Information Book
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- 2027 Information Book – HealthTeam Advantage Plan I (PPO)
- 2027 Information Book – HealthTeam Advantage Plan II (PPO)
- 2027 Information Book – HealthTeam Advantage Eagle Plan (PPO)
- 2027 Information Book – HealthTeam Advantage Vitality Plan (PPO)
- 2027 Information Book – HealthTeam Advantage Thrive Plan (HMO)
Evidence of Coverage
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- 2027 Evidence of Coverage – HealthTeam Advantage Plan I (PPO)
- 2027 Evidence of Coverage – HealthTeam Advantage Plan II (PPO)
- 2027 Evidence of Coverage – HealthTeam Advantage Eagle Plan (PPO) (Coming soon)
- 2027 Evidence of Coverage – HealthTeam Advantage Vitality Plan (PPO) (Coming soon)
- 2027 Evidence of Coverage – HealthTeam Advantage Thrive Plan (HMO)
Summary of Benefits
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- 2027 Summary of Benefits – HealthTeam Advantage Plan I (PPO)
- 2027 Summary of Benefits – HealthTeam Advantage Plan II (PPO)
- 2027 Summary of Benefits – HealthTeam Advantage Eagle Plan (PPO)
- 2027 Summary of Benefits – HealthTeam Advantage Vitality Plan (PPO)
- 2027 Summary of Benefits – HealthTeam Advantage Thrive Plan (HMO)
Provider and Pharmacy Information
Part D: Pharmacy Utilization Criteria
Low Income Subsidy
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- 2027 Low Income Subsidy – HealthTeam Advantage Plan I (PPO) (Coming soon)
- 2027 Low Income Subsidy – HealthTeam Advantage Plan II (PPO) (Coming soon)
- 2027 Low Income Subsidy – HealthTeam Advantage Eagle Plan (PPO) (Coming soon)
- 2027 Low Income Subsidy – HealthTeam Advantage Vitality Plan (PPO) (Coming soon)
- 2027 Low Income Subsidy – HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP) (Coming soon)
Comprehensive Formulary
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- 2027 Comprehensive Formulary – HealthTeam Advantage Plan I (PPO), Plan II (PPO), Vitality Plan (PPO), Thrive Plan (HMO)
- 2027 Comprehensive Formulary Addendum – HealthTeam Advantage Plan I (PPO), Plan II (PPO), Vitality Plan (PPO), Thrive Plan (HMO) (Coming soon)
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)
- FLC Dental Member Reimbursement Form (Coming soon)
- VSP Vision Direct Member Reimbursement Form
- Prescription Drug Member Reimbursement Form
- General Request for Medicare Prescription Drug Coverage Determination (Coming soon)
OTC Benefits
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- Activate and Manage your OTC Card (Coming soon)
- 2027 OTC Product Catalog (Coming soon)