2026 Plan Details

HealthTeam Advantage Plan I (PPO)

Plan Highlights: As a HealthTeam Advantage PPO health plan member, you can receive care from any provider or hospital in our service area. Since HealthTeam Advantage Plan I is a Preferred Provider Organization (PPO) plan, you don’t need a referral for any specialists, hospitals, or providers.

2026 Plan Details

$0

Monthly Premium

$0

Deductible for Medical

Maximum Out-of-Pocket (MOOP)

$3,900 In-Network

$6,300 Out-of-Network

Copays and CoinsuranceIn-NetworkOut-of-Network
Doctor Office Visits
Primary Care Provider (PCP)$0 copay$50 copay
Specialist Visits$25 copay$75 copay
Inpatient Hospital Coverage$325 per day (Days 1-6)30% per day (Days 1-6)
$0 per day (Days 7-90)30% per day (Days 7-90)
$0 per day (Days 91 & Beyond)30% per day (Days 91 & Beyond)
Skilled Nursing Facility (SNF)$0 per day (Days 1-20)30% per day (Days 1-20)
$218 per day (Days 21-100)30% per day (Days 21-100)
Part D – Prescription Drug BenefitRx DeductibleAnnual Out-of-Pocket Costs
$250 (applies to Tiers 4 and 5 only)$2,100

Plan I Benefits

HealthTeam Advantage Medicare Advantage Plans cover everything Medicare Parts A and B cover—plus all the other things you need, like prescriptions, dental, vision, hearing, fitness, and more.

2026 HealthTeam Advantage Plan I (PPO) Benefits at a Glance

Download for More Plan Information

Are You Eligible?

You’re eligible for
Plan I if:

  • You’re entitled to Medicare Part A and are enrolled in Medicare Part B
  • You are a United States citizen or lawfully present in the United States
  • You live in Alamance, Caswell, Davidson, Davie, Forsyth, Guilford, Montgomery, Orange, Randolph, Rockingham, Stokes, or Yadkin county

Find Out More

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Are my prescriptions covered?

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Are my providers in network?

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Where can I find Plan Documents?

Get the Right Plan for You – With Local Medicare Experts

Don’t navigate Medicare alone. Let us review your prescriptions and your list of doctors to see if they’re in-network, explain the benefits, and help you understand the costs – before you enroll.

Call today or book your in-person appointment to get answers you can trust.

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April 1-September 30, Monday-Friday
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