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Plan Details

HealthTeam Advantage Vitality Plan (PPO)

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 Vitality Plan is a Preferred Provider Organization (PPO) plan, you don’t need a referral for any specialists, hospitals, or providers.

Plan Details

$0

Monthly Premium

$0

Deductible for Medical

Out-of-Pocket Maximum

$4,150 In-Network

$6,200 Out-of-Network

CopaysIn-NetworkOut-Of-Network
Doctor Office Visits
Primary Care Provider (PCP)$0$50
Specialist Visits$30$75
Inpatient Hospital Coverage$335 per day (Days 1-6)40% per day (Days 1-6)
$0 per day (Days 7-90)40% per day (Days 7-90)
$0 per day (Days 91 & Beyond)40% per day (Days 91 & Beyond)
Skilled Nursing Facility (SNF)$0 per day (Days 1-20)40% per day (Days 1-20)
$214 per day (Days 21-100)40% per day (Days 21-100)
Part D – Prescription Drug BenefitRx DeductibleAnnual Out-of-Pocket Cost Threshold
$150
(applies to Tiers 4 & 5 only)
$2,000

HealthTeam Advantage Vitality Plan (PPO) Benefits

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.

2025 HealthTeam Advantage Vitality Plan (PPO) Benefits at a Glance

Download for More Plan Information

Are You Eligible?

Are You Eligible?

You’re eligible for HealthTeam Advantage
Vitality Plan (PPO) if:

  • You’re entitled to Medicare Part A and are enrolled in Medicare Part B
  • You live in Alamance, Alexander, Alleghany, Anson, Bladen, Brunswick, Cabarrus, Caswell, Chatham, Columbus, Davidson, Davie, Durham, Forsyth, Gaston, Guilford, Iredell, Lincoln, Mecklenburg, Montgomery, New Hanover, Orange, Pender, Person, Randolph, Richmond, Rockingham, Rowan, Scotland, Stokes, Union, Wilkes, or Yadkin county
  • You are a United States citizen or lawfully present in the United States

Find Out More

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Are my prescriptions covered?

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Are my providers in network?

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Where can I find Plan Documents?

Have questions? Ready to get started?

We’re Here to Help!

Let’s Talk

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