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HealthTeam Advantage Plan II (PPO)

H9808 - 005 - 0
4.5 out of 5 stars (4.5 / 5)

HealthTeam Advantage Plan II (PPO) is a Medicare Advantage Plan by CARE N’ CARE INSURANCE COMPANY OF NORTH CAROLINA.

This page features plan details for 2025 HealthTeam Advantage Plan II (PPO) H9808 – 005 – 0 available in Greater Piedmont Triad Area.

Locations

HealthTeam Advantage Plan II (PPO) is offered in the following locations.

Alamance County, North Carolina
Caswell County, North Carolina
Davidson County, North Carolina

Click to see more locations

Plan Overview

HealthTeam Advantage Plan II (PPO) offers the following coverage and cost-sharing.

Insurer:CARE N’ CARE INSURANCE COMPANY OF NORTH CAROLINA
Health Plan Deductible:$0
MOOP:$5,950 In and Out-of-network
$3,200 In-network
Drugs Covered:Yes

Ready to sign up for HealthTeam Advantage Plan II (PPO) ?

Get help from a licensed insurance agent.

Call 1-877-354-4611 / TTY 711.

M-F: 8:00 am – 10:00 pm EST

Sat-Sun: 8:00 am – 9:00 pm EST

Premium Breakdown

HealthTeam Advantage Plan II (PPO) has a monthly premium of $44.00. This amount includes your Part C and D premiums but does not include your Part B premium. The following is a breakdown of your monthly premium with Part B costs included.
Part B Part C Part D Part B Give Back Total
$185.00 $0.00 $44.00 $ $
Please Note:
  • Your Part B premium may differ based on factors including late enrollment, income, and disability status.
  • You may also qualify for “Extra Help” on drug costs. See the Part D Premium Reduction section below for more details.

Drug Info

HealthTeam Advantage Plan II (PPO) provides the following cost-sharing on drugs. Please check the plan’s formulary for specific drugs covered.

Drug Deductible: $0.00
Drug Out-Of-Pocket maximum: $2,000.00
Drug Benefit Type: Enhanced Alternative

Part D Premium Reduction

The Low-Income Subsidy (also known as LIS or “Extra Help”) helps people with Medicare lower the cost of prescription drugs.

The table below shows how the LIS impacts the Part D premium of this plan.

Part DLIS Full
$44.00$0.20

Initial Coverage Phase

After you pay your $0.00 drug deductible, you will pay the following costs for drugs in each tier until your total drug costs (including what this plan has paid and what you have paid) reach $2,000.00. Once you reach that amount, you will enter the next coverage phase.

Catastrophic Coverage Phase

After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $2,000.00, you pay nothing for Medicare Part D covered drugs. However, you may still pay a share of the costs for excluded drugs covered under any enhanced benefit. Please note, that this plan has a Enhanced Alternative benefit type.

Additional Benefits

HealthTeam Advantage Plan II (PPO) also provides the following benefits.

Additional benefits and/or reduced cost-sharing for enrollees with certain health conditions?

    • In-Network: No

Comprehensive Dental

  • Adjunctive General Services
    • In-Network: 0-50 Coins – No Co pay
  • Endodontics
    • In-Network: 50 Coins – No Co pay
  • Implant Services
    • In-Network: 50 Coins – No Co pay
  • Oral and Maxillofacial Surgery
    • In-Network: 20-50 Coins – No Co pay
  • Periodontics
    • In-Network: 20-50 Coins – No Co pay
  • Prosthodontics, fixed
    • In-Network: 50 Coins – No Co pay
  • Prosthodontics, removable
    • In-Network: 50 Coins – No Co pay
  • Restorative Services
    • In-Network: 20-50 Coins – No Co pay

Diagnostic and Preventive Dental

  • Dental X-Rays
    • In-Network: 0-20 Coins – No Copay
    • Out-of-Network: 50% Coins – No Copay
  • Oral Exams
    • In-Network: No Coins – No Copay
    • Out-of-Network: 50% Coins – No Copay
  • Other Diagnostic Dental Services
    • In-Network: 0-20 Coins – No Copay
    • Out-of-Network: 50% Coins – No Copay
  • Prophylaxis (cleaning)
    • In-Network: No Coins – No Copay
    • Out-of-Network: 50% Coins – No Copay

Diagnostic procedures/lab services/imaging

  • Diagnostic radiology services (e.g., MRI)
    • In-Network: $0-275 copay (Authorization Required)
    • Out-of-Network: 20% coinsurance (Authorization Required)
  • Diagnostic tests and procedures
    • In-Network: $5-75 copay (Authorization Required)
  • Lab services
    • In-Network: $5-10 copay (Authorization Required)
  • Diagnostic tests and procedures
    • Out-of-Network: 20% coinsurance (Authorization Required)
  • Lab services
    • Out-of-Network: 20% coinsurance (Authorization Required)
  • Outpatient x-rays
    • In-Network: $10 copay (Authorization Required)
    • Out-of-Network: 20% coinsurance (Authorization Required)

Doctor visits

  • Specialist
    • Out-of-Network: $60 copay per visit
    • In-Network: $15 copay per visit
  • Primary
    • Out-of-Network: $30 copay per visit
    • In-Network: $0 copay

Emergency care/Urgent care

  • Emergency
    • $130 copay per visit (always covered)
  • Urgent care
    • $20 copay per visit (always covered)

Foot care (podiatry services)

  • Foot exams and treatment
    • Out-of-Network: $60 copay
  • Routine foot care
    • Not covered
  • Foot exams and treatment
    • In-Network: $15 copay

Ground ambulance

    • In-Network: $200 copay
    • Out-of-Network: $200 copay

Health plan deductible

    • $0

Hearing

  • Hearing aids
    • In-Network: $299-799 copay (Limits Apply)
  • Medicare-Covered Hearing Exam
    • Out-of-Network: $60 copay
  • Hearing aids OTC
    • Not covered
  • Medicare-Covered Hearing Exam
    • In-Network: $15 copay
  • Fitting/evaluation
    • In-Network: $0 copay
    • Out-of-Network: $0 copay
  • Hearing aids
    • Out-of-Network: $299-799 copay (Limits Apply)

Inpatient hospital coverage

    • In-Network: $250 per day for days 1 through 5
      $0 per day for days 6 through 90 (Authorization Required)
    • Out-of-Network: 20% per stay (Authorization Required)

Maximum out-of-pocket enrollee responsibility (does not include prescription drugs)

    • $5,950 In and Out-of-network
      $3,200 In-network

Medical equipment/supplies

  • Durable medical equipment (e.g., wheelchairs, oxygen)
    • Out-of-Network: 30% coinsurance per item (Authorization Required)
    • In-Network: 20% coinsurance per item (Authorization Required)
  • Prosthetics (e.g., braces, artificial limbs)
    • In-Network: 20% coinsurance per item (Authorization Required)
    • Out-of-Network: 30% coinsurance per item (Authorization Required)
  • Diabetes supplies
    • In-Network: 0-20% coinsurance per item (Authorization Required)
    • Out-of-Network: 20% coinsurance per item (Authorization Required)

Medicare Part B drugs

  • Chemotherapy
    • Out-of-Network: 30% coinsurance (Authorization Required)
  • Other Part B drugs
    • Out-of-Network: 30% coinsurance (Authorization Required)
  • Chemotherapy
    • In-Network: 0-20% coinsurance (Authorization Required)
  • Other Part B drugs
    • In-Network: 0-20% coinsurance (Authorization Required)

Mental health services

  • Outpatient group therapy visit with a psychiatrist
    • Out-of-Network: 20% coinsurance (Authorization Required)
  • Outpatient individual therapy visit
    • In-Network: $15 copay (Authorization Required)
  • Inpatient hospital – psychiatric
    • Out-of-Network: 20% per stay (Authorization Required)
  • Outpatient group therapy visit
    • Out-of-Network: 20% coinsurance (Authorization Required)
  • Outpatient group therapy visit with a psychiatrist
    • In-Network: $15 copay (Authorization Required)
  • Outpatient individual therapy visit with a psychiatrist
    • Out-of-Network: 20% coinsurance (Authorization Required)
    • In-Network: $15 copay (Authorization Required)
  • Inpatient hospital – psychiatric
    • In-Network: $250 per day for days 1 through 8
      $0 per day for days 9 through 90 (Authorization Required)
  • Outpatient group therapy visit
    • In-Network: $15 copay (Authorization Required)
  • Outpatient individual therapy visit
    • Out-of-Network: 20% coinsurance (Authorization Required)

Optional supplemental benefits

    • No

Other health plan deductibles?

    • In-Network: No

Outpatient hospital coverage

    • Out-of-Network: 20% coinsurance per visit (Authorization Required)
    • In-Network: $325 copay per visit (Authorization Required)

Preventive care

    • In-Network: $0 copay
    • Out-of-Network: $30 copay

Rehabilitation services

  • Occupational therapy visit
    • In-Network: $15 copay
    • Out-of-Network: 20% coinsurance
  • Physical therapy and speech and language therapy visit
    • In-Network: $15 copay
    • Out-of-Network: 20% coinsurance

Skilled Nursing Facility

    • Out-of-Network: 20% per stay (Authorization Required)
    • In-Network: $0 per day for days 1 through 20
      $214 per day for days 21 through 100 (Authorization Required)

Transportation

    • Not covered

Vision

  • Eyeglass frames
    • Out-of-Network: $0 copay (Limits Apply)
  • Contact lenses
    • In-Network: $0 copay (Limits Apply)
  • Eyeglass lenses
    • In-Network: $0 copay (Limits Apply)
  • Upgrades
    • In-Network: $0 copay (Limits Apply)
    • Out-of-Network: $0 copay (Limits Apply)
  • Contact lenses
    • Out-of-Network: $0 copay (Limits Apply)
  • Eyeglasses (frames and lenses)
    • In-Network: $0 copay (Limits Apply)
    • Out-of-Network: $0 copay (Limits Apply)
  • Other
    • Not covered
  • Routine eye exam
    • Out-of-Network: 20% coinsurance (Limits Apply)
  • Eyeglass frames
    • In-Network: $0 copay (Limits Apply)
  • Eyeglass lenses
    • Out-of-Network: $0 copay (Limits Apply)
  • Routine eye exam
    • In-Network: $25 copay (Limits Apply)

Wellness programs (e.g., fitness, nursing hotline)

    • Covered (Authorization Required)

Ready to sign up for HealthTeam Advantage Plan II (PPO) ?

Get help from a licensed insurance agent.

Call 1-877-354-4611 / TTY 711.

M-F: 8:00 am – 10:00 pm EST

Sat-Sun: 8:00 am – 9:00 pm EST

Need more information on HealthTeam Advantage Plan II (PPO)? See 2025 HealthTeam Advantage Plan II (PPO) at MedicareAdvantageRX.com.

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Get help enrolling in a Medicare Advantage or Medicare Prescription Drug Plan by calling a licensed insurance agent today.

Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross Blue Shield, Anthem Blue Cross, Aspire Health Plan, Capital Blue Cross, Cigna Healthcare, Dean Health Plan, Devoted Health, Florida Blue Medicare, GlobalHealth, Health Care Service Corporation, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Premera Blue Cross, Medica Central Health Plan, SCAN Health Plan, Baylor Scott & White Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint

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