5 out of 5 stars

2022 PPO Plans Rated

5 out of 5 Stars
Source: Medicare.gov>

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Explore our Medicare Advantage Plans

PPO 1 _ ID Card-R
Available in 7 NC Counties
  • Alamance
  • Davidson
  • Davie
  • Forsyth
  • Guilford
  • Randolph
  • Rockingham

$0

Monthly Premium Options

$0

Medical & Prescription Deductible

Featured Benefits
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Delta Dental®, VSP® vision, and TruHearing®

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SilverSneakers® Fitness

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Telehealth and 24-Hour Nurse Line

Out-of-Pocket Maximum

$3,450 In-Network

$5,150 Out-of-Network

Copays

Primary Care Provider (PCP)

$0 In-Network

$50 Out-of-Network

Specialist Visits

$30 In-Network

$75 Out-of-Network

Inpatient Hospital Coverage

In-Network

$325 per day (Days 1-6) 

$0 per day (Days 7-90)

Out-of-Network

$650 per day (Days 1-6) 

$0 per day (Days 7-90+)

Skilled Nursing Facility

In-Network

$0 per day (Days 1-20) 

$184 per day (Days 21-100)

Out-of-Network

$50 per day (Days 1-20) 

$184 per day (Days 21-100)

Eligibility

You are eligible for PPO I if:

You're entitled to Medicare Part A and are enrolled in Medicare Part B.

You live in Guilford, Forsyth, Alamance, Randolph, Rockingham, Davie, or Davidson county.

You are a United States Citizen or lawfully present in the United States.

PPO II _ ID Card-R
Available in 7 NC Counties
  • Alamance
  • Davidson
  • Davie
  • Forsyth
  • Guilford
  • Randolph
  • Rockingham

$75

Monthly Premium Options

$0

Medical & Prescription Deductible

Featured Benefits
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Delta Dental®, VSP® vision, and TruHearing®

streamline-icon-footwear-sneakers@100x100 (1)

SilverSneakers® Fitness

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Telehealth and 24-Hour Nurse Line

Out-of-Pocket Maximum

$3,200 In-Network

$5,150 Out-of-Network

Copays

Primary Care Provider (PCP)

$0 In-Network

$30 Out-of-Network

Specialist Visits

$20 In-Network

$55 Out-of-Network

Inpatient Hospital Coverage

In-Network

$250 per day (Days 1-5) 

$0 per day (Days 6-90)

Out-of-Network

$500 per day (Days 1-6) 

$0 per day (Days 7-90+)

Skilled Nursing Facility

In-Network

$0 per day (Days 1-20) 

$184 per day (Days 21-100)

Out-of-Network

$50 per day (Days 1-20) 

$184 per day (Days 21-100)

Eligibility

You are eligible for PPO II if:

You're entitled to Medicare Part A and are enrolled in Medicare Part B.

You live in Guilford, Forsyth, Alamance, Randolph, Rockingham, Davie, or Davidson county.

You are a United States Citizen or lawfully present in the United States.

HMO CSNP _ ID Card-R
Available in 4 NC Counties
  • Alamance
  • Randolph
  • Guilford
  • Rockingham

$0

Monthly Premium Options

$0

Medical & Prescription Deductible

Featured Benefits
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Delta Dental®, VSP® vision, and TruHearing®

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SilverSneakers® Fitness

streamline-icon-medical-personnel-nurse@100x100

Telehealth and 24-Hour Nurse Line

Out-of-Pocket Maxiumum

$5,000 In-Network

N/A Out-of-Network

Copays

Primary Care Provider

$0 In-Network

N/A Out-of-Network 

Specialist Visits

$20 In-Network

N/A Out-of-Network 

Inpatient Hospital Coverage

In-Network

$225 per day (Days 1-6)

$0 per day (Days 7 -90)

Out-of-Network

Not Applicable

Not Applicable

Skilled Nursing Facility

In-Network

$0 per day (Days 1-20)

$184 per day (Days 21-100)

Out-of-Network

Not Applicable

Not Applicable

Eligibility

You are eligible for HMO CSNP if:

You're entitled to Medicare Part A and are enrolled in Medicare Part B.

You live in Alamance, Guilford, Randolph, or Rockingham county AND you have diabetes and/or chronic heart failure (CHF).

You are a United States Citizen or lawfully present in the United States.

Most Popular Benefits

Our plans cover everything Medicare Parts A and B cover PLUS all the other things you need, like prescriptions, dental, hearing, vision, and fitness!

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Delta Dental®
Preventive dental services like cleanings, oral exams, X-rays, and Medicare-covered exams are included our plans.
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VSP® Vision Care
Our vision benefits are through VSP® Vision Care. VSP has 62,000 providers nationwide and 2,106 across North Carolina.
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Silversneakers Fitness®
Your fitness benefit includes access to SilverSneakers® Fitness wherever you are and whenever you want.
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Telehealth & 24-Hour Nurse Advice Line
24/7 telehealth visits through MDLive are $0 copay doctor visits via your phone or computer — anywhere, anytime.
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TruHearing®
Our hearing aid benefits are through TruHearing®, a vendor that makes hearing aids affordable for 130+ million people nationwide.
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Custodial Care
Our custodial care benefit covers up to 20 hours of care after a hospital stay, for a maximum of 60 hours per year at no cost to you.
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Healthcare Concierge
As a HealthTeam Advantage member, you have a dedicated, trusted resource who wants to keep you healthy and happy.

Frequently Asked Questions

What is Medicare Advantage?

HealthTeam Advantage Medicare Advantage Plans cover everything Medicare Parts A and B cover—plus all the other things you need, like prescriptions, dental, vision, hearing, fitness, and more.

Can I switch plans?
Yes. In fact, it’s smart to review your medical needs every year and decide whether your current Medicare plan is working for you. You have the option with Medicare Advantage plans to change once a year during the annual enrollment period (AEP), unless you qualify for a special enrollment period.
If I'm covered, is my spouse automatically covered?

No. Each person must sign up for Medicare individually.

What do I need when I call to enroll?
Have your red, white and blue Medicare ID card available when you call to enroll. Also helpful would be a list of your current medications, and the names of your doctors, if you would like to see how they’re covered under the plan.

How Can We Help You?

We have answers to your coverage questions. Call us from the comfort of your home!

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Is my doctor in-network?
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How much will my prescriptions cost?
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Do I qualify for potential savings?
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