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Medicare Advantage Eagle Plan (PPO) 2024

As a HealthTeam Advantage Eagle health plan member, you can choose to receive care from any provider or hospital in our service area, which includes the following counties in North Carolina: Alamance, Caswell, Davidson, Davie, Forsyth, Guilford, Montgomery, Orange, Randolph, Rockingham, Stokes, and Yadkin. Since HealthTeam Advantage is a Preferred Provider Organization (PPO) plan, you don’t need a referral for any specialists, hospitals, or providers.

HealthTeam Advantage Eagle Plan PPO

$0 Monthly Premium
$0 Deductible for Medical

Out-of-Pocket Maximum

$6,250 In-Network
$9,500 Out-of-Network

Copays

In-Network
Out-Of-Network
Doctor Office Visits
 
 
Primary Care Provider (PCP)

$0

$50

Specialist

$30

$75

Inpatient Hospital Coverage

$300 per day
(Days 1-5)

$0 per day
(Days 6-90)

40% coinsurance

Skilled Nursing Facility (SNF)

$0 per day
(Days 1-20)

$203 per day
(Days 21-100)

40% coinsurance

For additional information please view
2024 HealthTeam Advantage Eagle PPO Benefits at a Glance PDF

Are You Eligible?

You’re eligible for HealthTeam Advantage Eagle PPO plan if:

  • You’re entitled to Medicare Part A and are enrolled in Medicare Part B
  • You live in one of the following North Carolina counties: Alamance, Caswell, Davidson, Davie, Forsyth, Guilford, Montgomery, Orange, Randolph, Rockingham, Stokes, or Yadkin.
  • You are a United States Citizen or lawfully present in the United States

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.

Our Provider Network

We do encourage you to choose an in-network provider as your primary care provider (PCP) because you’ll have a dedicated doctor who will focus on your individual healthcare needs and coordinate your care with other in-network providers if needed. This allows you to keep your out-of-pocket costs lower and more predictable.

If you do select an out-of-network provider, please make sure the provider accepts Medicare; otherwise, you will be responsible for the full cost of services. Except for emergencies or urgent care, it may cost more to get care from out-of-network providers.