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Medicare Advantage PPO Plans 2024

As a HealthTeam Advantage PPO 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. And, 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

Compare PPO I and PPO II

HealthTeam Advantage PPO Plan I

$0 Monthly Premium
$0 Deductible for Medical

Featured Benefits

Enhanced Dental Benefit
Vision, Hearing, and Silver Sneakers
Custodial Care

Out-of-Pocket Maximum

$3,200 In-Network
$5,750 Out-of-Network
Enroll Now

Copays

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

$0

$50

Specialist Visits

$20

$75

Inpatient Hospital Coverage

$295 per day
(Days 1-6)

$0 per day
(Days 7-90)

$0 per day
(Days 91 Beyond)

$650 per day
(Days 1-6)

$0 per day
(Days 7-90)

$0 per day
(Days 91 Beyond)

Skilled Nursing Facility (SNF)

$0 per day
(Days 1-20)

$203 per day
(Days 21-100)

$50 per day
(Days 1-20)

$203 per day
(Days 21-100)

HealthTeam Advantage PPO Plan II

$50 Monthly Premium
$0 Deductible for Medical

Featured Benefits

Enhanced Dental Benefit
Vision, Hearing, and Silver Sneakers
Custodial Care

Out-of-Pocket Maximum

$3,000 In-Network
$5,500 Out-of-Network
Enroll Now

Copays

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

$0

$30

Specialist Visits

$10

$50

Inpatient Hospital Coverage

$200 per day
(Day 1-5)

$0 per day
(Days 6-90)

$0 per day
(Days 91 Beyond)

$500 per day
(Days 1-6)

$0 per day
(Days 7-90)

$0 per day
(Days 91 Beyond)

Skilled Nursing Facility (SNF)

$0 per day
(Days 1-20)

$203 per day
(Days 21-100)

$50 per day
(Days 1-20)

$203 per day
(Days 21-100)

Are You Eligible?

You’re eligible for HealthTeam Advantage PPO plans if:

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

About Medicare Eligibility >

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.

More About Enrollment Periods >

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.

Corporate

300 E. Wendover Ave., Suite 121, Greensboro, NC 27401

Local Benefit Center

Walk-Ins Welcome

5815 Samet Dr., Suite 107, High Point, NC 27265

Didn’t find what you were looking for?

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.

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.

Page last updated: October 01, 2024

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