Medicare Blog

how to precertify viva medicare radiology

by Fabian Sanford Published 2 years ago Updated 1 year ago
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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!

How do I get a coverage determination form from Viva?

Please fax Medicare Coverage Determination form (s) to Viva Medicare at 205-449-2465 on Medicare Part D drug (s) that will be filled at a dispensing pharmacy. Please fax Commercial Coverage Determination form (s) to Viva Health at 205-872-0458 for other drug (s) that will be filled at a dispensing pharmacy.

How do I submit a precertification to Medicare Advantage?

Any organization determination requested by a Medicare Advantage member, appointed representative* or physician for a coverage decision You can submit a precertification by electronic data interchange (EDI), through our secure provider website or by phone, using the number on the member’s ID card. Check our precertification lists

What is prior authorization and notification in radiology?

Radiology Prior Authorization and Notification. These programs support the consistent use of evidence-based, professional guidelines for diagnostic imaging procedures. They help reduce risks to patients and improve the quality, safety and appropriate use of imaging procedures.

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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.

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.

Can you see a specialist without a referral?

Other Medicare plans may require you to go to your Primary Care Physician just to get a referral to see your specialist.

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.

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