2019 Plan Documents
Annual Notice of Change
- 2019 Annual Notice of Change HTA Plan I (MAPD-PPO)
- 2019 Annual Notice of Change HTA Plan II (MAPD-PPO)
Evidence of Coverage
Summary of Benefits
- Fitness Benefit
- Dental Health Benefits
- Hearing Health Benefits
- Eye Care Benefits
- Virtual Visit Benefit
Low Income Subsidy
Prior Authorization Criteria
- Prior Authorization Request Form (Coming Soon)
- 2019 Prior Authorization Criteria
- Step Therapy Request Form (Coming Soon)
- 2019 Step Therapy Criteria
Page last updated: Nov 1, 2018
HealthTeam Advantage, a product of Care N’ Care Insurance Company of North Carolina, Inc., is a Medicare Advantage organization with a Medicare contract. Enrollment in HealthTeam Advantage depends on contract renewal. You must continue to pay your Medicare Part B premium. This information is not a complete description of benefits. Contact the plan for more information. 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.
HealthTeam Advantage, 7800 McCloud Road, Suite 100, Greensboro, NC 27409.
To learn more, please call 1-877-905-9216 (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.
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