HealthTeam Advantage is committed to detecting and fighting healthcare fraud. Working with law enforcement when necessary, HealthTeam Advantage evaluates all allegations of fraud, waste and abuse.
You can help us fight fraud by paying close attention to your medical and prescription drug benefits. Review every Explanation of Benefits (EOB) for accuracy. If you find a suspicious charge on your EOB or MSN, call your provider first. It could be a simple error that can be easily corrected. If you still suspect fraud after speaking with them, you can contact HealthTeam Advantage at 1-888-965-1965 (TTY: 711). HealthTeam Advantage employees are trained in detecting fraud, waste and abuse and will evaluate your call and determine the appropriate course of action. To report healthcare fraud, waste, or abuse, call the HealthTeam Advantage Compliance Helpline at 1-855-741-4518. Reports made through the compliance hotline can be made confidentially or anonymously, 24 hours a day, 7 days a week. To submit a written report, write to: HealthTeam Advantage, Attn: Compliance Department, 7800 McCloud Road, Suite 100, Greensboro, NC 27409.
You did not receive a medication listed on your EOB.
You received a different drug than what is listed on your EOB.
You received a different quantity of drug than what is listed on your EOB.
Someone asked you to sell your member ID card.
Someone asked you to use your member ID card.
Someone offered you cash to purchase a prescription drug or to disenroll from your current plan.
HealthTeam Advantage materials are available in other formats, please call 1-888-965-1965 (TTY: 711), 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 for details.
HealthTeam Advantage, a product of Care N’ Care Insurance Company of North Carolina, Inc., is a Medicare Advantage plan with a Medicare contract. Enrollment in HealthTeam Advantage depends on contract renewal. This information is not a complete description of benefits. Call for more information: prospective members call 877-905-9216 , HTA PPO members call 888-965-1965, and HTA CSNP members call 833-324-3242 (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. Medicare beneficiaries may also enroll in HealthTeam Advantage through the CMS Medicare Online Enrollment Center located at http://medicare.gov. 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.