Vibrahealthplan.com

Vibra Health Plan

WEBVibra Health Plan did not renew their contract with Medicare for 2023. Members received officials notification in the mail, in October of 2022. As of June 30th, …

Actived: 2 days ago

URL: https://www.vibrahealthplan.com/

Prescription Help

WEBAttention: Medicare Appeals Department. 1305 Corporate Center Drive. Building N10. Eagan, MN 55121. Fax: 800.693.6703. Phone: 855.457.1352 (TTY: 711) …

Category: Health Go Health

Find Doctors and Pharmacies

WEB844.324.0691. As of June 30th, there will no longer be access to the secure member portal. If you have claims or plan specific questions please call 844.388.8268. …

Category: Health Go Health

Documents and Forms

WEBVibra Health Plan is a PPO with a Medicare contract. Enrollment in Vibra Health Plan depends on contract renewal. Medicare beneficiaries may also enroll in the …

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Appeals and Grievances

WEBDefinitions. Coverage Decision: A decision the plan makes about your benefits and coverage or about the amount we will pay for your medical services or drugs. …

Category: Medical Go Health

2022 Summary O f B e n eO f B e n e ﬁ t s

WEBIn/Out-of-Network: You pay a $50 copay per visit (Worldwide – outside the U.S.) $20,000 annual plan maximum coverage. In/Out-of-Network: You pay a $65 copay per visit …

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Annual Notice of Changes for 2022

WEBThis Annual Notice of Changes gives you a summary of changes in your benefits and costs for 2022. For details, look in the 2022 Evidence of Coverage for Vibra Health Plan …

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COVID-19 Information for Providers

WEBOur work aligns with the guidance issued by the Centers for Medicare and Medicaid Services about expanding healthcare services and access. On March 6, the Centers for …

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Legal Information

WEBShow your health plan ID card before receiving healthcare services. Talk openly with your healthcare professional and build a provider-patient relationship built on …

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PROVIDER MANUAL 2020

WEBThe Vibra Health Plan (VHP) portal offers Provider resources, eligibility, claims status, authorizations, and more, and is the primary source for the most up-to-date information. …

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Vibra Health Plan Enrollment Application Form

WEBVibra Health Plan Enrollment Application Form VHP-119 (08/27/21) H9408_22EBR_C_08312021 IMPORTANT: Read and sign below: • I must keep both …

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MEMBER REIMBURSEMENT MEDICAL CLAIM FORM

WEBPlease also refer to the Help Sheet for additional information. Reimbursement will be sent to the member at the address Vibra Health Plan has on record. (To view your address of …

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Vibra Health Plan

WEBThis formulary was updated on 11/22/2022. For more recent information or other questions, pleasecontact Vibra Health Plan PPOMember Services at 1-844-388 …

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Vibra Health Plan Authorization to Disclose Personal Health …

WEBVibra Health Plan will give your personal health information to the person(s) The member of Vibra Health Plan or personal representative must sign their Send your completed, …

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Prior Authorization/Utilization Management FAQs

WEB4 UM20 – Prior Auth-UM FAQ 2018 H9408-18-62846 Step 8: After selecting the desired authorization template, enter the member’s Vibra Health Plan (VHP) ID number and …

Category: Health Go Health

Member Appeal and Grievance Form

WEBThis form, along with any documentation to support your appeal or grievance, can be mailed or faxed to: Vibra Health Plan ATTN: Appeals & Grievances PO Box 60250 Harrisburg, …

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IMPORTANT PRIOR AUTHORIZATION REQUEST …

WEBUrgent requests should be telephoned directly to Vibra Health Plan by calling 844-575-4387. PHOTOS: Faxed photos are not legible and cannot be used to make a …

Category: Health Go Health

Section 1—Provider Group Information

WEBHealth Plan at [email protected]. Note: Anything marked with an asterisk (*) is a required field. Section 1—Provider Group Information *Date: *Legal …

Category: Health Go Health

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