PEEHIP
Forms & Resources
Your one-stop-shop for Viva Health PEEHIP member resources and documents.
Additional Program Benefits
Recommended Child and Adolescent Immunization Schedule for Ages 18 Years or Younger (2026)
DownloadTeladoc Telehealth Mental Health Services (Effective 2021)
DownloadHealth Benefits FAQ (Effective 2026)
DownloadTeladoc Telehealth Services
DownloadBright Futures Preventive Pediatric Health Care Recommendations (Effective 2025)
DownloadRecommended Immunizations for Adults 19+ (2025)
DownloadLegal Documents
How to access IRS Form 1095-B (Effective 2023)
DownloadCost Calculator Notices and Disclaimers (Effective 2023)
DownloadCertificate of Coverage (2026-2027)
DownloadSummary of Benefits and Coverage (2026-2027)
DownloadSummary of Benefits (2026-2027)
DownloadSummary of Benefits (2025-2026)
DownloadSummary of Benefits and Coverage (2025-2026)
DownloadCertificate of Coverage (2025 - 2026)
DownloadNon-Discrimination and Language Accessibility Notice (Effective Aug. 2025)
DownloadWellness Benefits for Wellness Plans (2026)
DownloadPrivacy Notice (Amended 2026)
DownloadPharmacy Policies - General
Plan Formulary (Effective 7/1/2026)
DownloadWelcome to Viva
Appointment of Representative (Complaints Process)
DownloadPersonal Representative Appointment Form
Download