Information Book
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- 2026 Information Book – HealthTeam Advantage Plan I (PPO)
- 2026 Information Book – HealthTeam Advantage Plan II (PPO)
- 2026 Information Book – HealthTeam Advantage Eagle Plan (PPO)
- 2026 Information Book – HealthTeam Advantage Vitality Plan (PPO)
- 2026 Information Book – HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP)
Annual Notice of Change
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- 2026 Annual Notice of Change – HealthTeam Advantage Plan I (PPO)
- 2026 Annual Notice of Change – HealthTeam Advantage Plan II (PPO)
- 2026 Annual Notice of Change – HealthTeam Advantage Eagle Plan (PPO)
- 2026 Annual Notice of Change – HealthTeam Advantage Vitality Plan (PPO)
- 2026 Annual Notice of Change – HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP)
Evidence of Coverage
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- 2026 Evidence of Coverage – HealthTeam Advantage Plan I (PPO)
- 2026 Evidence of Coverage – HealthTeam Advantage Plan II (PPO)
- 2026 Evidence of Coverage – HealthTeam Advantage Eagle Plan (PPO)
- 2026 Evidence of Coverage – HealthTeam Advantage Vitality Plan (PPO)
- 2026 Evidence of Coverage – HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP)
Summary of Benefits
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- 2026 Summary of Benefits – HealthTeam Advantage Plan I (PPO)
- 2026 Summary of Benefits – HealthTeam Advantage Plan II (PPO)
- 2026 Summary of Benefits – HealthTeam Advantage Eagle Plan (PPO)
- 2026 Summary of Benefits – HealthTeam Advantage Vitality Plan (PPO)
- 2026 Summary of Benefits – HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP)
Provider and Pharmacy Information
Part D: Pharmacy Utilization Criteria
Comprehensive Formulary
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- 2026 Comprehensive Formulary – HealthTeam Advantage Plan I (PPO), Plan II (PPO), and Vitality Plan (PPO)
- 2026 Comprehensive Formulary – HealthTeam Advantage Diabetes & Heart Care Plan (HMO C-SNP)
- 2026 Comprehensive Formulary Addendum – HealthTeam Advantage Plan I (PPO), Plan II (PPO), and Vitality Plan (PPO)
- 2026 Comprehensive Formulary Addendum – HealthTeam Advantage Diabetes & Heart Care Plan (HMO C-SNP)
Additional Forms
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- Automatic Bank Draft Authorization
- Authorization for Release of Protected Health Information (PHI)
- Appointment of Representative
- Health Risk Assessment – Online
- Health Risk Assessment – PDF
- Medicare Star Ratings
- HealthTeam Advantage Medical Direct Member Reimbursement Request (PPO or CSNP)
- Dominion Dental Direct Member Reimbursement Form
- VSP Vision Direct Member Reimbursement Form
- Prescription Drug Member Reimbursement Form
- General Request for Medicare Prescription Drug Coverage Determination