Rather, it is a program available, at no additional cost, to members who meet certain criteria. Exposure to any of these may cause temporary redness, swelling, and/or itching at the injection site, Tell your doctor if you are pregnant or breastfeeding. These plans give you more benefits and savings than Medicare and Medicaid alone. Products in the JUVDERM Collection are available only by a licensed physician or properly licensed practitioner. Login. Premiums, deductibles, co-pays, drug coverage, and more for VIVA Medicare Extra Value (HMO), a 2023 Medicare Advantage Plan for beneficiaries in Colbert County, AL | 2023-H0154-012- If a person is enrolled in original Medicare, they must get a stand-alone Part D plan from a private insurance company. Please refer to your Evidence of Coverage for more details about these exceptions. They include: itching, rash, red itchy welts, wheezing, asthma symptoms, or dizziness or feeling faint. If you do not stay continuously enrolled in Medicare Part A and Part B. Please contact Medicare.gov or 1-800- MEDICARE (TTY users should call 1-877-486-2048) 24 hours a day/7 days a week to get information on all of your options. The HRA is a series of questions about your health. The following VIVA Medicare plans offer Medicare Advantage Prescription Drug plan coverage to Alabama residents. You or your doctor can contact us and ask for a coverage decision. A complaint (grievance) does not involve a coverage decision. (n.d.). If you become incarcerated (go to prison). H0154_mcdoc581r19a_M_CMS Talk to your doctor about other complications. Fresenius Medical Care Srbija d.o.o. Some plans have networks of providers who will treat anyone enrolled in the plan. Approved Uses If your doctor or pharmacist tells you that a certain prescription drug is not covered, you can contact MMS (Medicare Member Service) or talk to your doctor to make the request. The Viva Medicare is an HMO plan with a Medicare contract and a contract with the Alabama Medicaid Agency. Click on a Provider Directory to see a list of doctors and hospitals who are in that provider system. In addition to the CMR, all MTM eligible members will also receive a Targeted Medication Review (TMR). The Health Outcomes Survey, or HOS, looks at how well health plans, like Viva Medicare, help members get healthy or stay healthy over time. Premiums, deductibles, co-pays, drug coverage, and more for VIVA Medicare Extra Value (HMO), a 2021 Medicare Advantage Plan for beneficiaries in Houston County, AL | 2021-H0154-012-. Medicare Advantage Plans Part D Plans Find Senior Care Find Senior Care Caregiver Jobs Caregiver Salaries Recruit Caregivers Easily view a list of your medical and prescription claims and any details you may need to know including provider, copays, coinsurance, and amount paid by your plan. Part B Premium give-back is not available with all plans. The first prescription treatment for inadequate or not enough - LATISSE Premier Plus Prime Extra Value Select ME Their plans are created to offer the following types of benefits: QUARTERLY OVER-THE-COUNTER DRUG ALLOWANCE FITNESS CENTER BENEFIT PREVENTIVE SERVICES EXTENSIVE NETWORK OF DOCTORS WORLDWIDE EMERGENCY DENTAL COVERAGE MUCH MORE! You can also complete the Consumer Affairs form linked here and mail or fax the form to Member Services (see contact information below). (n.d.). Medicare Part D will provide a partial subsidy of premium, deductible, and co-insurance to Medicare beneficiaries with incomes up to 150% of the FPL and limited resources. Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). Some patients have died from BIA-ALCL. This plan offers a network of providers across Alabama, including doctors, clinics, and pharmacies. See the Part D Premium Reduction section below for more details. Viva Health Medicare Insurance Plans. All plan-related information on this site is from CMS.gov and Medicare.gov. 5 Stars is the highest possible rating. 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. Medicare evaluates plans based on a 5-Star rating system. If we end your membership in our plan, we must tell you our reasons in writing. 2020 VIVA Medicare Extra Value (HMO D-SNP) - H0154-012- in AL Plan Benefits Explained 2020 Medicare Advantage Plan Benefits explained in plain text. NOTE: Look up your medication in the index in the back. Medicare Part D will provide a full subsidy with low co-payments to Medicare beneficiaries with incomes up to 135% of the Federal Poverty Level (FPL) and limited resources. While you are a member of our plan, you must continue to get your Medicare covered services through Viva Medicare. 'https:' : 'http:') + We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. Use of this website constitutes acceptance of the Terms of Service and Privacy Policy. Helpful features include the ability to check your mailing address, see an electronic version of your member card, request a new member card, and find Viva member services phone numbers easily. However, that does not mean Advantage plans are free, as there are, Various scenarios may lead to the loss of an Advantage plan, although a person may join another plan, or could get an automatic enrollment in original. ET | TTY #711. . If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. Login - Viva Member Portal Common side effects include itchy and red eyes. See our new privacy terms at Availability varies by carrier and location. Breast implants are not considered lifetime devices. How this plan performs for drug pricing, patient safety, member experience and more. PDF 2023 Over-the-counter (OTC) product catalog - Aetna Better Health We have a variety of different health professionals including nurses and pharmacists to make sure youre getting the services you need. Not affiliated with or endorsed by any government agency. BOTOX Cosmetic may cause serious side effects that can be life threatening. The longer people have them, the greater the chances are that they will develop complications, some of which will require more surgery. Please check the plans formulary for specific drugs covered. To learn more about Viva Medicares pharmacy benefits, view our Pharmacy Benefit Guide. Free Medicare Part D Newsletter, Use the Online Caculators, FAQs or contact us through our Helpdesk -- Powered by Q1GROUP LLC Get medical help right away if you have any of these problems any time (hours to weeks) after injection of BOTOX Cosmetic: BOTOX Cosmetic dosing units are not the same as, or comparable to, any other botulinum toxin product. It covers traditional and laser cataract surgeries as well as specific lens implants. We want to make sure you are doing well after coming home from the hospital. She graduated with honors in 2015. Other side effects of BOTOX Cosmetic include: discomfort or pain at the injection site; headache; and eye problems: double vision, blurred vision, drooping eyelids and eyebrows, and swelling of your eyelids. Can consuming grapes daily increase certain gut bacteria? Any information we provide is limited to those plans we do offer in your area. These surveys help us make your experiences with Viva Medicare and your doctors even better. The survey helps CMS compare health plans and see which ones are doing a great job of helping members improve their health and which ones are not. Every year, Medicare evaluates plans based on a 5-star rating system. Natrelle Breast Implants are approved for the following: Breast implant surgery should NOT be performed in: What should I tell my doctor? You can also send a fax to us at 205-558-7414 or write us at: Your health and satisfaction are important to us. Michelle Sweetser has primarily specialised in Nurse Practitioner for over 8 years. People can choose from a range of HMO options. 3Based on the 2022-2023 Medicare & You Handbooks for Alabama. CMS uses these surveys and key health care measures, like getting preventive screenings and tests for cancer and other diseases, managing diabetes and high blood pressure, and providing great customer service to give each Medicare health plan a rating from 1 - 5 Stars. You may be able to get a temporary supply of the drug (only members in certain situations can get a temporary supply). You can request an exception and ask the plan to cover the drug or remove restrictions from the drug. In addition, the Centers for Medicare & Medicaid Services (CMS) requires Viva Medicare to complete medication review activities. You may also contact Medicare to file your complaint by clicking hereMedicare Complaints and following the instructions on the form. Approved Use. Manage your plan: View copays, deductibles, and claim statuses right from your phone or tablet. Having more than 8 years of diverse experiences, especially in NURSE PRACTITIONER, Michelle Sweetser affiliates with Franklin Memorial Hospital, cooperates with many other doctors and specialists in medical group Healthreach Community Health Centers. 31) are from 8 am - 8 pm, 7 days a week. If discontinued, lashes gradually return to previous appearance. If your prescription is written for fewer days, we will allow multiple fills to provide up to a maximum of 91 days of medication. This means that you will need to get approval from us before you fill these prescriptions or we may not cover the drug. All members have the right to leave the plan during the Annual Enrollment Period (AEP) and during the annual Medicare Open Enrollment Period (OEP). To review your current medications to make sure you are taking the right medicines in the right way. We want to make sure that you are getting your medications on time and using them safely. Regular office hours are from 8 am - 8 pm, Monday through Friday. Viva Medicare reaches out to our members for many reasons. Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). Map and Directions. Viva Health Medicare Insurance Plans 365 days per year. Every year, Medicare evaluates plans based on a 5-star rating system. Look on the Extra Help letters you get, or contact the plan to find out your exact costs. Plan members also have access to Viva Health Cafes, where they can get answers to their Medicare questions. You generally cannot make other changes during the year unless you meet special exceptions (e.g., you have Medicaid or are eligible for Extra Help, etc.). A CMR takes about 30 minutes and is usually offered once each year. The four most common plans are: Another, less common option is a Medicare savings account (MSA), which combines a savings account with a high deductible health plan. Live help. 2021 Medicare Advantage Plan Benefit Details for the VIVA Medicare Extra Care (HMO D-SNP) - H0154-019- This is archive material for research purposes. The health consequences of a ruptured silicone gel-filled breast implant have not been fully established, Routine screening mammography for breast cancer will be more difficult, and implants may rupture during the procedure. You can either switch to a different drug covered by the plan or ask the plan to make an exception for you and cover your current drug. There are several types of Medicare Advantage plans. 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. As with any injection, this may result in increased bruising or bleeding at the injection site, Patients who experience skin injury near the site of injection may be at a higher risk for adverse events, Women with active infection anywhere in their body, Women with existing cancer or precancer of their breast who have not received adequate treatment for those conditions, Women who are currently pregnant or nursing, Autoimmune diseases (eg, lupus and scleroderma), A weakened immune system (eg, taking medications to decrease the bodys immune response), Planned chemotherapy or radiation therapy following breast implant placement, Conditions or medications that interfere with wound healing and blood clotting, Clinical diagnosis of depression or other mental health disorders, including body dysmorphic disorder and eating disorders, Those with a diagnosis of depression or other mental health disorders should wait for resolution or stabilization of these conditions prior to undergoing breast implantation surgery, There is a Boxed Warning for breast implants. Enroll on the phone or online! Viva Health are a private healthcare insurance company based in Alabama. All trademarks are the property of their respective owners. You can view the CMS annual database where all NCDs are posted by year here. JUVDERM Ultra XC injectable gel is for injection into the lips and perioral area for lip augmentation in adults over 21. Most SkinMedica If you do not pay the plan premium for 60 days (if you have a plan premium). Limitations and exclusions may apply. Only apply at base of upper lashes. The VIVA Medicare Extra Value (HMO D-SNP) has a monthly premium of $32.70. If you have eye problems/surgery, consult your doctor. Additional imaging may be required depending on your medical history and status. *CVS/Caremark may call you. 2022 VIVA Medicare Extra Value (HMO D-SNP) - H0154-012-0 in AL Plan during the calendar year will owe a portion of the account deposit back to the plan. Viva Medicare Ankylosing Spondylitis Pain: Fact or Fiction, State Health Insurance Assistance Program (SHIP), https://www.medicare.gov/plan-compare/#/search-results?plan_type=PLAN_TYPE_MAPD&fips=01073&zip=35242&year=2021&lang=en&page=1, https://www.vivahealth.com/Medicare/Plans/?county=, https://www.medicare.gov/plan-compare/#/?lang=en&year=2021, https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/CertificationandComplianc/FSQRS, https://www.kff.org/medicare/issue-brief/a-dozen-facts-about-medicare-advantage-in-2020/, https://www.medicare.gov/sign-up-change-plans/types-of-medicare-health-plans/medicare-advantage-plans, https://www.vivahealth.com/Medicare/Plans/?county=Calhoun, https://www.vivahealth.com/Medicare/Plans/?county=Henry, https://www.vivahealth.com/Medicare/Plans/?county=Jefferson, https://www.vivahealth.com/Medicare/Plans/?county=Montgomery, https://www.vivahealth.com/Medicare/Cafes/, https://www.vivahealth.com/Medicare/Wellness/, Heart attack may speed up cognitive decline, study finds, New treatment strategy for stroke-related brain bleed could save thousands of lives. Get $2,250 every year to spend at the dentist. Tell your doctor about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. You may also contact Medicare to file your complaint by clicking hereMedicare Complaints and following the instructions on the form. These products have not been approved by the FDA, and the statements here have not been evaluated by the FDA. You can get summary information about the complaints (grievances) and appeals we have received. Whether you need to check your mailing address or request a new card, the Viva Member Portal is a great one-stop place to handle your account needs. See your county's plan options: Jefferson. Michelle Sweetser is a Nurse Practitioner Specialist in Belgrade, Maine. If your PCP is hosting a Viva Day, you may be contacted to accept an appointment for your annual physical or, if diabetic, an eye scan. 2021 VIVA Medicare Extra Care (HMO D-SNP) - H0154-019-0 in AL Plan Download the form and follow the instructions to submit your request to CVS Caremark. VIVA Medicare Extra Care (HMO D-SNP) The formulary includes prescription drugs in every therapeutic class and category. All rights reserved. What precautions should my doctor advise me about? In some cases, we may schedule an in-home visit. If you found out anything that is incorrect and want to change it, please follow this Update Data guide. Schedule a no-cost hearing test with a local provider; Get the highest quality hearing aids using your hearing benefit allowance; Schedule any necessary follow-up appointments Limitations, copayments, and restrictions may apply. A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. OH-22-10-08 H7172_23OTCCTLG APPROVED. Enroll in a no-hassle Viva Medicare plan today! Viva Medicare Over The Counter Benefits | cvs.com/otchs/viva Members continue to pay the Part B premium to Medicare. 1Every year, Medicare evaluates plans based on a 5-star rating system. VIVA Medicare Extra Care (HMO D-SNP) is a Medicare Advantage (Part C) Special Needs Plan by VIVA Medicare. Overview Prescription Coverage Plan Benefits Other Plan Options Star Ratings 2023 Overall Rating (5 out of 5) Health Plan Rating (4.5 out of 5) See Ratings Details Prescription Drug Plan (4 out of. You will be automatically enrolled in the Medication Therapy Management Program if you are considered an at-risk beneficiary under the VIVA Drug Management Program and/or meet ALL of the following three (3) criteria: Take eight (8) or more drugs from the following specific Part D drug classes: AND Have three (3) or more of the following long-term health conditions: AND Have an anticipated annual drug spend of at least $4,696 for calendar year 2022 or $4,935 for 2023. Do not use these products if you have a history of multiple severe allergies or severe allergic reactions (anaphylaxis), or if you are allergic to lidocaine or the Gram-positive bacterial proteins used in these products. Limitations and exclusions may apply.. If you use/used prescription products for eye pressure problems, use LATISSE under doctor care. Healthline Media does not recommend or endorse any third parties that may transact the business of insurance. Any changes you make will be effective the first of the month after the plan gets your request. To ask for a coverage decision, please call, fax or write Member Services and we will give you an answer in a timely manner. To report a side effect, please call Allergan at 1-800-433-8871. var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; This survey asks questions about your experiences with your doctors, hospitals, home health care agencies, prescription drug plans, and your health insurance plan. ), If you continuously behave in a way that is disruptive and makes it difficult for us to provide medical care for you and other members of our plan. Effective January 1, 2022, Viva Health added a Medical Preferred Drug Program with Step Therapy requirements for our Medicare Advantage members. Star Ratings are calculated each year and may change from one year to the next. Tell your doctor if you have received any other botulinum toxin product in the last 4 months; have received injections of botulinum toxin such as Myobloc, Dysport, or Xeomin in the past (tell your doctor exactly which product you received); have recently received an antibiotic by injection; take muscle relaxants; take an allergy or cold medicine; take a sleep medicine; take aspirin-like products or blood thinners. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. D-SNPs are designed for people enrolled in both Medicare and Medicaid. SNPs provide benefits to people who have certain chronic health conditions, such as HIV or cancer, live in a long-term care facility, or qualify for both Medicare and Medicaid benefits. Callers will be directed to a licensed and certified representative of Medicare Advantage [HMO, HMO SNP, PPO, PPO SNP and PFFS] organizations [and stand-alone PDP prescription drug plans]. Request to immediately synchronize Profile NPI #1568820264 from NPPES to Healthcare4PPL.com. Fill out the fields below and well take care of the rest. Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home.
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