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2020 Viva Medicare Me (HMO)
Southeast
Forms and Resources

2020 Enrollment Application
2020 Copay Sheet Viva Medicare Me (Updated 07/01/2020)
2020 Summary of Benefits Viva Medicare Me (Updated 07/01/2020)
2020 Viva Medicare Me Evidence of Coverage New Benefits Effective 07/01/2020
2020 Viva Medicare Me Annual Notice of Change
2020 Medicare Star Rating
2020 Viva Medicare Plus, Premier, Prime, and Me Plans Pharmacy Directory
2020 Viva Medicare Plus, Premier, Prime, and Me Plans Comprehensive Formulary Updated July 2020
2020 Over-the-Counter (OTC) Catalog
2020 Over-the-Counter (OTC) Frequently Asked Questions
Diabetic Testing Supply Information
Advance Directive for Health Care
Reimbursement Claim Form Medicare
Fitness Benefit Reimbursement Claim Form Medicare
Fit and Feelin' Good Contracted Gym List
Non-Discrimination Notice and Language Accessibility Services
Provider Search

Viva Health Cafés

Contact Us

Toll-free: 1-888-830-VIVA (8482)
TTY users, call: 711
Monday - Friday, 8am-8pm CST
Extended Office Hours:
(October 1 - March 31)
8am - 8pm CST Seven Days a Week

Legal

We're here for you

You may also contact Medicare to file your complaint by clicking here and follow the instructions on the form.

To find out information about the Medicare Ombudsman click here.

If you have questions or complaints about your Viva Medicare plan or care that you have received, we want you to let us know right away.

By clicking the links above you may be directed away from vivahealth.com
© 2020 Viva Health, Inc. All Rights Reserved.
H0154_mcdoc581r19a_M_CMS Accepted 09/29/2018
Last updated 10/1/2019

Disclaimers

1Viva Medicare is an HMO plan with a Medicare contract and a contract with the Alabama Medicaid Agency. Enrollment in Viva Medicare depends on contract renewal. The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan. Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, premium, and/or co-payments/co-insurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Other providers are available in the Viva Medicare network. Please contact the plan for further details.

2Viva Medicare Extra Value is available to anyone who has both Medical Assistance from the State and Medicare. Other providers are available in our network.

3Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.



Viva Medicare complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-294-7780 (TTY: 711).

注意：如果您使用繁體中文，您可以免費獲得語言援助服務. 請致電 1-800-294-7780 (TTY: 711).
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