The HealthTeam Advantage Diabetes & Heart Care HMO CSNP is a Health Maintenance Organization (HMO) Chronic Special Needs Plan (CSNP) available to Medicare beneficiaries who reside in Alamance, Guilford, Randolph or Rockingham counties. The beneficiaries must have diabetes and/or congestive heart failure (CHF) that is verified by an HTA network provider to enroll in the plan. To complete the enrollment in the CSNP, your patients must confirm they have a qualifying condition of diabetes or congestive heart failure by having YOU complete this verification form. HealthTeam Advantage will need to obtain the attestation verbally or written within the enrollee’s first 30 days of coverage to remain enrolled in the Chronic Special Needs Plan. To assist your patients in completing the enrollment process, HealthTeam Advantage will be calling to verify the chronic disease or faxing an attestation form to your office to complete and return to HealthTeam Advantage. If we are unable to obtain the attestation verbally or written within 30 days of the effective date of coverage, a dis-enrollment from the plan will occur.
When your office receives attestation forms, act immediately to keep your patients enrolled in the HTA Diabetes & Heart Care HMO CSNP
Email your Provider Concierge or call 844-806-8217 option 5 for more information about this plan. To keep your patients enrolled, please complete the verification form.
