To get your free copy of

2020

Plan Information Kit

just complete this form:

  • (Select one)
  • Be sure to include your phone number if you’d like us to reach out to you about our Medicare Advantage plans. By providing your phone number or email address, you agree a sales representative may contact you.

Or call us at 1-833-338-8325 (TTY: 711)
October 1 –March 31, 8 a.m. to 8 p.m. ET, seven days a week
or April 1 – September 30, 8 a.m. to 8 p.m. ET, Monday through Friday

To get your free copy of the 

2020

Teal Premier Plan Information Kit

just complete this form:

  • (Select one)
  • Be sure to include your phone number if you’d like us to reach out to you about our Medicare Advantage plans. By providing your phone number or email address, you agree a sales representative may contact you.

Or call us at 1-833-338-8325 (TTY: 711)
October 1 –March 31, 8 a.m. to 8 p.m. ET, seven days a week
or April 1 – September 30, 8 a.m. to 8 p.m. ET, Monday through Friday

Get the facts about our
Medicare Advantage plans.

Teal Premier Medicare Advantage PPO plans include all the services and features you’d expect, plus so much more:

  • $0 primary care physician copay
  • Dental coverage
  • Hearing and vision coverage
  • Prescription drug coverage
  • Personal Healthcare Concierge
  • Nationwide emergency care
  • Free SilverSneakers® program
  • 24/7 Virtual Care

To learn more,

Request our free 2020 Plan Information Kit by completing the form above

Or call 1-833-338-8325 (TTY: 711).

Ready to Enroll
Let’s Go

Teal Premier, a product of Care N’ Care Insurance Company of North Carolina, Inc., is a Medicare Advantage organization with a Medicare contract. Enrollment in Teal Premier depends on contract renewal. Calls will be answered by a licensed sales agent/broker. This information can be made available in other formats or languages. Please call Teal Premier for assistance at 1-833-338-8325 (TTY: 711), seven days a week from 8 a.m. to 8 p.m. (ET). Teal Premier complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. ATTENTION: If you speak Spanish or Chinese, language assistance services, free of charge, are available to you. Call 1-833-338-8325 (TTY: 711).

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Request for Redetermination of Medicare Prescription Drug Denial

Because Teal Premier denied your request for coverage of (or payment for) a prescription drug, you have the right to ask us for a redetermination (appeal) of our decision. You have 60 days from the date of our Notice of Denial of Medicare Prescription Drug Coverage to ask us for a redetermination.

Expedited appeal requests can be made by phone at 1-844-846-8003.

Who May Make a Request: Your prescriber may ask us for an appeal on your behalf. If you want another individual (such as a family member or friend) to request an appeal for you, that individual must be your representative. Contact us to learn how to name a representative.

    (choose one)
    (choose one)
  • You may download a blank AOR form by clicking here.

  • Enrollee's Information

  • Date Format: MM slash DD slash YYYY
  • Complete the following section ONLY if the person making this request is not the enrollee:
  • Attach documentation showing the authority to represent the enrollee (a completed Authorization of Representation Form CMS-1696 or a written equivalent) if it was not submitted at the coverage determination level. For more information on appointing a representative, contact your plan or 1-800-Medicare.

  • Prescription drug you are requesting:

  • Date Format: MM slash DD slash YYYY

  • Prescriber's Information

  • Important Note: Expedited Decisions

    If you or your prescriber believe that waiting 7 days for a standard decision could seriously harm your life, health, or ability to regain maximum function, you can ask for an expedited (fast) decision. If your prescriber indicates that waiting 7 days could seriously harm your health, we will automatically give you a decision within 72 hours. If you do not obtain your prescriber's support for an expedited appeal, we will decide if your case requires a fast decision. You cannot request an expedited appeal if you are asking us to pay you back for a drug you already received.
    (if you have a supporting statement from your prescriber, attach it to this request.)
  • Attach additional pages, if necessary. Attach any additional information you believe may help your case, such as a statement from your prescriber and relevant medical records. You may want to refer to the explanation we provided in the Notice of Denial of Medicare Prescription Drug Coverage.
  • Drop files here or
  • Date Format: MM slash DD slash YYYY
Replace ID Card

Lost or damaged Teal Premier member identification card? Complete the online form below to request a replacement card.

To make a change to your primary care physician on your ID card, please contact your Healthcare Concierge at 1-888-965-1965 or email conciergetp@tealpremier.com.

Agent & Broker Assistance

We value our certified agents & brokers and look forward to assisting you with any questions. Contact your Agent Concierge Team at 855-547-0344 or use the form below to send us an e-mail.

Visit our office Monday through Friday, 8 a.m.-4 p.m. (EST) at 7800 McCloud Road, Suite 100, Greensboro, NC 27409.

Let us assist you – We’re here to help.

Need Assistance?

We’re committed to providing excellent customer services to our members and their designees. Questions? Call a Teal Premier Healthcare Concierge at 1-888-965-1965 (TTY 711), seven days a week, between 8 a.m. to 8 p.m. Or, send us an email using the form below.

Let us assist you – We’re here to help.

Opt In to Email

Remove the clutter and reduce the mail you receive from Teal Premier.

In an effort to reduce paper and deliver timely and accurate confidential communication to our members, we are making our materials available to you electronically. If you choose, we will securely send our plan materials to your email address instead of your mailbox. It’s easy and will help us reduce our carbon footprint by limiting the materials we print.

Simply complete the form below, click “submit,” and we will make the switch for you.

This option does not apply to all mailings sent to you from Teal Premier. To protect your personal health information, we will continue to send this material to you via the U.S. Postal Service.

As always, your Healthcare Concierge is ready to assist you.  To make the switch to electronic communications, complete the form below or call your Healthcare Concierge at 1-888-965-1965 (TTY 711).

  • Annual Notice of Change, Evidence of Coverage, Provider Directory, Summary of Benefits, Formulary
Member Newsletter

We want to make it easy for our members to learn about ways to be happy and stay healthy. Our monthly newsletter is delivered via email and  includes helpful health and wellness information, along with plan information and updates. Stay tuned to the latest news from Teal Premier – sign up today by completing the electronic form below

Newsletter

Agent & Broker Certification

Interested in getting certified to sell Teal Premier health plans? Just complete and submit the form below:

Agent / Broker Certification

Agent & Brokers Check On Application Status
Agent & Broker Material Order Form

Need sales material for your next appointment? Let us know what materials you require by completing this online form. We will get back to you to confirm your order!

  • Enter the quantity you need by the material you need. Remember, the Information Kits contain the Summaries of Benefits, plan information, Stars rating, drug payment stages, etc. The Enrollment Kits are all the forms you need to enroll a beneficiary.