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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
Medical & Prescription
Featured Benefits
Out-of-Pocket Maximum
Copays
Doctor Office Visits
Cardiologist
Endocrinologist
Podiatrist
$0
$20
Inpatient Hospital Coverage
$225 per day
(Days 1-6)
$0 per day
(Days 7-90)
Skilled Nursing 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)
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.
Detailed and Additional Information
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.
