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HealthTeam Advantage Diabetes & Heart Care HMO CSNP Plan 2021

As a HealthTeam Advantage HMO health plan member living in Guilford County, you can choose to receive care from any provider or hospital in our service area of Anson, Alamance, Burke Cleveland, Davidson, Davie, Forsyth, Guilford, Lincoln, Randolph, Rockingham, Stanly, and Union counties.

Are you eligible?

HealthTeam Advantage HMO CSNP

$0 Monthly Premium
Options
$0 Deductible for
Medical & Prescription

Out-of-Pocket Maximum

$5,000

Copays

 
Doctor Office Visits
 
Primary Care Provider (PCP)
Cardiologist
Endocrinologist
Podiatrist

$0

Specialist Visits

$20

Inpatient Hospital Coverage

$225 per day
(Days 1-6)

$0 per day
(Days 7-90)

Skilled Nursintg Facility (SNF)

$0 per day
(Days 1-20)

$178 per day
(Days 21-100)

For additional information please view
2021 Benefit Highlights – HMO CSNP Plan

Are You Eligible?

You’re eligible to join HealthTeam Advantage Diabetes & Heart Care HMO CSNP if:

  • You’re entitled to Medicare Part A and are enrolled in Medicare Part B
  • You live in Guilford County
  • You are a United States Citizen or lawfully present in the United States
  • You have diabetes and/or chronic heart failure (CHF)
About Medicare Eligibility

Enrollment Dates

Understanding Enrollment Periods

  • Initial Enrollment Period – When you’re first eligible for Medicare (for example, when you turn 65), you have a 7-month window to sign up for Part A and/or Part B or a Medicare Advantage plan. That time period is 3 months before your birthday month, your birthday month, and 3 months after your birthday month.
  • Annual Enrollment Period – is October 15-December 7 every year. During this time, you can switch, drop, or join a Medicare Advantage plan.
  • Open Enrollment Period – is January 1-March 31 every year. This is your only opportunity outside of the Annual Enrollment Period to switch Medicare Advantage plans.
More About Enrollment Periods

Our Provider Network

As this plan is a HMO (health maintenance organization) it’s important to know which providers are part of our network because, with limited exceptions, while you’re a member of this plan you must use network providers to get your medical care and services. The only exceptions are emergencies, urgently needed services when the network is not available (generally, when you are out of the area), out-of-area dialysis services, and cases in which HealthTeam Advantage Diabetes & Heart Care Plan (HMO CSNP) authorizes use of out-of-network providers.