Dental
Preventive and Comprehensive Dental Coverage
HealthTeam Advantage Medicare Advantage Plans cover everything Medicare Parts A and B cover. Plus our benefits cover all the other things you need including Prescriptions, Dental, Vision, Hearing, Fitness, and more.
Benefit |
Plan I (PPO) |
Plan II (PPO) |
Eagle Plan
|
Vitality Plan (PPO) |
Diabetes & Heart Care (HMO C-SNP) |
Cardinal Plan (HMO) |
---|---|---|---|---|---|---|
Plan Type | PPO | PPO | PPO | PPO | HMO | HMO |
Monthly Premium | $0 | $44 | $0 | $0 | $0 | $0 |
Doctor Office Visit Primary Care Provider (PCP) Copays | $0 In-Network | $0 In-Network | $0 In-Network | $0 In-Network | $0 | $0 |
$50 Out-of-Network | $30 Out-of-Network | 40% Out-of-Network | $50 Out-of-Network | Out-of-Network Coverage not available. | Out-of-Network Coverage not available. | |
Specialist Visit Copays | $20 In-Network | $15 In-Network | $30 In-Network | $30 In-Network | $15 $0 (Cardiologist, Endocrinologist & Podiatrist) |
$5 |
$75 Out-of-Network | $60 Out-of-Network | 40% Out-of-Network | $75 Out-of-Network | Out-of-Network Coverage not available. | Out-of-Network Coverage not available. | |
Out-of-Pocket Maximum | $3,400 In-Network | $3,200 In-Network | $3,750 In-Network | $4,150 In-Network | $3,500 | $3,400 |
$5,950 Out-of-Network | $5,950 Out-of-Network | $6,200 Out-of-Network | $6,200 Out-of-Network | |||
Medical Deductible | $0 | $0 | $0 | $0 | $0 | $0 |
Prescription Drug Deductible | $0 | $0 | N/A | $150 (applies to Tiers 4 & 5 only) |
$95 (applies to Tiers 4 & 5 only) |
$0 |
Dental, Vision and Hearing Benefit | ||||||
Over-the-Counter (OTC) Benefit | ||||||
Fitness Benefit | ||||||
In-Home Support Companion Benefit | ||||||
In-Home Meal Delivery Benefit | ||||||
Transportation Benefit | ||||||
Flexible Wallet Benefit | ||||||
Custodial Care Benefit | ||||||
24-Hour Nurse Advice Line | ||||||
Learn More About Plan I (PPO) | Learn More About Plan II (PPO) | Learn More About Eagle Plan (PPO MA-Only) |
Learn More About Vitality Plan (PPO) | Learn More About Diabetes & Heart Care (HMO C-NSP) | Learn More About Cardial Plan (HMO) |
PPO is a type of health plan that contracts with medical providers, such as hospitals and doctors, to create a network of participating providers. You pay less if you use providers that belong to the plan’s network. You can use doctors, hospitals, and providers outside of the network for an additional cost.
HMO is a type of health insurance plan that may limit coverage of care from doctors who work for or contract with the HMO. It generally won’t cover out-of-network care except in an emergency. An HMO may require you to live or work in its service area to be eligible for coverage. HMOs often provide integrated care and focus on prevention and wellness.
We understand the challenges in choosing a health plan. We’ve created a Simple Guide to Medicare to help. Our team is also happy to explain what to expect and how much it’s going to cost.
We’re here for you. Call us to speak to a local Medicare Expert or schedule an in-person appointment.
Medicare Questions: 866-897-4230 (TTY: 711)
Member Services: 888-965-1965 (TTY: 711)
From 8:00 a.m. to 8:00 p.m. ET, 7 days a week from October 1 through March 31st (except holidays) and Monday to Friday from April 1 through September 30 (except holidays).
HealthTeam Advantage Medicare Advantage Plans cover everything Medicare Parts A and B cover—plus all the other things you need, like prescriptions, dental, vision, hearing, fitness, and more.