BSW SeniorCare Advantage Preferred (HMO-POS) Medicare Advantage Plan H8142-005 • 2026 • Burnet County, TX

BSW SeniorCare Advantage Preferred Overview

Plan Overview for BSW SeniorCare Advantage Preferred

This Medicare Advantage HMO-POS plan provides Medicare Part A and Part B coverage through a network of participating providers, with limited coverage available for out-of-network services in certain situations. The monthly premium is $0.00, and costs are generally lower when services are received from in-network providers.

Primary care visits have a $0 copay, specialist visits come with a $30 copay, urgent care services carry a $40 copay, and ambulance transportation is $75 copay. These costs apply toward the annual maximum out-of-pocket (MOOP) limit of $4500.00. After this limit is reached, in-network services are fully covered for the remainder of the year.

This plan is registered with CMS under Plan ID H8142-005. Cost-sharing details for key services are provided below.

Cost Sharing Expenses

Cost-sharing for BSW SeniorCare Advantage Preferred includes out-of-pocket expenses for covered healthcare services. The table below provides a summary of typical in-network out-of-pocket costs for plan H8142-005.

Certain preventive services are covered 100% by BSW SeniorCare Advantage Preferred as a Part B benefit.

Prescription Drug Coverage

This plan does not include a Medicare Part D plan for prescriptions.

Medicare Plan Star Ratings

The Centers for Medicare & Medicaid Services (CMS) rates Medicare Advantage (Part C) and Part D prescription drug plans each year using a 5-star system. These ratings measure plan performance in areas such as preventive care, management of chronic conditions, and member experience.