tier Retail Mail Order
Preferred Generic*$0.00$0.00
Generic*$7.00$0.00
Preferred Brand$47.00$47.00
Non-Preferred Drug$99.00$99.00
Specialty Tier30.00%30.00%
*The Part D deductible does not apply.

Citations & References

Research Note: This content is based on independent analysis of CMS data by David Bynon, Medicare analyst and founder of MedicareWire.

For details on how this plan was analyzed and constructed using CMS data, see our Medicare Plan Research Methodology.

Disclaimer: MedicareWire does not endorse or rank Medicare plans. Plan information is provided for educational and research purposes only and may not reflect the most current data available from CMS or the plan provider.