A Comprehensive Formulary is a list of covered drugs selected by HealthTeam Advantage. We generally cover drugs listed in our formulary if it is medically necessary, the prescription is filled at a HealthTeam Advantage network pharmacy, and other plan rules are followed.
You can search for medications on our formulary online, or download the Comprehensive Formulary under the 2020 Plan Documents. If you prefer, we will mail you a copy of the most recent version.
HealthTeam Advantage Plan I and Plan II PPO members call your Healthcare Concierge at 1-888-965-1965 (TTY: 711) HealthTeam Advantage Diabetes & Heart Care HMO members call your Healthcare Concierge at 1-833-324-3242 (TTY:711), October 1–March 31, 8 a.m. to 8 p.m. ET, 7 days a week, or April 1–September 30, 8 a.m. to 8 p.m. ET, Monday through Friday. Or send an email to email@example.com
Prospective members please call 1-877-905-9216 (TTY: 711), October 1–March 31, 8 a.m. to 8 p.m. ET, 7days a week, or April 1–September 30, 8 a.m. to 8 p.m. ET, Monday through Friday.
For more information on how to fill your prescriptions, please review your Evidence of Coverage (EOC) document available on the 2020 Plan Documents page.
The Medicare program allows HealthTeam Advantage to make changes in our formulary at any time during the calendar year. A change in our formulary can affect which drugs are covered, the amount of copay, and limits on usage. If the plan makes any negative, non-maintenance formulary change, affected members will receive written notice that explains the change; the formulary on our website will also be updated. For a list of changes made to the formulary, please see the formulary addendum available on the 2020 Plan Documents page.
Some covered drugs may have additional requirements or limits on coverage. These requirements and limits may include prior authorization, step therapy, and quantity limits. For more information on formulary restrictions, see the Formulary Restrictions page or review your Evidence of Coverage (EOC) document or Comprehensive Formulary available on the 2020 Plan Documents.
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. Certain plan materials are also available in large print and braille for individuals who need accommodations. 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.