Thank you for enrolling with HealthTeam Advantage!
Please wait for your reference number...
Your Reference 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.
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 reference number and you will have the ability to print an electronic copy of your completed application for your files.
- Letter confirming receipt of your enrollment and enrollment approval or denial from Medicare to the HealthTeam Advantage plan you selected.
- 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.
eSignatures enrollment notes
Please wait for your reference number...
The Reference Number is . You can follow the status of your application once your enrollee has signed the application.
That status can be viewed on our agent portal Here
A message with this reference number has been sent to your email at
Your enrollee has been invited to sign by eSignatures
IMPORTANT: The application is not submitted until your enrollee signs the application.
As the agent, it is your responsibility to follow up with your enrollee to make sure they sign the application that was sent electronically. You'll get an email when this enrollee has signed the application.
You can check status of your eSignatures enrollments on the agent portal Click Here