Medicare Advantage Plan H2235-002-0 in Hillsborough County, FL BayCarePlus Rewards (HMO) • 2027
Plan-ID H2235-002-0 refers to BayCarePlus Rewards (HMO), a Medicare Advantage Plan (Part C) offered by BayCare Health Plans for the 2027 plan year. This plan is a Health Maintenance Organization (HMO) model with Part D prescription drug coverage.
According to CMS enrollment data, an estimated 13,426 beneficiaries are enrolled in this plan, 1,835 enrollees reside in Hillsborough County.
BayCarePlus Rewards Overview
Plan Overview for
H2235-002-0
|
|
|---|---|
| CMS Plan ID: |
H2235-002-0
|
| Plan Type: | HMO |
| Plan Year: | 2027 |
| Monthly Premium: |
$0.00
Plus your Medicare Part B premium. |
| Medical Deductible: | $0.00 |
| Maximum Out-of-Pocket: | $3700.00 (In-Network) |
| Part B Give Back: | −$120.00 reduction |
| Prescription Drug Coverage: | Enhanced, $700.00 deductible |
| Additional Benefits: | Dental, Vision, Hearing |
| Service Area: | Hillsborough County, FL |
| Enrollment (Nationwide): | 13,426 beneficiaries |
| Enrollment (CMS – Local) | 1,835 beneficiaries in Hillsborough County |
| Provided By: | BayCare Health Plans |
Frequently Asked Questions About BayCarePlus Rewards (HMO)
Here are some of the most frequently asked questions people have about Plan ID H2235-002-0:
What is the 2027 premium for Plan ID H2235-002-0?
Plan ID H2235-002-0 has a monthly premium of $0.00 for 2027, in addition to any Medicare Part B premium you must pay.
What is the out-of-pocket maximum for Plan ID H2235-002-0?
Plan ID H2235-002-0 has a 2027 in-network maximum out-of-pocket (MOOP) limit of $3700.00. After you reach this limit, the plan pays covered in-network Part A and Part B costs for the remainder of the year.
Does BayCarePlus Rewards include Medicare Part D prescription drug coverage?
Yes. BayCarePlus Rewards includes Medicare Part D prescription drug coverage. The 2027 Part D deductible is $700.00.
How is Plan ID H2235-002-0 rated by CMS?
Plan ID H2235-002-0 is included under contract H2235, which has a ★4.0 out of 5 CMS Star Rating for 2027.
What type of provider network does BayCarePlus Rewards use?
BayCarePlus Rewards uses a Health Maintenance Organization (HMO) provider network.
What is the enrollment for Plan ID H2235-002-0?
The most recent CMS enrollment data shows approximately 13,426 beneficiaries enrolled in Plan ID H2235-002-0.
Who provides BayCarePlus Rewards (HMO)?
BayCare Health Plans provides BayCarePlus Rewards (HMO).
Call 833-748-3201 (TTY 711) to speak with a licensed HealthCompare insurance agent (M-F 8AM-10PM, Sat 9AM-8PM EST) and learn more about this plan and other plans on this site. You may also Enroll Online .
Covered Services & Costs
Office Visits
This plan lists in-network cost sharing for primary care and specialist visits, along with related office-based services.
| Covered Service | In-Network Cost |
|---|---|
| Primary: | In-network: $0 copay |
| Specialist: | In-network: $25 copay |
Preventive and Wellness Services
Preventive and wellness benefits may include routine exams, telehealth, fitness programs, health education, and other in-network services.
| Covered Service | In-Network Cost |
|---|---|
| Annual wellness exam: | In-network: $0 copay |
| Telehealth benefit: | In-network: $0-$25 copay |
| Routine chiropractic: | Not covered |
| Fitness benefits: | Coming soon |
| Health education: | Not covered |
| Counseling services: | Not covered |
| Over-the-counter drug benefits: | Not covered |
| Health transportation (non-emergency): | Coming soon |
Diagnostic, Lab, and Imaging Services
Diagnostic coverage includes in-network cost sharing for lab tests, x-rays, radiology, and other diagnostic procedures used to evaluate health conditions.
| Covered Service | In-Network Cost |
|---|---|
| Diagnostic radiology services: | In-network: $0-$175 copay |
| Lab services: | In-network: $0 copay |
| Outpatient x-rays: | In-network: $0 copay |
| Diagnostic tests and procedures: | In-network: $0 copay |
Emergency and Urgent Care Services
Emergency and inpatient coverage includes cost sharing for urgent care, emergency room visits, ambulance transportation, hospital stays, and skilled nursing facility care.
| Covered Service | In-Network Cost |
|---|---|
| Emergency room care: | $150 copay |
| Worldwide emergency care: | Coming soon |
| Urgent care: | $20 copay |
| Inpatient hospital care: | Tier 1 | $200 per day for days 1-5 | $0 per day for days 6-90 | $0 per stay |
| Skilled Nursing Facility: | Tier 1 | $0 per day for days 1-20 | $221 per day for days 21-100 |
| Ground ambulance: | In-network: $250 copay |
Mental Health Services
Mental health coverage includes in-network cost sharing for outpatient individual and group therapy, as well as inpatient psychiatric hospital care.
| Covered Service | In-Network Cost |
|---|---|
| Outpatient individual therapy: | In-network: $25 copay |
| Outpatient group therapy: | In-network: $20 copay |
| Inpatient psychiatric hospital care: | Tier 1 | $200 per day for days 1-5 | $0 per day for days 6-90 | $0 per stay |
Rehabilitation Services
Rehabilitation coverage includes in-network cost sharing for physical therapy, speech and language therapy, and occupational therapy services.
| Covered Service | In-Network Cost |
|---|---|
| Physical therapy and speech and language therapy: | In-network: $25 copay |
| Occupational therapy: | In-network: $25 copay |
Medical Equipment and Supplies
Medical equipment coverage includes in-network cost sharing for diabetes supplies, durable medical equipment, prosthetics, and related supplies.
| Covered Service | In-Network Cost |
|---|---|
| Diabetes supplies: | In-network: 10% coinsurance |
| Durable medical equipment: | In-network: 20% coinsurance |
| Prosthetics: | In-network: 20% coinsurance |
Medicare Part B Drugs
Medicare Part B drug coverage includes in-network cost sharing for chemotherapy and other medications covered under Medicare Part B.
| Covered Service | In-Network Cost |
|---|---|
| Chemotherapy: | In-network: 0%-20% coinsurance |
| Other Part B drugs (Medicare-covered): | In-network: 0%-20% coinsurance |
Dental Services
Dental coverage includes in-network cost sharing for preventive care, exams, x-rays, cleanings, and comprehensive dental procedures.
| Covered Service | In-Network Cost |
|---|---|
| Oral exam: | In-network: $0 copay |
| Dental x-rays: | In-network: $0 copay |
| Cleaning: | In-network: $0 copay |
| Periodontics: | In-network: $0 copay |
| Endodontics: | In-network: $0 copay |
| Restorative services: | In-network: 0%-50% coinsurance |
| Implant services: | Not covered |
| Orthodontics: | Not covered |
| Oral/Maxillofacial surgery: | In-network: $0 copay |
Vision Services
Vision coverage includes in-network cost sharing for routine eye exams, contact lenses, eyeglass frames and lenses, and related eyewear services.
| Covered Service | In-Network Cost |
|---|---|
| Routine eye exam: | In-network: $0 copay |
| Contact lenses: | Not covered |
| Eyeglass frames only: | Not covered |
| Eyeglass lenses only: | Not covered |
| Eyeglasses (frames & lenses): | Not covered |
| Upgrades: | Not covered |
Hearing Services
Hearing coverage includes in-network cost sharing for hearing exams, fittings and evaluations, prescription hearing aids, and over-the-counter hearing aids.
| Covered Service | In-Network Cost |
|---|---|
| Hearing exam: | In-network: $0 copay |
| Fitting/evaluation: | In-network: $0 copay |
| Prescription hearing aids: | In-network: $699-$999 copay |
| OTC hearing aids: | Not covered |
Additional and Special Needs Services
Additional benefits may include in-network services for adult day health, palliative care, personal emergency response systems, weight management, alternative therapies, and home safety needs.
| Covered Service | In-Network Cost |
|---|---|
| Adult day health services: | Not covered |
| Home-based palliative care: | Not covered |
| Personal emergency response system: | Coming soon |
| Weight management programs: | Not covered |
| Wigs for chemotherapy-related hair loss: | Coming soon |
| Alternative therapies: | Not covered |
| Massage therapy: | Not covered |
| Home/bathroom safety devices: | Not covered |
BayCarePlus Rewards covers 100% of certain preventive services as a required Part B benefit.
Prescription Drug Coverage
Part D Coverage Level (Benefit Design)
BayCarePlus Rewards includes an enhanced benefit Medicare Part D plan (PDP). Enhanced plans have a higher actuarial value than basic plans. Actuarial value simply refers to the percentage of cost that's covered by the plan.
Plan Premium
The following table outlines the prescription drug plan premium details of this plan.
| Part D Premium Component | Amount |
|---|---|
| Basic Part D Premium: | ($17.30) |
| Supplemental Part D Premium: | $17.30 |
| Total Part D Premium: | $0.00 |
| Low Income Premium Subsidy: | $7.28 |
| Low Income Premium Subsidy CMS Pays: | $0.00 |
| Low Income Subsidy Premium: | $0.00 |
For more information about the Low Income Subsidy, refer to the Social Security Extra Help page.
Plan Deductible
The Medicare Part D annual deductible with this plan is $700.00. This is the amount you must pay at the pharmacy before BayCare Health Plans begins paying its share.
Out-of-Pocket Costs
In addition to the plan's monthly premium and deductible, BayCarePlus Rewards has out-of-pocket costs that you must pay when you pick up your prescriptions. The following table shows you those costs.
| Drug Tier | Retail | Mail Order |
|---|---|---|
| Preferred Generic | $0.00 copay | Coming soon |
| Generic | $0.00 copay | Coming soon |
| Preferred Brand | $47.00 copay | Coming soon |
| Non-Preferred Drug | 25% coinsurance | Coming soon |
| Specialty Tier | 25% coinsurance | Coming soon |
| *Deductible does not apply. | ||
CMS Medicare Star Ratings
The Centers for Medicare & Medicaid Services (CMS) annually rates Medicare Advantage HMOs in nine key categories using a 5-star system. These ratings help you gauge the quality of care and service you might receive with this BayCare Health Plans plan.
| CMS Measure | Star Rating |
|---|---|
| 2027 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 |
Contact BayCare Health Plans
Call 833-748-3201 (TTY 711) to speak with a licensed HealthCompare insurance agent (M-F 8AM-10PM, Sat 9AM-8PM EST) and learn more about this plan and other plans on this site. You may also Enroll Online .
| Contact Type | Details |
|---|---|
| Website: |
BayCare Health Plans Plan Page
Opens the carrier website in a new window and enrollment information in this window. |
| New Members: | 1-833-668-7617 |
| Existing Members: | 1-866-509-5396 |
| Plan Address: | P.O. Box 30764 | Tampa, FL 33630 |
Plans Available Through Medicare.org
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Medicare Plan Decision Resources
Medicare Plan Data Sources and Methodology
Medicare.org independently compiles and interprets Medicare plan information using data published by the Centers for Medicare & Medicaid Services (CMS), official plan information, and other authoritative Medicare sources. The sources used for this plan are documented below.
Medicare.org is an independent Medicare information and enrollment resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program. Enrollment assistance is provided through HealthCompare, an Allstate company.
Medicare plan data and editorial content curated and maintained by David W. Bynon, Editorial Steward, using a standardized, data-driven methodology for Medicare plan interpretation and publication.
| Data Source | Publisher | CMS Version |
|---|---|---|
| Landscape Source Files | Centers for Medicare & Medicaid Services | CY2027 Landscape (202609.1) |
| Medicare Part C & D Performance | Centers for Medicare & Medicaid Services | 2027 Star Ratings Data Tables |
| Plan Benefits Package | Centers for Medicare & Medicaid Services | PBP Benefits-2027 |
| Monthly Enrollment by Contract/Plan/State/County | Centers for Medicare & Medicaid Services | 2026-09 |
| Publisher | Reference | Last Accessed |
|---|---|---|
| BayCare Health Plans (official source) | http://BayCarePlus.org | October 13, 2025 |
| Medicare.gov | Understanding 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 |