Thank you for enrolling with HealthTeam Advantage!
Please wait for your confirmation number...
Your Confirmation Number is . If you would like to keep a copy for your records, download/save a PDF copy of your completed enrollment form or print the completed enrollment form.
Download PDF Print enrollment form
WHAT'S NEXT
THE DAY YOU ENROLL
- Receipt of completed enrollment form: The agent will provide a receipt that confirms you submitted an enrollment form. If you enroll online, you will receive a confirmation number and you will have the ability to print an electronic copy of your completed application for your files.
WITHIN 10 DAYS OF SUBMITTING ONLINE ENROLLMENT FORM
- Letter confirming receipt of your enrollment and enrollment approval or denial from Medicare to the HealthTeam Advantage plan you selected.
WHEN YOU BECOME A HEALTHTEAM ADVANTAGE MEMBER
- HealthTeam Advantage Evidence of Coverage is mailed to you - this book is your detailed coverage of your plan
- HealthTeam Advantage member identification cards - you will receive your HealthTeam Advantage member identification card.
- A Personal Healthcare Concierge at your service - if you would like assistance finding a provider,
scheduling an appointment, have questions about your benefits, or need a replacement
identification card, simply email your concierge at conciergehta@healthteamadvantage.com,
or
call: PPO member call 888-965-1965 and HMO CSNP members call 833-324-3242 (TTY 711). Our hours of
operation are:
- October 1 - March 31: 8am to 8pm, ET, seven days a week
- April 1 - September 30: 8am to 8pm, ET, Monday through Friday.