| Viva Medicare Prime (HMO) | Viva Medicare Premier (HMO) | |
|---|---|---|
| Monthly premium | $55 | $105 |
| Primary care visit | $0 | $0 |
| Specialist visit | $20 | $15 |
| In-network out-of-pocket max | $5,400 | $4,500 |
What does Viva Medicare cover?
Each Viva Medicare plan comes with a dental allowance for services such as cleanings, fillings, crowns, dentures, and more – no prior authorizations required! Viva Medicare plans with Part D drug coverage include generic drugs starting at $0 3, and all plans include $0 diabetic testing supplies. You like your doctor. So do we!
Why choose Viva Medicare in Alabama?
This is because the people who work for Viva Medicare are people in your community. We’re your neighbors and friends and we take great pride in serving you. It’s a big reason why nearly 50,000 5 Alabama residents have chosen Viva Medicare. What is the Annual Enrollment Period?
What kind of Doctor does Viva Medicare use?
When you join Viva Medicare, you choose one doctor to be your Primary Care Physician (PCP). You will use the specialists and hospital associated with your PCP when you need medical care.
Can I switch my plan to Viva Medicare and keep my doctor?
With more than 64 hospitals and over 8,000 participating providers, it’s likely that you will be able to switch your plan to Viva Medicare AND keep your doctor (s). Use our Provider Search to find participating providers.
Is Viva Medicare a good insurance?
Viva Medicare has received the highest star rating of any Medicare Advantage plan in Alabama for 20202.
What is VIVA Medicare extra value?
VIVA MEDICARE Extra Value also covers up to $2,250 for preventive, diagnostic, and comprehensive dental benefits every year. You pay anything over $2,250. No copay for Medicare-covered preventive screenings and Medicare-covered eye exams.
Who has the best Medicare package?
Blue Cross Blue Shield, Humana and United Healthcare earn the highest rankings among the national carriers in many states. Overall, Aetna Medicare ranks the best in the most (23) states. That said, there is no single “best plan.” Your needs and preferences will determine the best choice for you.
Does UAB own Viva?
Managed Care Expertise Managed by professionals with years in the health care industry, Viva Health is also part of the renowned University of Alabama at Birmingham (UAB) Health System.
How many members does Viva Health have?
100,000 membersFounded in 1995, Viva Health is now the preferred healthcare provider for hundreds of Alabama companies and more than 100,000 members and growing.
What is taken out of Social Security for Medicare?
Medicare Part B (medical insurance) premiums are normally deducted from any Social Security or RRB benefits you receive. Your Part B premiums will be automatically deducted from your total benefit check in this case. You'll typically pay the standard Part B premium, which is $170.10 in 2022.
Can I get Medicare Part B for free?
While Medicare Part A – which covers hospital care – is free for most enrollees, Part B – which covers doctor visits, diagnostics, and preventive care – charges participants a premium. Those premiums are a burden for many seniors, but here's how you can pay less for them.
What are the negatives of a Medicare Advantage plan?
Medicare Advantage can become expensive if you're sick, due to uncovered copays. Additionally, a plan may offer only a limited network of doctors, which can interfere with a patient's choice. It's not easy to change to another plan. If you decide to switch to a Medigap policy, there often are lifetime penalties.
What is the phone number for Medicare?
We hope the answers to the following questions help and make Medicare easy for you. If you have a question that you don’t see answered here, please call us at 888-830-VIVA (8482).
Which Medicare Advantage plan has the highest star rating?
Viva Medicare has received the highest star rating of any Medicare Advantage plan in Alabama for 2020 2. The Star Rating gives Medicare beneficiaries a single summary score that makes it easy for them to compare plans.
What is CMS in Alabama?
Every spring, The Centers for Medicare & Medicaid Services (CMS) conducts surveys of people in Medicare health plans to learn more about the care and services they receive. The better a plan serves its members, the higher the satisfaction score. 2. Highest Star Rating for a plan in Alabama 1.
What is cost sharing tier?
A cost sharing tier is assigned to each drug. The cost sharing tier determines your out-of-pocket cost for the drug. What is the difference between Original Medicare and a plan from Viva Medicare? With a Medicare Advantage plan from Viva Medicare, it’s easy to get more benefits than Original Medicare.
When is open enrollment for Medicare?
The Open Enrollment Period occurs between January 1 and March 31. If you are enrolled in a Medicare Advantage plan as of January 1, you may make a one-time election to go to another Medicare Advantage plan or Original Medicare and make a coordinating change to add or drop Part D prescription drug coverage.
Does Viva Medicare have Part D?
Viva Medicare offers several Medicare Advantage plans that include Part D prescription drug coverage. Viva Medicare also offers 90-day fills on most drugs as well as a pharmacy mail-order service where most prescriptions can be automatically refilled and delivered right to your door.
Medicare Advantage Plan (Part C)
Monthly premiums vary based on which plan you join. The amount can change each year.
Medicare Supplement Insurance (Medigap)
Monthly premiums vary based on which policy you buy, where you live, and other factors. The amount can change each year.
How to contact Viva Medicare?
Our Member Services staff is here to help if you have questions, concerns, or problems. You can reach Member Services at 205-918-2067 in Birmingham or 1-800-633-1542 toll free.
When does Viva Medicare end?
If you make a change during AEP, your coverage will end when your new plan’s coverage begins on January 1st. The OEP is from January 1st to March 31st.
What is a PCP in viva?
When you join Viva Medicare, you choose one doctor to be your Primary Care Physician (PCP). You will use the specialists and hospital associated with your PCP when you need medical care. This is called your Provider System. The Viva Medicare Provider Systems are listed below.
Can you end Viva Medicare if you are hospitalized?
If you are hospitalized on the day your membership ends, your hospital stay will usually be covered by Viva Medicare until you are discharged. Ending your Membership Voluntarily. You may voluntarily end your membership in Viva Medicare only during certain times of year, known as enrollment periods.
How much does Medicare pay for outpatient therapy?
After your deductible is met, you typically pay 20% of the Medicare-approved amount for most doctor services (including most doctor services while you're a hospital inpatient), outpatient therapy, and Durable Medical Equipment (DME) Part C premium. The Part C monthly Premium varies by plan.
What is Medicare Advantage Plan?
A Medicare Advantage Plan (Part C) (like an HMO or PPO) or another Medicare health plan that offers Medicare prescription drug coverage. Creditable prescription drug coverage. In general, you'll have to pay this penalty for as long as you have a Medicare drug plan.
How much is coinsurance for days 91 and beyond?
Days 91 and beyond: $742 coinsurance per each "lifetime reserve day" after day 90 for each benefit period (up to 60 days over your lifetime). Beyond Lifetime reserve days : All costs. Note. You pay for private-duty nursing, a television, or a phone in your room.
How much is coinsurance for 61-90?
Days 61-90: $371 coinsurance per day of each benefit period. Days 91 and beyond: $742 coinsurance per each "lifetime reserve day" after day 90 for each benefit period (up to 60 days over your lifetime) Beyond lifetime reserve days: all costs. Part B premium.
What happens if you don't buy Medicare?
If you don't buy it when you're first eligible, your monthly premium may go up 10%. (You'll have to pay the higher premium for twice the number of years you could have had Part A, but didn't sign up.) Part A costs if you have Original Medicare. Note.
Do you pay more for outpatient services in a hospital?
For services that can also be provided in a doctor’s office, you may pay more for outpatient services you get in a hospital than you’ll pay for the same care in a doctor’s office . However, the hospital outpatient Copayment for the service is capped at the inpatient deductible amount.
Does Medicare cover room and board?
Medicare doesn't cover room and board when you get hospice care in your home or another facility where you live (like a nursing home). $1,484 Deductible for each Benefit period . Days 1–60: $0 Coinsurance for each benefit period. Days 61–90: $371 coinsurance per day of each benefit period.