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Member Resources

Viva Medicare Extra Care (HMO SNP)



2027 Plan Documents



2027 Extra Care Copay Sheet

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2027 Extra Care Summary of Benefits

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2027 Extra Care Evidence of Coverage

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2027 Extra Care Annual Notice of Change Partial Dual

Download

2027 Extra Care Annual Notice of Change Full Dual

Download

2027 Viva Medicare Plus, Premier, Extra Value, Classic, Extra Care, Healthy Lifestyles and Infirmary Health Advantage Plans Pharmacy Directory

Download

2027 Viva Medicare Extra Value and HH Extra Care Plans Formulary

Download

Diabetic Testing Supply Information

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Advance Directive for Health Care

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Reimbursement Claim Form

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Non-Discrimination and Language Accessibility Notice

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2026 Medicare Star Rating

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2027 Over-the-Counter (OTC) and Grocery Catalog

Download

2027 Silver&Fit® Program Flyer

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2027 Transportation Benefit Guide

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Flex Card 2027

Download

2027 Special Supplemental Benefits (SSBCI) for the Chronically Ill

Download

2027 SSBCI Chronic Condition Verification Form

Download

2027 Hearing Aid Coverage

Download

2027 Enrollment Application

Download



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