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Medicare Advantage Plan H8142-004-0 in Burnet County, TX BSW SeniorCare Advantage Select (HMO-POS) • 2026

CMS Rating:☆☆☆☆☆(4.0 out of 5 stars*)

Plan H8142-004-0, marketed as BSW SeniorCare Advantage Select (HMO-POS), is a Medicare Advantage Plan offered by Baylor Scott & White Health Plan, without prescription drug coverage. This 2026 Part C plan has a Health Maintenance Organization with a Point of Service (HMO-POS) provider network.

The latest CMS enrollment data shows an estimated 2,134 Medicare beneficiaries are enrolled in this plan, with 49 members in Burnet County, TX.

Last update:

BSW SeniorCare Advantage Select Overview

2026 Medicare Advantage Plan Overview for H8142-004-0
Plan Overview for H8142-004-0
CMS Plan ID: H8142-004-0
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: $5900.00 (In-Network)
Part B Give Back: −$50.00 reduction
Prescription Drug Coverage: Not Included
Additional Benefits: Dental, Vision, Hearing
Service Area: Burnet County, TX
Enrollment (Nationwide): 2,134 beneficiaries
Enrollment (CMS – Local)49 beneficiaries in Burnet County
Provided By: Baylor Scott & White Health Plan
If you qualify for Original Medicare and a Medicare Advantage Plan but don't know where to begin, our HealthCompare licensed insurance agents[1] are available at 1-833-748-3201 (TTY 711) to answer your questions (M-F 8AM-10PM, Sat 9AM-8PM EST) and help you enroll. There's no obligation.

To learn more about your plan options, costs, and enrollment periods without agent assistance, try our helpful Medicare Resources below (click to open).

Frequently Asked Questions About BSW SeniorCare Advantage Select (HMO-POS)

Here are some of the most frequently asked questions people have about Plan ID H8142-004-0:

What is the monthly premium for BSW SeniorCare Advantage Select (HMO-POS)?

BSW SeniorCare Advantage Select has a $0.00 monthly premium for 2026. You must also continue to pay any Medicare Part B premium you owe.

What is the out-of-pocket maximum for Plan ID H8142-004-0?

Plan ID H8142-004-0 has a 2026 in-network maximum out-of-pocket (MOOP) limit of $5900.00. After you reach this limit, the plan pays covered in-network Part A and Part B costs for the remainder of the year.

How many CMS stars does BSW SeniorCare Advantage Select have?

Contract H8142, which includes this plan, has a ★4.0 out of 5 CMS Star Rating for 2026.

What type of provider network does BSW SeniorCare Advantage Select use?

BSW SeniorCare Advantage Select is a Health Maintenance Organization with a Point of Service (HMO-POS) Medicare Advantage plan.

How many members does BSW SeniorCare Advantage Select have?

The most recent CMS enrollment data shows approximately 2,134 beneficiaries enrolled in Plan ID H8142-004-0.

Who offers BSW SeniorCare Advantage Select?

BSW SeniorCare Advantage Select is offered by Baylor Scott & White Health Plan.

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Covered Services & Costs

Office Visits

This plan lists in-network cost sharing for primary care and specialist visits, along with related office-based services.

Primary care and specialist visit costs for this plan.
Covered Service In-Network Cost
Primary: In-network: $0 copay
Specialist: In-network: $30 copay

Preventive and Wellness Services

Preventive and wellness benefits may include routine exams, telehealth, fitness programs, health education, and other in-network services.

Preventive and wellness service costs and benefits for this plan.
Covered Service In-Network Cost
Annual wellness exam: In-network: $0 copay
Telehealth benefit: In-network: $0 copay
Routine chiropractic: Not covered
Fitness benefits: In-network: $0 copay
Health education: Not covered
Counseling services: Not covered
Over-the-counter drug benefits: In-network: $0 copay
Health transportation (non-emergency): In-network: $0 copay

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.

Diagnostic, laboratory, and imaging service costs for this plan.
Covered Service In-Network Cost
Diagnostic radiology services: In-network: $0-$300 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.

Emergency, urgent care, hospital, ambulance, and skilled nursing costs for this plan.
Covered Service In-Network Cost
Emergency room care: $130 copay
Worldwide emergency care: $0 copay
Urgent care: $50 copay
Inpatient hospital care: In-network: | Tier 1 | $325 per day for days 1-6 | $0 per day for days 7-90 | $325 Lifetime Reserve Days for days 1-6 | $325 Lifetime Reserve Days for days 7-60 | $0 per stay
Skilled Nursing Facility: In-network: | Tier 1 | $0 per day for days 1-20 | $218 per day for days 21-100
Ground ambulance: In-network: $265 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.

Mental health therapy and inpatient psychiatric care costs for this plan.
Covered Service In-Network Cost
Outpatient individual therapy: In-network: $30 copay
Outpatient group therapy: In-network: $30 copay
Inpatient psychiatric hospital care: In-network: | Tier 1 | $325 per day for days 1-6 | $0 per day for days 7-90 | $325 Lifetime Reserve Days for days 1-6 | $325 Lifetime Reserve Days for days 7-60 | $0 per stay

Rehabilitation Services

Rehabilitation coverage includes in-network cost sharing for physical therapy, speech and language therapy, and occupational therapy services.

Physical, speech, and occupational therapy costs for this plan.
Covered Service In-Network Cost
Physical therapy and speech and language therapy: In-network: $35 copay
Occupational therapy: In-network: $35 copay

Medical Equipment and Supplies

Medical equipment coverage includes in-network cost sharing for diabetes supplies, durable medical equipment, prosthetics, and related supplies.

Diabetes supplies, durable medical equipment, and prosthetic costs for this plan.
Covered Service In-Network Cost
Diabetes supplies: In-network: $0 copay
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.

Chemotherapy and other Medicare Part B-covered drug costs for this plan.
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.

Preventive and comprehensive dental service costs for this plan.
Covered Service In-Network Cost
Oral exam: In-network: $0 copay | Out-of-network: 0%-50% coinsurance
Dental x-rays: In-network: $0 copay | Out-of-network: 0%-50% coinsurance
Cleaning: In-network: $0 copay | Out-of-network: 0%-50% coinsurance
Periodontics: In-network: 50% coinsurance | Out-of-network: 0%-50% coinsurance
Endodontics: In-network: 50% coinsurance | Out-of-network: 0%-50% coinsurance
Restorative services: In-network: 50% coinsurance | Out-of-network: 0%-50% coinsurance
Implant services: In-network: 50% coinsurance | Out-of-network: 0%-50% coinsurance
Orthodontics: Not covered
Oral/Maxillofacial surgery: In-network: 50% coinsurance | Out-of-network: 0%-50% coinsurance

Vision Services

Vision coverage includes in-network cost sharing for routine eye exams, contact lenses, eyeglass frames and lenses, and related eyewear services.

Routine eye exams, contact lenses, and eyewear costs for this plan.
Covered Service In-Network Cost
Routine eye exam: In-network: $0 copay | Out-of-network: $0 copay, 0% coinsurance
Contact lenses: In-network: $0 copay | Out-of-network: $0 copay, 0% coinsurance
Eyeglass frames only: In-network: $0 copay | Out-of-network: $0 copay, 0% coinsurance
Eyeglass lenses only: In-network: $0 copay | Out-of-network: $0 copay, 0% coinsurance
Eyeglasses (frames & lenses): In-network: $0 copay | Out-of-network: $0 copay, 0% coinsurance
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.

Hearing exams, fittings, and hearing aid costs for this plan.
Covered Service In-Network Cost
Hearing exam: In-network: $0 copay | Out-of-network: $0 copay, 0% coinsurance
Fitting/evaluation: In-network: $0 copay | Out-of-network: $0 copay, 0% coinsurance
Prescription hearing aids: In-network: $0 copay | Out-of-network: $0 copay, 0% coinsurance
OTC hearing aids: In-network: $0 copay | Out-of-network: $0 copay, 0% coinsurance

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.

Additional and special needs service costs and benefits for this plan.
Covered Service In-Network Cost
Adult day health services: Not covered
Home-based palliative care: Not covered
Personal emergency response system: Not covered
Weight management programs: Not covered
Wigs for chemotherapy-related hair loss: Not covered
Alternative therapies: Not covered
Massage therapy: Not covered
Home/bathroom safety devices: Not covered

BSW SeniorCare Advantage Select covers 100% of certain preventive services as a required Part B benefit.

Prescription Drug Coverage

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

CMS Medicare Star Ratings

Each year, Medicare Advantage HMO-POSs are rated by the Centers for Medicare & Medicaid Services (CMS) across nine categories using a 5-star system. These star ratings are designed to help you assess the quality of care and service offered by this Baylor Scott & White Health Plan plan.

2026 Medicare Star Ratings for Contract H8142
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 ☆☆☆☆☆

Contact Baylor Scott & White Health Plan

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 .

Baylor Scott & White Health Plan Plan Contact Details for BSW SeniorCare Advantage Select (HMO-POS)
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
Medicare Plan Decision Resources
Medicare Plan Data Sources and Methodology
Primary CMS datasets used to compile information about Plan ID H8142-004-0
Data Source Publisher CMS Version
Landscape Source Files Centers for Medicare & Medicaid Services 202608
Medicare Part C & D Performance Centers for Medicare & Medicaid Services 2026
Plan Benefits Package Centers for Medicare & Medicaid Services 2026
Monthly Enrollment by Contract/Plan/State/County Centers for Medicare & Medicaid Services 2026-08
Official plan information and secondary Medicare references.
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 Explore your Medicare coverage options 25 May, 2025

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.