How do I contact Viva Health Medicare MTM program?
For more information on Viva Health Medicare MTM Program, please contact our member services department at 1-800-633-1542 or 205-918-2067, TTY users call 711. The hours are Monday-Friday, 8 am - 8 pm.
What are the requirements for an MRI for Medicare?
These requirements include the following criteria: The MRI must be prescribed by your doctor or health care provider as part of the treatment for a medical issue. All parties involved in the procedure, (i.e. the doctor who prescribes the. MRI and the provider administering the MRI) must accept Medicare assignment.
Why choose Viva Medicare?
Our Viva Medicare agents are all a part of your community. They can help you over the phone or meet you in person in a setting where you feel most comfortable – whether it’s at your home or at a local restaurant.
Is the medication therapy management program covered by Viva Medicare?
The Medication Therapy Management (MTM) Program is not a covered benefit of Viva Medicare. Rather, it is a program available, at no additional cost, to members who meet certain criteria.
Does Viva Medicare require a referral?
No referrals needed. VIVA MEDICARE: VIVA MEDICARE is only available in participating counties and the member must choose a PCP. No PCP referral is required for members to see a participating specialist within the chosen provider system.
Who owns VIVA Medicare?
As an affiliate of the UAB Health System, you not only have access to a world-class facility in UAB, but you can also access more than 70 additional hospitals statewide, including major hospitals including all major metropolitan areas.
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.
Who qualifies for VIVA Medicare?
If you turned 65 in the past three months or are turning 65 in the next three months, you are likely eligible to enroll in a Viva Medicare plan if you live in our service area. More importantly, we can help you enroll in the right plan for you.
Is Viva Medicare a good insurance?
Viva Medicare has received the highest star rating of any Medicare Advantage plan in Alabama for 20202.
Is Viva good health insurance?
The Centers for Medicare & Medicaid Services (CMS) give all Viva Health Advantage plans 4.5 stars out of a possible 5 stars, using their five-star quality rating system.
What is Viva in Alabama?
Viva is a health insurance provider based in Birmingham, Alabama. The company is part of the University of Alabama at Birmingham Health System and works with a large network of providers throughout the state. Viva's insurance offerings include Medicare Advantage plans at a variety of price points.
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.
What is Viva UAB?
Since we started in 1995, Viva Health has grown to be one of the largest health plans in the State of Alabama. Viva Health is a Member of the UAB Health System. As a member of Viva UAB, you have access to UAB Health System, including Medical West for primary care, OB/GYN, and other health care services.
Does Alabama Medicaid pay for breast pumps?
Does Medicaid cover breast pumps? Breast pumps are covered through the Alabama Department of Public Health (ADPH) through its WIC program. Please contact your nearest county health department.
What is viva health coverage?
The Viva Health Coverage Policies and Criteria contain Policies approved by Viva. Policies are based upon criteria from the Centers of Medicare & Medicaid Services (CMS), CMS approved drug compendia, or scientific evidence of merit for a particular medication. They represent the medical criteria identified by CMS and by research to be safe ...
What is Medicare appeal?
The Centers for Medicare and Medicaid Services (CMS) describes the Medicare appeal process available to non-contracted providers in Section 60.1.1 of Chapter 13 of the Medicare Managed Care Manual, which is titled "Non-Contracted Provider Appeals". Section 60.1.1 of Chapter 13 of the Medicare Managed Care Manual states:
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).
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.
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.
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.
How to contact viva health?
If you have any changes, please email [email protected] or call Viva Health Customer Service at (205) 558-7474 or 800-294-7780. We will then update your information on our website.
When will Viva Health start a step therapy program?
Medical Preferred Drug Program with Step Therapy. Effective January 1, 2021, Viva Health is adding a Medical Preferred Drug Program with Step Therapy requirements for our Commercial Lines of Business. Click here for information about the program.
How long does it take to file a Medicare claim?
Effective March 1st, 2018, Coordination of Benefits claims for all lines of business (i.e., Commercial, Medicare) must be filed within eighteen months from the date of service in order to be considered for secondary payment.
Can Viva Health HCFA be filed electronically?
Coordination of Benefits Update. Viva Health is proud to announce secondary HCFA and UB claims can now be filed electronically for all Commercial , Medicare, and Drummond lines of business. If you have any questions, please feel free to contact our Provider Customer Service department directly at (205) 558-7474.
When will the Affordable Care Act be effective?
The law’s numerous provisions are effective at different times between now and 2020 and some provisions are phased in over a number of years. Click here for the full article.
Does Viva Health have a PA?
In an effort to relieve some of the administrative burdens of our participating provider’s offices, Viva Health has recently made some changes to the prior authorization (PA) requirements for certain procedures/CPT codes . Click here for details.
Does Viva Medicare require a referral?
Effective 7/1/20 Viva Medicare members will no longer be required to have a Primary Care Physician referral in order to see a Pain Management physician. Here is an updated copy of our 2020 Provider Reference Guide listing the services that require a prior authorization. Click here to view.
Manage Your Account
The Viva Member Portal allows you to easily manage your account. Helpful features include the ability to check your mailing address, see an electronic version of your member card, request a new member card, and find Viva member services phone numbers easily.
View Your Claims
Easily view a list of your medical and prescription claims and any details you may need to know including provider, copays, coinsurance, and amount paid by your plan.
Read Explanations of Benefits
View explanations of benefits for medical claims and understand what service was provided, what charges were made, covered and not covered, and how to appeal a decision.
Who must prescribe MRI?
These requirements include the following criteria: The MRI must be prescribed by your doctor or health care provider as part of the treatment for a medical issue. All parties involved in the procedure, (i.e. the doctor who prescribes the. MRI and the provider administering the MRI) must accept Medicare assignment.
What is the Medicare deductible for MRI?
Medicare coverage takes care of 80 percent of the authorized costs, but you will be responsible for paying the Part B deductible. For 2019, the deductible is $185.00.
What is an MRI scan?
An MRI scan is a painless and non-invasive exam that provides invaluable diagnostic information helping your physician give you optimum care. If you are enrolled in a Medicare Advantage plan, check with your plan directly to find out your exact costs for an MRI. Related articles: Medicare Part C.
What is the most valuable diagnostic tool?
One of the most valuable diagnostic tools that physicians and health care providers have access to is an MRI scan. MRI stands for magnetic resonance imaging and this aids physicians in determining the difference between tissue types in the body. An MRI helps diagnose certain conditions such as stroke, brain injury or aneurysm, or multiple sclerosis.
What is an MRI?
An MRI helps diagnose certain conditions such as stroke, brain injury or aneurysm, or multiple sclerosis. It also helps physicians detect tumors or other abnormalities in organs, bones, and joints. If your doctor suggests that you have an MRI scan, you need to know whether your Medicare insurance plan covers the cost.
How much does an MRI cost?
In the United States, the average cost of an MRI is around $2,600.00. Prices can range greatly, between a few hundred to several thousand dollars. Original Medicare Part B does take care of 80 percent of the final cost, but that means you still must pay 20 percent out-of-pocket, in most cases.
What is the deductible for a 2019 scan?
For 2019, the deductible is $185.00. Even if you have Medicare Part B or are enrolled in a Medicare Advantage plan, you must meet some additional requirements for Medicare to pay for the cost of the scan. These requirements include the following criteria:
