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  3. HealthTeam Advantage Eagle Plan
HealthTeam Advantage logo, a registered trademark of HealthTeam Advantage

HealthTeam Advantage Eagle Plan (PPO) Medicare Advantage Plan H9808-009 • 2027

CMS Rating: ☆☆☆☆☆ (3.5 out of 5 stars*)
Monthly Premium
$0.00Plus Part B premium.
Medical Deductible
$0.00
Maximum Out-of-Pocket
$8500.00In-network
Part B Giveback
−$150.00 reduction
Prescription Coverage
Not Included
Additional Benefits
Dental, Vision, Hearing
Service Area
See List
Total Enrollment
0 beneficiaries
Last update: October 2, 2026
  • Benefits & Costs
  • Prescription Drugs
  • CMS Star Ratings
  • Contact HealthTeam Advantage
  • Plan Availability
  • Plan FAQs

HealthTeam Advantage Eagle Plan (PPO) Introduction

HealthTeam Advantage Eagle Plan is a Medicare Advantage PPO plan offered by HealthTeam Advantage. It uses a Preferred Provider Organization (PPO) provider network and comes without prescription drug coverage. For the 2027 plan year it has a $0.00 monthly premium, $0.00 medical deductible, and $8500.00 in-network maximum out-of-pocket. CMS Plan ID H9808-009 identifies this plan.

Plan Benefits

HealthTeam Advantage Eagle Plan has cost-sharing, meaning there are out-of-pocket costs when receiving covered healthcare services. The tables below detail the most common in-network out-of-pocket expenses for plan H9808-009.

Compare 2027 plan benefits with 2026.

Office Visits

Office visit costs by plan year.
Covered Service 2027 2026
Primary care In-network: $0 copay
Out-of-network: 40% coinsurance
In-network: $0 copay
Out-of-network: 40% coinsurance
Specialist In-network: $40 copay
Out-of-network: 40% coinsurance
In-network: $35 copay
Out-of-network: 40% coinsurance

Preventive and Wellness Services

Preventive and wellness service costs and benefits by plan year.
Covered Service 2027 2026
Annual wellness exam In-network: $0 copay
Out-of-network: 40% coinsurance
In-network: $0 copay
Telehealth benefit In-network: $0-$40 copay In-network: $0-$35 copay
Routine chiropractic Not covered Not covered
Fitness benefits Coming soon In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance
Health education Not covered Not covered
Counseling services Not covered Not covered
Over-the-counter drug benefits In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance
In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance
Health transportation (non-emergency) Coming soon In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance

Diagnostic, Lab, and Imaging Services

Diagnostic, laboratory, and imaging service costs by plan year.
Covered Service 2027 2026
Diagnostic radiology services In-network: $15-$400 copay
Out-of-network: 40% coinsurance
In-network: $0-$300 copay
Out-of-network: 40% coinsurance
Lab services In-network: $10-$20 copay
Out-of-network: 40% coinsurance
In-network: $10-$20 copay
Out-of-network: 40% coinsurance
Outpatient x-rays In-network: $20 copay
Out-of-network: 40% coinsurance
In-network: $10 copay
Out-of-network: 40% coinsurance
Diagnostic tests and procedures In-network: $10-$200 copay
Out-of-network: 40% coinsurance
In-network: $0-$100 copay
Out-of-network: 40% coinsurance

Emergency and Urgent Care Services

Emergency, urgent care, hospital, ambulance, and skilled nursing costs by plan year.
Covered Service 2027 2026
Emergency room care $115 copay $130 copay
Worldwide emergency care Coming soon $0 copay
Urgent care $40 copay $40 copay
Inpatient hospital care In-network:
Tier 1
$400 per day for days 1-6
$0 per day for days 7-90
$0 per stay
Out-of-network:
40% per stay
In-network:
Tier 1
$325 per day for days 1-6
$0 per day for days 7-90
$0 per stay
Out-of-network:
40% per stay
Skilled Nursing Facility In-network:
Tier 1
$0 per day for days 1-20
$221 per day for days 21-100
Out-of-network:
40% per stay
In-network:
Tier 1
$0 per day for days 1-20
$218 per day for days 21-100
Out-of-network:
40% per stay
Ground ambulance In-network: $250 copay
Out-of-network: $250 copay
In-network: $250 copay
Out-of-network: $250 copay

Mental Health Services

Mental health therapy and inpatient psychiatric care costs by plan year.
Covered Service 2027 2026
Outpatient individual therapy In-network: $40 copay
Out-of-network: 40% coinsurance
In-network: $35 copay
Out-of-network: 40% coinsurance
Outpatient group therapy In-network: $20 copay
Out-of-network: 40% coinsurance
In-network: $20 copay
Out-of-network: 40% coinsurance
Inpatient psychiatric hospital care In-network:
Tier 1
$400 per day for days 1-6
$0 per day for days 7-90
$0 per stay
Out-of-network:
40% per stay
In-network:
Tier 1
$325 per day for days 1-6
$0 per day for days 7-90
$0 per stay
Out-of-network:
40% per stay

Rehabilitation Services

Physical, speech, and occupational therapy costs by plan year.
Covered Service 2027 2026
Physical therapy and speech and language therapy In-network: $20-$30 copay
Out-of-network: 40% coinsurance
In-network: $20-$30 copay
Out-of-network: 40% coinsurance
Occupational therapy In-network: $30 copay
Out-of-network: 40% coinsurance
In-network: $20 copay
Out-of-network: 40% coinsurance

Medical Equipment and Supplies

Diabetes supplies, durable medical equipment, and prosthetic costs by plan year.
Covered Service 2027 2026
Diabetes supplies In-network: 0%-20% coinsurance
Out-of-network: 40%-50% coinsurance
In-network: 0%-20% coinsurance
Out-of-network: 40% coinsurance
Durable medical equipment In-network: 20% coinsurance
Out-of-network: 50% coinsurance
In-network: 20% coinsurance
Out-of-network: 40% coinsurance
Prosthetics In-network: 20% coinsurance
Out-of-network: 50% coinsurance
In-network: 20% coinsurance
Out-of-network: 40% coinsurance

Medicare Part B Drugs

Chemotherapy and other Medicare Part B-covered drug costs by plan year.
Covered Service 2027 2026
Chemotherapy In-network: 0%-20% coinsurance
Out-of-network: 40% coinsurance
In-network: 0%-20% coinsurance
Out-of-network: 40% coinsurance
Other Part B drugs (Medicare-covered) In-network: 0%-20% coinsurance
Out-of-network: 40% coinsurance
In-network: 0%-20% coinsurance
Out-of-network: 40% coinsurance

Dental Services

Preventive and comprehensive dental service costs by plan year.
Covered Service 2027 2026
Oral exam In-network: $0 copay
Out-of-network: 50% coinsurance
In-network: $0 copay
Out-of-network: 50% coinsurance
Dental x-rays In-network: $0 copay
Out-of-network: 50% coinsurance
In-network: $0 copay
Out-of-network: 50% coinsurance
Cleaning In-network: $0 copay
Out-of-network: 50% coinsurance
In-network: $0 copay
Out-of-network: 50% coinsurance
Periodontics In-network: 50% coinsurance
Out-of-network: 75% coinsurance
In-network: 20%-50% coinsurance
Out-of-network: 50%-75% coinsurance
Endodontics In-network: 50% coinsurance
Out-of-network: 75% coinsurance
In-network: 50% coinsurance
Out-of-network: 75% coinsurance
Restorative services In-network: 50% coinsurance
Out-of-network: 75% coinsurance
In-network: 20%-50% coinsurance
Out-of-network: 50%-75% coinsurance
Implant services In-network: 50% coinsurance
Out-of-network: 75% coinsurance
In-network: 50% coinsurance
Out-of-network: 75% coinsurance
Orthodontics Not covered Not covered
Oral/Maxillofacial surgery In-network: 50% coinsurance
Out-of-network: 75% coinsurance
In-network: 20%-50% coinsurance
Out-of-network: 50%-75% coinsurance

Vision Services

Routine eye exams, contact lenses, and eyewear costs by plan year.
Covered Service 2027 2026
Routine eye exam In-network: $0 copay
Out-of-network: 75% coinsurance
In-network: $25 copay
Out-of-network: 40% coinsurance
Contact lenses In-network: $60 copay
Out-of-network: 75% coinsurance
In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance
Eyeglass frames only In-network: $0 copay
Out-of-network: 75% coinsurance
In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance
Eyeglass lenses only In-network: $0 copay
Out-of-network: 75% coinsurance
In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance
Eyeglasses (frames & lenses) In-network: $0 copay
Out-of-network: 75% coinsurance
In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance
Upgrades In-network: $0 copay
Out-of-network: 75% coinsurance
In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance

Hearing Services

Hearing exams, fittings, and hearing aid costs by plan year.
Covered Service 2027 2026
Hearing exam In-network: $0 copay
Out-of-network: 75% coinsurance
In-network: $25 copay
Out-of-network: $25 copay
Fitting/evaluation In-network: $0 copay
Out-of-network: 75% coinsurance
In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance
Prescription hearing aids In-network: $299-$799 copay
Out-of-network: 75% coinsurance
In-network: $299-$799 copay
Out-of-network: $299-$799 copay
OTC hearing aids Not covered Not covered

Additional and Special Needs Services

Additional and special needs service costs and benefits by plan year.
Covered Service 2027 2026
Adult day health services Not covered Not covered
Home-based palliative care In-network: $0 copay
Out-of-network: 40% coinsurance
In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance
Personal emergency response system Coming soon Not covered
Weight management programs Not covered Not covered
Wigs for chemotherapy-related hair loss Coming soon Not covered
Alternative therapies Not covered Not covered
Massage therapy Not covered Not covered
Home/bathroom safety devices Not covered Not covered

Certain preventive services are covered 100% by HealthTeam Advantage Eagle Plan as a Part B benefit.

Prescription Drug Coverage

This plan does not include a Medicare Part D plan for prescriptions.

CMS 5-Star Performance Ratings (Contract ID: H9808)

The Centers for Medicare & Medicaid Services (CMS) rates Medicare Advantage (Part C) and Part D prescription drug plans each year using a 5-star system. These ratings measure plan performance in areas such as preventive care, management of chronic conditions, and member experience.

2027 Medicare Star Ratings for Contract H9808
CMS Measure Star Rating
2027 Overall Rating ☆☆☆☆☆
Staying Healthy: Screenings, Tests, Vaccines ☆☆☆☆☆
Managing Chronic (Long Term) Conditions ☆☆☆☆☆
Member Experience with Health Plan ☆☆☆☆☆
Complaints and Changes in Plans Performance ☆☆☆☆☆
Health Plan Customer Service ☆☆☆☆☆
Drug Plan Customer Service ☆☆☆☆☆
Complaints and Changes in the Drug Plan ☆☆☆☆☆
Member Experience with the Drug Plan ☆☆☆☆☆
Drug Safety and Accuracy of Drug Pricing ☆☆☆☆☆

Contact Information for HealthTeam Advantage

Website
HealthTeam Advantage Plan Page
Providers
HealthTeam Advantage Providers Page
Formulary
HealthTeam Advantage Formulary Page
Pharmacy
HealthTeam Advantage Pharmacy Page
New Member Health Plan Help
(877)905-9216
New Member Health Plan TTY
711

Enrollment status and eligibility information are available through the Social Security Administration. Additional information about Medicare Advantage is available at Medicare.gov.

Plan Availability

HealthTeam Advantage Eagle Plan (H9808-009-0) is available in the following locations:

North Carolina Counties Served
  • Alamance
  • Alexander
  • Alleghany
  • Anson
  • Bladen
  • Brunswick
  • Cabarrus
  • Caswell
  • Chatham
  • Columbus
  • Davidson
  • Davie
  • Durham
  • Forsyth
  • Gaston
  • Guilford
  • Iredell
  • Lincoln
  • Mecklenburg
  • Montgomery
  • New Hanover
  • Orange
  • Pender
  • Person
  • Randolph
  • Richmond
  • Rockingham
  • Rowan
  • Scotland
  • Stokes
  • Union
  • Wilkes
  • Yadkin

Frequently Asked Questions

Here are some of the most frequently asked questions about this plan (click to open).

Frequently Asked Questions About HealthTeam Advantage Eagle Plan (PPO)

How much does plan H9808-009 cost per month?

The plan’s monthly premium is $0.00 for 2027. The Part B premium is not included.

What is the MOOP for HealthTeam Advantage Eagle Plan in 2027?

The 2027 in-network MOOP is $8500.00. Once this limit is reached, covered in-network costs are fully covered.

How many beneficiaries are enrolled in this plan?

CMS reports 0 beneficiaries enrolled in this plan.

What is the prescription drug deductible for 2027?

For 2027, the prescription drug deductible is $0.00.

Medicare Plan Data Sources and Methodology
Primary CMS datasets used for this Medicare Advantage Plan resource.
Data Source Publisher Last Accessed
Landscape Source Files Centers for Medicare & Medicaid Services October 5, 2026
Medicare Part C & D Performance Centers for Medicare & Medicaid Services October 5, 2026
Plan Benefits Package Centers for Medicare & Medicaid Services October 5, 2026
Monthly Enrollment by Contract/Plan/State/County Centers for Medicare & Medicaid Services October 5, 2026

Data sources and methodology documentation.

Official plan information and secondary Medicare references.
Publisher Reference Last Accessed
HealthTeam Advantage (official source) http://www.htanc.com October 4, 2026
Medicare.gov Understanding Medicare Advantage Plans 25 May, 2025
NCOA.org 5 Steps to Choosing the Right Medicare Plan for You 25 May, 2025
Medicare.gov Compare Original Medicare & Medicare Advantage 25 May, 2025

MedicarePlans.com is an independent, non-government informational resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program.

Data provenance is documented in accordance with the U.S. Core Data for Interoperability (USCDI) Provenance standard.

Page content independently curated and maintained by David W. Bynon, Editorial Steward, using a standardized, data-driven methodology for accurate, non-commercial Medicare plan interpretation and resolution.

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