For Members

2025 Plan I (PPO) Benefits

Dental

Getting regular dental care is important not only for your teeth and gums, but your overall health.

No annual benefit maximum for most preventive, non-Medicare covered services, such as oral exams, cleanings, and bitewing X-rays. (Frequency and visit limits apply.)
$100 annual deductible for some diagnostic and preventive services and all comprehensive services.
$2,500 annual benefit maximum for comprehensive dental services (combined for In- and Out-of-Network Services.)
Refer to your Evidence of Coverage for details on covered services.
Visit dominiondentists.com/healthteamadvantage to find a Dominion Dental provider.
For claims questions, call Dominion Dental at 833-208-3848.

Download Dental Benefit Flyer >

Hearing

Good hearing is important to your health and safety.

TruHearing providers must be used for routine hearing benefits and hearing aids:

$25 copay for routine hearing exams. One exam visit per year.
Up to two (2) TruHearing-branded hearing aids per year.
Copays for hearing aids range from $299–$799.
Rechargeable battery options available on select styles ($50 per aid).
$0 copay for hearing aid fitting/evaluation visits for up to one year after purchase.

Getting Started

Find a participating TruHearing provider by calling 866-201-9886.
Schedule your exam. (If you need help, contact your Healthcare Concierge.)
Go to your exam.
Order hearing aids if needed. Then go for a fitting and follow-up.

Check Your Hearing Online

TruHearing offers an online tool to check your hearing. This doesn’t replace seeing a provider, of course, but offers a simple screening from the comfort of your home. You will need a pair of headphones for the screening, which takes less than five minutes.

Visit TruHearing.com/HealthTeam-HS to get started.

Download Hearing Benefit Flyer >

Vision

Healthy eyes and vision are important to your well-being.

$25 copay for in-network routine eye exams. One per year.
$125 annual eyewear allowance for frames or contact lenses.
$0 copay for lens upgrades (standard progressive lenses and scratch-resistant coating).

Using your vision benefit is easy:

Create an account at vsp.com. Review your personalized benefit information.
Find a HealthTeam Advantage provider who’s right for you.
At your appointment, tell them you have VSP and present your HealthTeam Advantage ID card. There are no claim forms to complete when you use an in-network provider.

If you choose an out-of-network provider, call VSP at 855-492-9028 or your Healthcare Concierge for plan details.

Getting Started

Search for VSP providers or create your account at vsp.com/advantageretail.

Download Vision Benefit Flyer >

Over-the-Counter

Over-the-Counter (OTC) Allowance

Use this quarterly allowance on OTC medications and supplies.

You will receive a prepaid debit card in the mail from NationsBenefits.
Activate your card by visiting HTA.NationsBenefits.com/Activate or calling 877-205-8005 (TTY 711).
Visit HTA.NationsBenefits.com to download a catalog, see a list of participating retailers, or place an online order.
Your allowance is $70 per quarter.
You can roll your funds to the next quarter, but you must use your entire allowance by December 31. Please save your card for future use.
If you have questions about your card, call NationsBenefits at 888-433-1058 (TTY 711).
If your card is missing, call your Healthcare Concierge.

View OTC Product Catalog

Download Over-the-Counter (OTC) Allowance Benefit Flyer >

Fitness

Feel your best with SilverSneakers®

Your fitness benefit includes access to SilverSneakers in a variety of ways at no cost to you.

Activating your SilverSneakers membership is easy:

Create an online account at SilverSneakers.com/StartHere.
Log in to access your SilverSneakers ID number.
Try a virtual class or visit a participating facility.

Important: Always talk to your doctor before starting an exercise program!

Explore Classes Near You

Download Fitness Benefit Flyer >

Memory Fitness

Your brain needs exercise, too.

Get a daily workout for your brain with BrainHQ, at no cost to you.

Activating your BrainHQ membership is easy on a computer or mobile device:

Visit hta.brainhq.com.
Click Sign Up and enter your information.
Choose an exercise and begin.

Customized for You

The brain exercises in your memory fitness benefit adapt based on your needs, so they’re never too hard or too easy. There’s also a computerized “personal trainer” feature that helps you track your progress.

Download Memory Fitness Benefit Flyer >

In-Home Support

Custodial Care

Personal, professional, non-medical care when you need it most.

Receive non-medical care performed by professional caregivers after a hospital stay or qualifying outpatient procedure.

In-Network: Covers up to 20 hours of care after a hospital stay or qualifying outpatient procedure, for a maximum of 60 hours per year, at no cost to you.
Out-of-Network: Please refer to your Evidence of Coverage for details.
Custodial care must be provided by a professional home health agency or provider. Prior authorization is required.
Care services must be initiated within 30 days of discharge from inpatient stay or outpatient procedure.
Qualifying outpatient procedures must be performed at a facility, not a provider’s office, and they do not include outpatient diagnostic tests such as colonoscopies or biopsies.

Download Custodial Care Benefit Flyer >

Meal Delivery

In-Home Meal Delivery

Get the support you need with meal assistance.

Coverage includes up to 28 meals (2 meals per day over a 14-day period) from NationsMarket™.
Qualifying events include surgery, discharge from an inpatient hospitalization or skilled nursing stay, and some chronic illnesses (chronic heart failure, diabetes, and/or chronic lung diseases).
Your Care Management team can work with your healthcare provider to coordinate this benefit.
Please contact your Healthcare Concierge if this benefit is not initiated by your provider after a qualifying event.

Download In-Home Meal Delivery Benefit Flyer >

Nurse Advice Line

Registered nurses are available 24/7 to help members get the care they need.

If you’re feeling under the weather or need an opinion on where to go for care, call the 24-hour Nurse Advice Line at 877-229-8614 (TTY: 800-735-8262).

Speak with a registered nurse who can evaluate your needs, help determine next steps based on your injury or illness, and answer general healthcare questions.

Important: For emergencies, always dial 911.

Download Nurse Advice Line Benefit Flyer >

Worldwide Travel

Worldwide Travel Coverage

Healthcare coverage while traveling outside the U.S.

Coverage for urgent care or emergency care outside the United States and its territories includes:

$0 copay for each urgent care visit
$0 copay for each emergency care visit
$75,000 maximum coverage amount per year

To use this coverage, follow these steps to be reimbursed:

Pay for the urgent care or emergency services you receive outside the United States or its territories.
Get receipts for all services provided.
When you return to the United States, contact your Healthcare Concierge for instructions on submitting a claim for reimbursement.
Submit your claim within 60 days of the date you received the service.

Note: Supplemental benefits such as dental, vision, hearing, etc., are not covered outside the United States. Worldwide emergency services and urgent care do not apply to your Out-of-Pocket Maximum.

Download Worldwide Travel Coverage Benefit Flyer >

Healthcare Concierge

We’re Here for You

Your Healthcare Concierge is here to help you make the most of your benefits. Just call or email for fast, friendly assistance.

Call: 888-965-1965 (TTY: 711)

Email: [email protected]

8 a.m.–8 p.m. | Oct. 1-March 31, 7 Days a Week, April 1-Sept. 30, Monday – Friday

Local Benefit Center

Walk-Ins Welcome

5815 Samet Dr., Suite 107, High Point, NC 27265

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.

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.