As a HealthTeam Advantage PPO health plan member, you can receive care from any provider or hospital in our service area. Since Plan I is a Preferred Provider Organization (PPO) plan, you don’t need a referral for any specialists, hospitals, or providers.
Shop & Compare Plans / Plan I
$0
$0
$4,900
In-Network
$8,500
Combined In- and Out-of-Network
| In-Network Copayment | Out-of-Network Coinsurance | |
|---|---|---|
| Doctor Office Visits | ✓ | ✓ |
| Primary Care Provider (PCP) | $0 | 50% |
| Specialist Visits | $40 | 50% |
| Inpatient Hospital Coverage | $350 per day (Days 1-6) | 50% per day (Days 1-6) |
| $0 per day (Days 7-90) | 50% per day (Days 7-90) | |
| $0 per day (Days 91 & Beyond) | 50% per day (Days 91 & Beyond) | |
| Skilled Nursing Facility (SNF) | $0 per day (Days 1-20) | 50% per day (Days 1-20) |
| $221 per day (Days 21-100) | 50% per day (Days 21-100) | |
| Part D – Prescription Drug Benefit | Rx Deductible | Rx Maximum Out-of-Pocket |
|---|---|---|
| $595 (applies to Tiers 3, 4, and 5 only) | $2,400 | |
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 Plan I if:
Don’t navigate Medicare alone. Let us review your prescriptions and your list of doctors to see if they’re in-network, explain the benefits, and help you understand the costs – before you enroll.
8am-8pm
April 1-September 30, Monday-Friday
October 1-March 31, 7 Days a Week
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