Viva Medicare
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Member Forms & Resources

Legal Documents
  • Certificate of Coverage
    2024 →
  • Summary of Benefits and Coverage
    2024 →
  • Infirmary Health Wellness Benefits
    2024 →
  • Summary of Benefits
    2024 →
  • Privacy Notice
    Amended 1/1/2023 →
  • Cost Calculator Notices and Disclaimers
    2023 →
  • Certificate of Coverage
    2023 →
  • Summary of Benefits and Coverage
    2023 →
  • Summary of Benefits
    2023 →
  • Wellness ERISA Rider
    →
  • Non-Discrimination and Language Accessibility Notice
    Effective Oct. 2016 →
    • Additional Program Benefits
  • Bright Futures Preventive Pediatric Health Care Recommendations
    Effective 2024 →
  • Recommended Immunizations for Adults 19+
    2024 →
  • Recommended Immunizations for Children from 7 to 18 Years Old
    2024 →
  • Recommended Immunizations for Children from Birth to 6 Years Old
    2024 →
  • Health Benefits FAQ
    effective 1/1/2024 →
    • General
  • Infirmary Health Guidebook
    2024 →
  • Infirmary Health Guidebook
    2021 →
    • Welcome to Viva
  • Personal Representative Appointment Form
    →
  • Appointment of Representative
    Complaints Process →