Member Resources

Viva Medicare Extra Value (HMO SNP)



2026 Plan Documents



2026 Extra Value Copay Sheet

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2026 Extra Value Summary of Benefits

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2026 Viva Medicare Extra Value Evidence of Coverage

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2026 Viva Medicare Extra Value Annual Notice of Change Partial Duals

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2026 Viva Medicare Extra Value Annual Notice of Change Full Duals

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2026 Viva Medicare Plus, Premier, Extra Value, Classic, Extra Care, and Infirmary Health Advantage Plans Pharmacy Directory

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2026 Viva Medicare Extra Value and Extra Care Plans Formulary (List of Covered Drugs)

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Reimbursement Claim Form

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Advance Directive for Health Care

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Non-Discrimination and Language Accessibility Notice

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2026 Medicare Star Rating

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2026 Over-the-Counter (OTC) and Grocery Catalog

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2026 Silver and Fit Program Flyer

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2026 Hearing Aid Coverage

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2026 Viva Medicare Transportation Benefit Guide

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Flex Card 2026

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SSBCI - Special Supplemental Benefits for the Chronically Ill

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2026 Enrollment Application

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Diabetic Testing Supply Information

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