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HealthTeam Advantage PPO Plan I

$0 Monthly Premium
Options

$0 Deductible for
Medical & Prescription

Featured Benefits

Dental Allowance up to $3,750

Vision, Hearing, and Fitness

24-Hour Nurse Advice Line

Custodial Care Post-Surgery

Healthcare Concierge

Out-of-Pocket Maximum

$3,200 In-Network

$5,100 Out-of-Network

Copays

In-Network

Out-Of-Network

Primary Care Provider (PCP)

$50

Specialist Visits

$25

$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)

$184 per day
(Days 21-100)

$50 per day
(Days 1-20)

$184 per day
(Days 21-100)

HealthTeam Advantage PPO Plan II

$75 Monthly Premium
Options

$0 Deductible for
Medical & Prescription

Featured Benefits

Dental Allowance up to $3,750

Vision, Hearing, and Fitness

24-Hour Nurse Advice Line

Custodial Care Post-Surgery

Healthcare Concierge

Out-of-Pocket Maximum

$3,000 In-Network

$5,100 Out-of-Network

Copays

In-Network

Out-Of-Network

Primary Care Provider (PCP)

$30

Specialist Visits

$15

$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)

$184 per day
(Days 21-100)

$50 per day
(Days 1-20)

$184 per day
(Days 21-100)

For additional information please view our Benefits at a Glance Brochure: PPO

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

Medicare Advantage Plans 2023

Forsyth County

Compare Our Medicare Advantage Plans

HealthTeam Advantage PPO Plan I

Featured Benefits

Out-of-Pocket Maximum

Copays

In-Network

Out-Of-Network

Inpatient Hospital Coverage

Skilled Nursing Facility (SNF)

HealthTeam Advantage PPO Plan II

Featured Benefits

Out-of-Pocket Maximum

Copays

In-Network

Out-Of-Network

Inpatient Hospital Coverage

Skilled Nursing Facility (SNF)

Are You Eligible?

You’re eligible for HealthTeam Advantage PPO plans if:

Enrollment Dates

Understanding Enrollment Periods

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