PROVIDER/PHARMACY DIRECTORY

HealthTeam Advantage, a product of Care N Care Insurance Company of North Carolina, Inc., is a Medicare Advantage organization with a Medicare contract. Enrollment in HealthTeam Advantage depends on contract renewal. H9808_16_15 Accepted

HEALTHTEAM ADVANTAGE PLAN I (PPO)HEALTHTEAM ADVANTAGE PLAN II (PPO)

50/100/0/0 60/5/1/5 85/50/0/0 0/0/0/70

2017

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HealthTeam Advantage PPO

PlansProvider Directory

This directory provides a list of HealthTeam Advantages (PPO) network providers.

This directory is for Alamance, Guilford, Randolph and Rockingham counties.

This directory is current as of April 2018. Some network providers may have been added or

removed from our network after this directory was printed. We do not guarantee that each

provider is still accepting new members. To get the most up-to-date information about

HealthTeam Advantages network providers in your area, you can visit

www.healthteamadvantage.com or call our Healthcare Concierge department at

1-888-965-1965, between October 1st to February 14th, 8AM 8PM Eastern, 7 days a week

or February 15th to September 30th, 8AM 8PM Eastern, Monday through Friday. TTY

users should call 711.

HealthTeam Advantage, a product of HealthTeam Advantage Insurance Company of North

Carolina, Inc., is a Medicare Advantage organization with a Medicare contract. Enrollment in

HealthTeam Advantage depends on contract renewal.

Esta informacin est disponible en otro formato alternativo, incluyendo letra grande, y

Espaol. Llame a servicios para miembro al nmero enumerado arriba si usted necesita la

informacin del plan en otro formato o idioma.

This information is available in a different format, including large print. Please call your

Healthcare Concierge at the number listed above if you need plan information in another

format or language.

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Table of Contents Section 1 Introduction

What is the service area for HealthTeam Advantage? How do you find HealthTeam Advantage providers in your area?

Section 2 List of Network Providers Primary Care Physicians (PCP) Specialists Hospitals Skilled Nursing Facilities (SNF) Dialysis Centers Durable Medical Equipment (DME) Home Health Agencies (HHA) Additional Health Providers Outpatient Mental Health Providers Pharmacies

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Section 1 Introduction

This directory provides a list of HealthTeam Advantages network providers. To get detailed information about your health care coverage, please see your Evidence of Coverage.

As a HealthTeam Advantage member, you can receive care from any provider or hospital you choose. You do not need a referral to any doctor or hospital. We encourage you to select an in-network provider to act as your Primary Care Physician (PCP). The term PCP will be used throughout this directory. When you select a HealthTeam Advantage in-network PCP, youll have a dedicated physician who will focus on your individual health care 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.

The network providers listed in this directory have agreed to provide you with your health care and vision coverage. You may go to any of our network providers listed in this directory. If you have been going to one network provider, you are not required to continue going to that same provider. In some cases, you may get covered services from non-network providers.

Out-of-network/non-contracted providers are under no obligation to treat HealthTeam Advantage members, except in emergency situations. For a decision about whether we will cover an out-of-network service, we encourage you or your provider to ask us for a pre-service organization determination before you receive the service. Please call your healthcare concierge or see your Evidence of Coverage for more information, including the cost sharing that applies to out-of-network services.

If you select an out-of-network provider, please make sure that the provider accepts Medicare; otherwise, you may have to pay more for their services. If an out-of-network provider submits a bill directly to you, do not pay the bill. Instead, submit it to HealthTeam Advantage for processing and determination of enrollee liability, if any.

With the exception of emergencies or urgent care, it may cost more to get care from out-of-network providers.

If you need emergency care, you are covered 24 hours a day, 7 days a week, anywhere in the world whether you are in or out of HealthTeam Advantages service area. Call 911 or go to the nearest emergency facility. Emergency care can always be obtained in or out of the service area from the nearest available provider.

Post-stabilization care is medically necessary services related to your emergency medical condition that you receive after your treating physician determines that your condition is clinically stable. All in-network and out-of-network follow-up care will be covered under the terms and conditions of your plan.

You do not need to get a referral or approval in advance when you get care from out-of-network providers. However, it is strongly recommended that you provide notification to HealthTeam

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Advantage before you get some services from non-plan providers. If you do not provide this notification, you may be responsible for the providers charges, if HealthTeam Advantage determines the services are not covered benefits, or are not medically necessary. If you provide notification before obtaining services, you will not run the risk of HealthTeam Advantage determining that the services are not covered.

What is the service area for HealthTeam Advantage?

The counties and parts of counties in our service area are listed below. Alamance Guilford Randolph Rockingham

How do you find HealthTeam Advantage providers in your area?

To help you locate what you need, HealthTeam Advantage has organized this directory into the following sections listed by city or specialty:

Primary Care Physicians (PCP) Specialists Hospitals Skilled Nursing Facilities (SNF) Dialysis Centers Durable Medical Equipment (DME) Home Health Agencies (HHA) Additional Health Providers Outpatient Mental Health Providers Pharmacies

To locate a participating Dental, Hearing or Vision provider for our Supplemental Benefits, please call your Healthcare Concierge at 1-888-965-1965, October 1st to February 14th, 8AM 8PM Eastern, 7 days a week or February 15th to September 30th, 8AM 8PM Eastern, Monday through Friday. TTY users should call 711. Or, visit www.healthteamadvantage.com.

If you have questions about HealthTeam Advantage, please call your Healthcare Concierge at 1-888-965-1965, between October 1st to February 14th, 8AM 8PM Eastern, 7 days a week or February 15th to September 30th, 8AM 8PM Eastern, Monday through Friday. TTY users should call 711. Or, visit www.healthteamadvantage.com.

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We have 371 Primary Care Physicians (PCP), 2004 Specialists, 45 Hospitals, 31 Skilled

Nursing Facilities (SNF), 20 Dialysis Centers, 25 Durable Medical Equipment (DME), 22

Home Health Agencies, 189 Additional Health Providers, and 181 Pharmacies.

Section 2 - List of Network Providers

04/22/2018 03:00:15 AM

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Primary Care Physicians (PCP)

Family Practice

Archdale

Escajeda, Richard T MD

10188 N Main St

Archdale, NC 27263

(336) 802-2070

Witten, Bobby D MD

10188 N Main St

Archdale, NC 27263

(336) 802-2070

Asheboro

Burkhart, Brian W MD

550 White Oak St

Asheboro, NC 27203

(336) 625-1360

Collins, Dana C DO

138 Dublin Square Rd Ste C

Asheboro, NC 27203

(336) 625-3333

Collins, Dana C DO

375 Sunset Ave

Asheboro, NC 27203

(336) 625-4215

Cox, Kirsten Swanson MD

350 N Cox St Ste 28

Asheboro, NC 27203

(336) 629-6500

Dough, Robert L MD

375 Sunset Ave

Asheboro, NC 27203

(336) 625-4215

Hodges, Beth Gillen MD

610 N Fayetteville St Ste 202

Asheboro, NC 27203

(336) 626-6696

Hodges, Francisco M MD

610 N Fayetteville St Ste 202

Asheboro, NC 27203

(336) 626-6696

Holt, Lynley S MD

550 White Oak St

Asheboro, NC 27203

(336) 625-1360

Khan, Jaber A MD

550 White Oak St

Asheboro, NC 27203

(336) 625-1360

Penner, Pamela Ann MD

515 W Salisbury St Ste D

Asheboro, NC 27203

(336) 636-5100

Perry, Lawrence Edward MD

350 N Cox St Ste 28

Asheboro, NC 27203

(336) 629-6500

Redding, John F MD

550 White Oak St

Asheboro, NC 27203

(336) 625-1360

Robbins, Robert A MD

550 White Oak St

Asheboro, NC 27203

(336) 625-1360

Scott, Robert B MD

550 White Oak St

Asheboro, NC 27203

(336) 625-1360

Street, Christopher M MD

550 White Oak St

Asheboro, NC 27203

(336) 625-1360

Thomas, Millard B MD

237 N Fayetteville St Ste D

Asheboro, NC 27203

(336) 625-2961

Thomas, Millard B MD

600 W Salisbury St Ste B

Asheboro, NC 27203

(336) 626-3202

Thomas, Millard B MD

713 S Fayetteville St

Asheboro, NC 27203

(336) 625-2467

Whyte, Thomas M MD

350 N Cox St Ste 20

Asheboro, NC 27203

(336) 672-3200

Whyte, Thomas M MD

375 Sunset Ave

Asheboro, NC 2