Baylor Scott & White Health Plan Medicare Advantage 2024-2025 Review

Baylor Scott & White Medicare Advantage pros and cons

Our full review

Baylor Scott & White Medicare star ratings

Average star rating, weighted by enrollment: 4.41

Baylor Scott & White Medicare Advantage plans are rated above the industry average, receiving an average rating of 4.41 stars out of 5 from CMS for 2025, weighted by enrollment^[0]

For comparison, the average weighted star rating for plans from all providers is 3.92^[0]

CMS maintains star ratings for Medicare Advantage plans on a 5-point scale, ranking plans from best (5 stars) to worst (1 star). The agency bases these ratings on plans’ quality of care and measurements of customer satisfaction, and ratings may change from year to year.

You can find a plan’s rating with Medicare's plan finding tool.

What does Baylor Scott & White Medicare Advantage cost?

In 2025, about 40% of Baylor Scott & White's Medicare Advantage plans with prescription drug coverage have $0 premiums^[0]

(Most people pay this standard Part B amount, but if your income is above a certain threshold, you'll pay the income-related monthly adjustment amount (IRMAA). Some Medicare Advantage plans cover part or all of your Part B premium.)

Requirements for copays, coinsurance and deductibles vary depending on your plan, location and the services you use. Other out-of-pocket costs to consider include:

• Whether the plan covers any part of your monthly Medicare Part B premium.

• The plan’s yearly deductibles and any other deductibles, such as a drug deductible.

• Copayments and/or coinsurance for each visit or service. For instance, there may be a $10 copay for seeing your primary doctor and a $45 copay for seeing a specialist.

• The plan’s in-network and out-of-network out-of-pocket maximums.

• Whether your medical providers are in-network or out-of-network, or how often you may go out-of-network for care.

• Whether you require extra benefits, and whether the plan charges for them.

To get a sense of costs, use Medicare’s plan finding tool to compare information among available plans in your area. You can select by insurance carrier to see only Baylor Scott & White plans or compare across carriers.

Baylor Scott & White Medicare Advantage plan types

Baylor Scott & White offers HMO and PPO Medicare Advantage plans. About two-thirds of Baylor Scott & White Medicare Advantage plans include prescription drug coverage.

Plan offerings include the following types:

Baylor Scott & White Medicare Advantage service area

Baylor Scott & White Health Plan offers Medicare Advantage plans in 49 counties in Texas. The company covers about 30,000 Medicare Advantage beneficiaries^[0]