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.
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.
How do I schedule a medication review with Viva?
After receiving the invitation letter, you will be contacted by either by a partnering local pharmacy, an MTM call center, or a Viva Medicare pharmacist or other qualified providers to schedule your medication review. A CMR takes about 30 minutes and is usually offered once each year.
Who are the health professionals at Viva Medicare?
We have a variety of different health professionals including nurses and pharmacists to make sure you’re getting the services you need. To invite you to an event Viva Medicare is hosting.
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.
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.
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.
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 Network?
VIVA NETWORK IS A GLOBAL NETWORK OF CHRISTIAN ORGANIZATIONS AND INDIVIDUALS WORKING TOGETHER TO HELP MORE THAN 1.8 MILLION CHILDREN AT RISK. BY WORKING TOGETHER ON A LOCAL, NATIONAL AND INTERNATIONAL LEVEL, WE ARE ABLE TO PROVIDE MORE CHILDREN WITH BETTER CARE.
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.
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 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.
What is the first step to requesting Part D?
Whenever you ask for a Part D prescription drug benefit, the first step is called requesting a coverage determination. If your doctor or pharmacist tells you that a certain prescription drug is not covered, you can contact MMS (Medicare Member Service) or talk to your doctor to make the request.
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 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.
What is prior authorization in Medicare?
Medicare Prior Authorization. Prior authorization is a requirement that a health care provider obtain approval from Medicare to provide a given service. Prior Authorization is about cost-savings, not care. Under Prior Authorization, benefits are only paid if the medical care has been pre-approved by Medicare.
Do Medicare Advantage plans require prior authorization?
Private, for-profit plans often require Prior Authorization. Medicare Advantage (MA) plans also often require prior authorization to see specialists, get out-of-network care, get non-emergency hospital care, and more.
