Benefit |
HealthTeam Advantage PPO Plan I |
HealthTeam Advantage PPO Plan II |
HealthTeam Advantage Eagle Plan PPO |
HealthTeam Advantage HMO CSNP Plan |
HealthTeam Advantage Cardinal Plan HMO |
|---|---|---|---|---|---|
| Plan Type | PPO | PPO | PPO | HMO | HMO |
| Monthly Premium Options | $0 | $50 | $0 | $0 | $0 |
| Deductible for Medical & Prescription | $0 | $0 | $0 | Medical: $0 Prescriptions: $95 |
$0 |
| Enhanced Dental, Vision and Hearing | |||||
| SilverSneakers and Memory Fitness | |||||
| OTC Coverage and Custodial Care | |||||
| Flexible Wallet Benefit (dental, vision, and hearing) | |||||
| Out-of-Pocket-Maximum | $3,200 In-Network $5,750 Out-of-Network |
$3,000 In-Network $5,500 Out-of-Network |
$6,250 In-Network $9,500 Out-of-Network |
$3,500 In-Network | $2,900 In Network |
| Copays: Doctor Office Visits Primary Care Provider (PCP) | $0 In-Network $50 Out-of-Network |
$0 In-Network $30 Out-of-Network |
$0 In-Network $50 Out-of-Network |
$0 In-Network | $0 In-Network |
| Specialist Visits | $20 In-Network $75 Out-of-Network |
$10 In-Network $50 Out-of-Network |
$30 In-Network $75 Out-of-Network |
$20 In-Network $0 for Cardiologist, Endocrinologist, and Podiatrist |
$0 In-Network |
| Learn More | Learn More | Learn More | Learn More | Learn More |
You’re eligible for HealthTeam
Advantage PPO plans if:
You’re eligible for HealthTeam
Advantage HMO plans if:
PPO is a type of health plan that contracts with medical providers, such as hospitals and doctors, to create a network of participating providers. You pay less if you use providers that belong to the plan’s network. You can use doctors, hospitals, and providers outside of the network for an additional cost.
HMO is a type of health insurance plan that may limit coverage of care from doctors who work for or contract with the HMO. It generally won’t cover out-of-network care except in an emergency. An HMO may require you to live or work in its service area to be eligible for coverage. HMOs often provide integrated care and focus on prevention and wellness.
Prospective Members | TTY Users
866-897-4230 | 711
Current Members
888-965-1965 | 711
Providers
844-806-8217 (Option 5)
Agent & Brokers
855-547-0344
Prospective and Current Members Call From
October 1 to March 31, 7 days a week
8 AM – 8 PM ET
April 1 to September 30, Monday to Friday
8 AM – 8 PM ET
Providers Call From
Monday to Friday, 8 AM – 5:30 PM ET
Agents & Brokers Call From
Monday to Friday, 8 AM – 5 PM ET
Source: U.S. News & World Report's "Best Medicare Advantage Plan Companies of 2023"
HealthTeam Advantage, a product of Care N’ Care Insurance Company of North Carolina, Inc., is a PPO and HMO Medicare Advantage plan with a Medicare contract.
Enrollment in HealthTeam Advantage depends on contract renewal. This information is not a complete description of benefits. Call for more information: prospective members call 866-393-3860, HTA PPO members call 888-965-1965, and HTA HMO CSNP members call 888-965-1965 (TTY:711) from October 1–March 31, 8 a.m. to 8 p.m. ET, seven days a week, or April 1–September 30, 8 a.m. to 8 p.m. ET, Monday through Friday. Medicare beneficiaries may also enroll in HealthTeam Advantage through the CMS Medicare Online Enrollment Center located at http://medicare.gov. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or copayments/coinsurance may change on January 1 of each year. The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. Every year, Medicare evaluates plans based on a 5-star rating system.
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