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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.
Are you eligible? Enroll Now
HealthTeam Advantage Eagle Plan PPO
Featured Benefits
Out-of-Pocket Maximum
Copays
In-Network
Out-Of-Network
Doctor Office Visits
$0
$50
$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 HTA 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.
Detailed and Additional Information
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.
