BSW SeniorCare Advantage Premium (HMO-POS) Medicare Advantage Plan H8142-006 • 2026 • Gonzales County, TX
This Medicare Advantage HMO-POS plan, identified by CMS Plan ID H8142-006, is offered by Baylor Scott & White Health Plan for the 2026 plan year. The plan uses a Health Maintenance Organization with a Point of Service (HMO-POS) provider network and comes without prescription coverage (Part D ).
BSW SeniorCare Advantage Premium Overview
Plan Overview for
H8142-006-0
|
|
|---|---|
| CMS Plan ID: |
H8142-006-0
|
| Plan Type: | HMO-POS |
| Plan Year: | 2026 |
| Monthly Premium: |
$0.00
Plus your Medicare Part B premium. |
| Medical Deductible: | $0.00 |
| Maximum Out-of-Pocket: | $4500.00 (In-Network) |
| Part B Give Back: | −$50.00 reduction |
| Prescription Drug Coverage: | Not Included |
| Additional Benefits: | Dental, Vision, Hearing |
| Service Area: | Gonzales County, TX |
| Enrollment (Nationwide): | 86 beneficiaries |
| Enrollment (CMS – Local) | 0 beneficiaries in Gonzales County |
| Provided By: | Baylor Scott & White Health Plan |
Plan Details for BSW SeniorCare Advantage Premium
BSW SeniorCare Advantage Premium is a Medicare Advantage HMO-POS plan that 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 $0 copay, urgent care services carry a $40 copay, and ambulance transportation is $40 copay. These costs apply toward the maximum out-of-pocket (MOOP) limit of $4500.00. Once this limit is reached, in-network services are fully covered for the remainder of the year.
This plan is listed by CMS under Plan ID H8142-006. Cost-sharing details are provided below.
Cost Sharing Expenses
BSW SeniorCare Advantage Premium includes cost-sharing, which refers to out-of-pocket expenses for covered healthcare services. The table below outlines the most common in-network out-of-pocket costs associated with plan H8142-006.
Certain preventive services are covered 100% by BSW SeniorCare Advantage Premium as a Part B benefit.
Prescription Drug Coverage
This plan does not include a Medicare Part D plan for prescriptions.
CMS Star Ratings
Medicare Advantage (Part C) and Part D plans are rated each year by CMS on a 5-star scale. Ratings summarize plan performance across clinical care and member experience measures.
| CMS Measure | Star Rating |
|---|---|
| 2026 Overall Rating | |
| Staying Healthy: Screenings, Tests, Vaccines | |
| Managing Chronic (Long Term) Conditions | |
| Member Experience with Health Plan | |
| Complaints and Changes in Plans Performance | |
| Health Plan Customer Service | |
| Drug Plan Customer Service | |
| Complaints and Changes in the Drug Plan | |
| Member Experience with the Drug Plan | |
| Drug Safety and Accuracy of Drug Pricing |
What is the monthly premium for BSW SeniorCare Advantage Premium (HMO-POS)?
The 2026 monthly premium is $0.00. The Medicare Part B premium is paid separately.
What is the annual out-of-pocket maximum (MOOP) for this plan?
The 2026 in-network MOOP is $4500.00. Once this limit is reached, covered in-network costs are fully covered.
What is the total enrollment for plan H8142-006?
The plan has 86 enrolled beneficiaries according to CMS.
What is the Part D deductible for plan H8142-006?
The Part D deductible is $0.00.
Contact Information for Baylor Scott & White Health Plan
| Contact Type | Details |
|---|---|
| Website: | Baylor Scott & White Health Plan Plan Page |
| New Members: | 1-866-334-3141 |
| Existing Members: | 1-866-334-3141 |
| Plan Address: | 1206 West Campus Drive | Temple, TX 76502 |
Enrollment status and eligibility information are available through the Social Security Administration. Additional information about Medicare Advantage is available at medicare.gov.
| Data Source | Publisher | Last Accessed |
|---|---|---|
| Landscape Source Files | Centers for Medicare & Medicaid Services | September 8, 2026 |
| Medicare Part C & D Performance | Centers for Medicare & Medicaid Services | September 8, 2026 |
| Plan Benefits Package | Centers for Medicare & Medicaid Services | September 8, 2026 |
| Monthly Enrollment by Contract/Plan/State/County | Centers for Medicare & Medicaid Services | September 8, 2026 |
Data sources and methodology documentation.
| Publisher | Reference | Last Accessed |
|---|---|---|
| Baylor Scott & White Health Plan (official source) | http://BSWHealthPlan.com/Medicare | October 13, 2025 |
| Medicare.gov | Compare types of Medicare Advantage Plans | 25 May, 2025 |
| NCOA.org | 5 Steps to Choosing the Right Medicare Plan for You | 25 May, 2025 |
| Medicare.gov | Compare Original Medicare & Medicare Advantage | 25 May, 2025 |
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