The HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP) is a Health Maintenance Organization (HMO) Chronic Special Needs Plan (C-SNP) available to Medicare beneficiaries who reside in Alamance, Davidson, Davie, Forsyth, Guilford, Randolph, and Rockingham counties. To enroll in this plan, the beneficiaries must have diabetes and/or chronic heart failure (CHF) verified by their provider.
To complete enrollment in the Chronic Special Needs Plan, your patient must prove they have a qualifying condition of Diabetes or Chronic Heart Failure. HealthTeam Advantage will need to obtain verbal or written attestation from you within the enrollee’s first 30 days of effective coverage to prove that the enrollee has been diagnosed with one of the qualifying conditions in order to remain covered by the Chronic Special Needs Plan. This attestation can be obtained verbally on a recorded phone line or by faxing a completed attestation form. If we are unable to obtain the attestation verbally or in writing within 30 days of the effective date of coverage, a disenrollment from the plan will occur.
When your office receives attestation forms, act immediately to keep your patients enrolled in the HealthTeam Advantage Diabetes & Heart Care plan.
For more information about this plan, email your Provider Concierge or call 844-806-8217 (option 5). To keep your patients enrolled, please complete the Provider C-SNP Verification Form.
