view 2017 member resources
2018 Member Resources
Your one-stop-shop for Viva Medicare member resources and plan documents. Please use the menu on the right to navigate this page.
Viva Medicare has all-in-one plans that let you Enjoy Life without the worry. You might even save some money while you're at it.
Viva Medicare Formularies
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.
NOTE: Look up your medication in the index in the back. Then go to that page number to see the drug's tier. The amount you pay for drugs depends on which Viva Medicare plan you are on. Copays are listed in the front of your formulary.
The formulary may change during the year. Members can find information regarding any mid-year non-maintenance formulary changes to the printed formulary, as well as Prior Authorization and Step Therapy criteria, by looking below or calling Member Services. You can also review your monthly Part D Explanation of Benefits (EOB) to see which of the drugs you are currently taking are coming off the Viva Medicare formulary.
PHARMACY POLICIES - MEDICARE PART D
* What plan am I on? Click Here
For plans that include prescription drugs, this booklet provides a list of Viva Medicare network pharmacies and includes some basic information about how to fill your prescriptions.
When you join Viva Medicare you choose one doctor to be your Personal 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. Click on a Provider System to see a list of doctors and hospitals who are in that provider system. You may also use the "Provider Search" feature below to search by a doctor's last name or specialty.
Additional Plan Information
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View past and present issues of Enjoy Life by clicking the images below. In these newsletters you can learn:
- How to get the most value out of your member benefits
- Health and Wellness Tips
- Healthy Cooking Recipes
- Free Viva Medicare Member Events in Your Community
- and much more!
Medication Therapy Management Program
Medication Therapy Management (MTM) is a patient-centered and comprehensive approach to help members understand their medications and use them safely.
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. You will be automatically enrolled in the Medication Therapy Management Program if you meet ALL of the following three (3) criteria:
2018 MTM Program Criteria
Take eight (8) or more drugs from the following specific Part D drug classes:
- Alpha Blockers,
- angiotensin-converting- enzyme (ACE) inhibitors,
- angiotensin II receptor blockers (ARBs),
- beta blockers,
- calcium channel blockers,
- inhaled corticosteroids,
- oral hypoglycemics,
- inhaled anti-cholinergics,
- leukotriene receptor antagonist,
- mast cell stabilizer,
Have three (3) or more of the following long-term health conditions:
- Chronic Heart Failure (CHF)
Have an anticipated annual drug spend of at least $3,967.
The VIVA MEDICARE MTM Program offers a Comprehensive Medication Review (CMR) for all eligible members either face-to-face or over the phone. Members who meet eligibility requirements will be automatically enrolled and sent an invitation letter welcoming them to the program. After receiving the invitation letter, you will be contacted by a partnering local pharmacy, an MTM call center, or a VIVA MEDICARE pharmacist or other qualified provider 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.
You may choose to disenroll from the MTM Program any time during the year or you may decline individual services without having to disenroll from the program. In addition to the CMR, all MTM eligible members will also receive a Targeted Medication Review (TMR). 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.
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. Hours are Monday-Friday, 8 a.m.-8 p.m. From Oct 1-Feb 14, seven days a week, 8 a.m.-8 p.m.
Viva Medicare 2018 Advantage Plan Service Area
Select a Viva Medicare Plan and find out what counties they are offered in
The Viva Medicare
Me plan is only available in Blount, Chilton, Jefferson, Shelby, St. Clair, Talladega, and Walker counties for 2017.
Not all Viva Medicare
plans are offered in all counties in our 2017 service area. The county you live in will determine which plans are available to you.
The Viva Member Portal is your 24/7 secure member website for managing your account, accessing prior claims, requesting a replacement member card, and more. Access is free, easy, and secure!
Viva Medicare Member Services
Regular Hours: Monday-Friday, 8am-8pm
Extended Hours: (Oct 1 - Feb 14) 7 days a week, 8am-8pm
P: (205) 918-2067 or 1-800-633-1542
TTY Users Dial 711
Viva Health Welcome Center
417 20th Street North, Suite 100
Birmingham, AL 35203
Monday-Friday, 8am to 5pm
P: (205) 558-7466
833 Princeton Ave SW
POB III, Suite 110
Birmingham, AL 35211
P: (205) 785-5559
1550 - K Montgomery Hwy,
Birmingham, AL 35216
(near Ellis Piano on Hwy. 31)
P: (205) 978-4911
2107 - B Eastern Blvd,
Montgomery, AL 36117
(across the street from Home Depot)
P: (334) 272-8882
3071 Dauphin St.,
Mobile, AL 36606
P: (251) 380-2222
6200 Grand River Blvd. E.
Leeds, AL 35094
(next to Rue21)
Saturday & Sunday, 12pm-4pm
P: (205) 699-3040
Viva Medicare Event Calendar
The Viva Medicare Calendar keeps you up-to-date on fun & free events, lists our Café locations, highlights special healthcare related months, includes preventative care opportunities, and much more…