Annual Notice of Change
- 2023 Annual Notice of Change – HTA Plan I (MAPD-PPO)
- 2023 Annual Notice of Change – HTA Plan I (MAPD-PPO) Errata
- 2023 Annual Notice of Change – HTA Plan II (MAPD-PPO)
- 2023 Annual Notice of Change – HTA Plan II (MAPD-PPO) Errata
- 2023 Annual Notice of Change – HTA Diabetes & Heart Care (HMO CSNP)
- 2023 Annual Notice of Change – HTA Diabetes & Heart Care (HMO CSNP) Errata
Part D: Pharmacy Utilization Criteria
- Prior Authorization Criteria HealthTeam Advantage PPO
- Prior Authorization Criteria HealthTeam Advantage Diabetes & Heart Care Plan (HMO CSNP)
- 2023 Prior Authorization Forms HealthTeam Advantage PPO
- 2023 Prior Authorization Forms HealthTeam Advantage Diabetes & Heart Care Plan (HMO CNSP)
- 2023 Step Therapy Criteria HealthTeam Advantage PPO
- 2023 Step Therapy Criteria HealthTeam Advantage Diabetes & Heart Care Plan (HMO CSNP)
Exclusive to CSNP Members
Evidence of Coverage
- 2023 Evidence of Coverage – Health Plan I (PPO)
- 2023 Evidence of Coverage – Health Plan I (PPO) Errata 11/15/22
- 2023 Evidence of Coverage – Health Plan I (PPO) Errata 03/01/23
- 2023 Evidence of Coverage – Health Plan II (PPO)
- 2023 Evidence of Coverage – Health Plan II (PPO) Errata 11/15/22
- 2023 Evidence of Coverage – Health Plan II (PPO) Errata 13/01/23
- 2023 Evidence of Coverage – HealthTeam Advantage Diabetes and Heart Care Plan (HMO CSNP)
- 2023 Evidence of Coverage – HealthTeam Advantage Diabetes and Heart Care Plan (HMO CSNP) Errata 11/15/22
- 2023 Evidence of Coverage – HealthTeam Advantage Diabetes and Heart Care Plan (HMO CSNP) Errata 03/01/23
Enrollment Form
Comprehensive Formulary
- 2023 Comprehensive Formulary – HealthTeam Advantage PPO
- 2023 Comprehensive Formulary – HealthTeam Advantage Diabetes & Heart Care Plan (HMO CSNP)
- 2023 Comprehensive Formulary Addendum –HealthTeam Advantage PPO
- 2023 Comprehensive Formulary Addendum–HealthTeam Advantage Diabetes & Heart Care Plan (HMO CSNP)
Additional Forms
- Automatic Bank Draft Authorization
- Authorization for Release of Protected Health Information (PHI)
- Health Risk Assessment – Online
- Health Risk Assessment – PDF
- Appointment of Representative
- Medicare Stars Rating PPO
- Medicare Stars Rating HMO
- HTA Medical Direct Member Reimbursement Request (PPO or CSNP)
- Delta Dental Direct Member Reimbursement Form
- VSP Vision Direct Member Reimbursement Form
- Prescription Drug Member Reimbursement Form
- General Request for Medicare Prescription Drug Coverage Determination
Give Us A Call
Prospective Members | TTY Users
866-897-4230 | 711
Current Members
888-965-1965
Prospective and Current Members Call From
October 1 to March 31, 7 days a week
8 a.m. – 8 p.m. ET
April 1 to September 30, Monday to Friday
8 a.m. – 8 p.m. ET
300 E. Wendover Ave. Suite 121
Greensboro, NC, 27401
Source: U.S. News & World Report's "Best Medicare Advantage Plan Companies of 2023"
HealthTeam Advantage, a product of Care N’ Care Insurance Company of North Carolina, Inc., is a PPO and HMO Medicare Advantage plan with a Medicare contract.
Enrollment in HealthTeam Advantage depends on contract renewal. This information is not a complete description of benefits. Call for more information: prospective members call 866-393-3860, HTA PPO members call 888-965-1965, and HTA HMO CSNP members call 888-965-1965 (TTY:711) from October 1–March 31, 8 a.m. to 8 p.m. ET, seven days a week, or April 1–September 30, 8 a.m. to 8 p.m. ET, Monday through Friday. Medicare beneficiaries may also enroll in HealthTeam Advantage through the CMS Medicare Online Enrollment Center located at http://medicare.gov. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or copayments/coinsurance may change on January 1 of each year. The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. Every year, Medicare evaluates plans based on a 5-star rating system.
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