Medicare Blog

who takes viva medicare extra value

by Dr. Lavonne Mosciski DVM Published 2 years ago Updated 1 year ago
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Viva’s HMO SNP, the Viva Medicare Extra Value plan, is for Medicare enrollees who are also enrolled in Medicaid. The plan provides coverage at low or no cost for dual enrollees. Viva Part D options

Full Answer

Why choose Viva Medicare?

We’re your friends and neighbors, and looking out for you is what good neighbors do. It’s a big reason why nearly 50,000 5 Alabama residents have chosen Viva Medicare. Our promise to you is that you’ll always be treated like a neighbor, not a number. All-in-One Plans Starting at $0 Most of our plans do not have a monthly premium.

Can I voluntarily end my membership in Viva Medicare?

You may voluntarily end your membership in Viva Medicare only during certain times of year, known as enrollment periods. All members have the right to leave the plan during the Annual Enrollment Period (AEP) and during the annual Medicare Open Enrollment Period (OEP).

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. From October 1st through March 31st, seven days a week, 8 am - 8 pm.

Where can I get answers to my Medicare questions?

Visit a Viva Health Café! The Viva Health Café is a stress-free place where you can attend fun, free events and get answers to all your Medicare questions.

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What is Viva Medicare Extra Value?

This plan is called the Viva Medicare Extra Value plan, and it provides coverage for people who qualify for both Medicare and Medicaid. It has either a low cost or no cost.

How many stars does Viva Health have?

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 a copayment for Medicare?

Copayment: This is a fixed dollar amount that an insured person pays when receiving certain treatments. For Medicare, this usually applies to prescription drugs.

Where is Viva Health located?

Viva Health are a private healthcare insurance company based in Alabama. Founded in 1995, they have more than 100,000 members and a network of more than 70 hospitals across Alabama. The company are an affiliate of the University of Alabama at Birmingham (UAB) health system.

Is Viva Health a private insurance company?

Based in Birmingham, Alabama, Viva Health are a Medicare-approved private insurance company that offer various Medicare Advantage plans. Such plans offer the same coverage as original Medicare, plus additional benefits. According to the Kaiser Family Foundation, more than 24 million people got Medicare benefits through Advantage plans in 2020.

Does Medicare Advantage include prescription drug coverage?

Some Advantage plans may also include prescription drug coverage (Medicare Part D). If a person is enrolled in original Medicare, they must get a stand-alone Part D plan from a private insurance company. Learn more about the pros and cons of Medicare Advantage plans here.

Does Viva Health offer Medicare?

Viva Health offer Medicare Advantage plans in Alabama, although some plans are available only in individual counties. The company have offices, help centers, and health service providers across the state.

How does viva Medicare work?

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. A specially trained pharmacist or other qualified provider will review your medication history, including prescription and over-the-counter medications, and identify and resolve any medication issues. Confirmed medication-related problems and recommendations may be communicated to your prescriber. Upon completion of the CMR, you will be mailed a Medication Action Plan that provides steps you should take to help you get the best results from your medications and a Personal Medication List that will help you keep track of your medications and how to use them the right way. You may obtain a blank copy of the Personal Medication List by clicking here.

When can you change your viva plan?

Please be aware that you can change plans only at certain times during the year. Between October 15th and December 7th each year, anyone can change plans. Generally, you may not make changes at other times unless you meet certain special exceptions, such as if you get Extra Help for prescription drugs or qualify for a Medicaid program.

How often is the MTM review?

The pharmacy claims of all members who qualify for MTM will be reviewed every three months to identify any new or persistent drug therapy problems, such as the presence of potential safety problems and/or gaps in care involving adherence to chronic medications and omissions in care. If the TMR analysis identifies any issues, then follow-up intervention opportunities are communicated to your prescriber (s) via fax or mail.

What is a formulary in Medicare?

Formularies (lists of covered drugs) offer members access to both generic and brand name drugs. The formulary includes prescription drugs in every therapeutic class and category. Please review the information in the formulary introduction to learn more about the Viva Medicare Rx drug benefit – including how to ask for an exception if your drug is not on the formulary, has a coverage restriction, or is covered as a non-preferred drug.

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.

How long does a prescription last at Long Term Care?

The total supply will be for a maximum of 91 days and may be up to a 98-day supply. If your prescription is written for fewer days, we will allow multiple fills to provide up to a maximum of 91 days of medication. (Please note that the long-term care pharmacy may provide the drug in smaller amounts at a time to prevent waste.)

What is the name of the system that you use to get medical care?

You will use the specialists and hospital associated with your PCP when you need medical care. This is called your Provider System .

What is Viva Health Café?

The Viva Health Café is a stress-free place where you can attend fun, free events and get answers to all your Medicare questions.

How long has nothing been more important than taking care of those who make our communities a home?

For more than 20 years, we have believed nothing is more important than taking care of those who make our communities a home.

What is a 24-hour nurse call?

24-Hour Nurse Line Call for general health education and tips for at-home non-emergency treatments for minor illnesses or injuries.

How many hospitals are there in Viva Medicare?

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. Find your doctor here.

What is Viva Health Café?

The Viva Health Café is a stress-free place where you can attend fun, free events and get answers to all your Medicare questions.

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.

Why does Medicare use a star rating?

Medicare uses the Star rating system 1 to show how well a plan performs. The higher the star rating, the better a plan does at serving its members and ensuring they get the best care possible.

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.

When is the annual enrollment period for Medicare?

The annual enrollment period is a short window of time between October 15 and December 7 when you can change your Medicare plan effective January 1 of the following year. The Annual Enrollment Period is a great opportunity for you to review your current plan information, compare Medicare Advantage plans, and make the changes necessary to find a plan that best fits your budget.

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