Plan Highlights: As a HealthTeam Advantage PPO health plan member, you can receive care from any provider or hospital in our service area. Since HealthTeam Advantage Plan I is a Preferred Provider Organization (PPO) plan, you don’t need a referral for any specialists, hospitals, or providers.
$0
$0
$3,400 In-Network
$5,950 Out-of-Network
| Copays | In-Network | Out-Of-Network |
|---|---|---|
| Doctor Office Visits | ||
| Primary Care Provider (PCP) | $0 | $50 |
| Specialist Visits | $20 | $75 |
| Inpatient Hospital Coverage | $325 per day (Days 1-6) | 30% per day (Days 1-6) |
| $0 per day (Days 7-90) | 30% per day (Days 7-90) | |
| $0 per day (Days 91 & Beyond) | 30% per day (Days 91 & Beyond) | |
| Skilled Nursing Facility (SNF) | $0 per day (Days 1-20) | 30% per day (Days 1-20) |
| $214 per day (Days 21-100) | 30% per day (Days 21-100) | |
| Part D – Prescription Drug Benefit | Rx Deductible | Annual Out-of-Pocket Cost Threshold |
|---|---|---|
| $0 | $2,000 | |
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.
You’re eligible for HealthTeam Advantage Plan I (PPO) if:
Reach out to our local Medicare Experts for questions related to Medicare or our Medicare Advantage Plans.
Call 866-897-4230 (TTY: 711)
8:00 a.m. to 8:00 p.m. | Oct. 1-March 31, 7 Days a Week & April 1-Sept. 30, M-F
HealthTeam Advantage, a product of Care N’ Care Insurance Company of North Carolina, Inc., is a PPO and HMO Medicare Advantage plan with a Medicare contract. Enrollment in HealthTeam Advantage depends on contract renewal.
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.
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Get Ready! Medicare Annual Enrollment is October 15 – December 7. 
