Copays or Coinsurance
All drugs on HealthTeam Advantage’s drug list are in one of five cost-sharing tiers for the PPO plans and six cost-sharing tiers for the HMO CSNP plan. Below is a summary of copays depending on drug tier and plan:
HealthTeam Advantage PPO Plan I
HealthTeam Advantage PPO Plan II
HealthTeam AdvantageHMO CSNP Plan
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Definition of the Six Drug Tiers
- Tier 1 – Preferred Generics: Generic drugs that are available at the lowest cost share
- Tier 2 – Generics: Generic and some very low-cost brand drugs that are available at a higher cost to you than drugs in Tier 1
- Tier 3 – Preferred Brands: Generic or brand drugs that are available at a lower cost to you than drugs in Tier 4
- Tier 4 – Non-Preferred Drugs: Generic or brand drugs that are available at a higher cost to you than drugs in Tier 3
- Tier 5 – Specialty Drugs: This is the highest-cost tier. Some injectables and other high-cost drugs
- Tier 6 – Select Care Drugs (only applies to CSNP plan): Generic or brand drugs that are used to treat or prevent conditions. Specifically, diabetes, cardiovascular disease and most vaccines.
Extra Help
You may be able to get extra help pay for your prescription drug premiums and costs. To see if you qualify, call or contact:
- 1-800-Medicare (1-800-633-4227). (TTY: 1-877-486-2048) anytime
- The Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m. ET Monday through Friday. TTY: 1-800-325-0778
- The North Carolina Medicaid Office.
For more information about gap coverage or other prescription drug benefits, please see your:
Give Us A Call
Prospective Members | TTY Users
866-897-4230 | 711
Current Members
888-965-1965
Prospective and Current Members Call From
October 1 to March 31, 7 days a week
8 a.m. – 8 p.m. ET
April 1 to September 30, Monday to Friday
8 a.m. – 8 p.m. ET
300 E. Wendover Ave. Suite 121
Greensboro, NC, 27401
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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