To speak with a licensed agent call 1-844-324-0691 (TTY 711)

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We're looking for dedicated individuals to join our growing team. If you want to make a meaningful impact on your community, we want to talk to you. Together we can build a better, healthier Pennsylvania.

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Tell us where you live.

Medicare beneficiaries may also enroll in Vibra Health Plan through the CMS Medicare Online Enrollment Center located at https://www.medicare.gov.

To view your coverage options, enter your zip code and county below.

Before you enroll

To make sure you are eligible we'll need a few more pieces of information.

Before your enroll

You must have Medicare Part A and Part B to join a Medicare Advantage Plan.

Generally you are not eligible to enroll in our plan if you have been medically determined to have ESRD. If you have had a successful kidney transplant and/or you don’t need regular dialysis any more, you are eligible to enroll, we will need to contact you to obtain additional information.

I want coverage for the following year.

Are you new to Medicare?

Yes

Are you already entitled to Part A and enrolled in Part B?

Part A

Part B

Both Part A & Part B

Neither

Do you have end-stage renal disease ESRD?

Yes

If you have had a successful kidney transplant and/or you don't need regular dialysis any more, please mail a note or records from your doctor showing you have had a successful kidney transplant or you don't need dialysis, otherwise we may need to contact you to obtain additional information.

Vibra Health Plan, Inc. 
4000 Crums Mill Rd.
 Suite 201
 Harrisburg, PA 17112
To speak with a licensed agent call 1-844-324-0691 (TTY 711)
Monday through Friday, 8:00 a.m. to 8:00 p.m., with extended hours from October 1 through February 14.

View Plan Options

Please select one of our coverage options below.

Your options

Plan	Monthly Premium	Primary Care Copay	Out-of-pocket Max	Select
Essential Coverage PPO	$0	In $10 \| Out $35	$6,700	Essential Coverage PPO
Enhanced Coverage PPO	$49.50	In $5 \| Out $25	$4,800	Enhanced Coverage PPO
Essential Coverage PPO	$0	In $5 \| Out $35	$5,900	Essential Coverage PPO
Enhanced Coverage PPO	$55.00	In $5 \| Out 30%	$4,800	Enhanced Coverage PPO

Do you want to add optional dental coverage?

Yes

Your monthly rate will increase by $33.30.

For more details pertaining to the optional dental benefits, please see the Summary of Benefits.

Your monthly rate will increase by $28.00.

For more details pertaining to the optional dental benefits, please see the Summary of Benefits.

Your monthly rate will increase by $33.30.

For more details pertaining to the optional dental benefits, please see the Summary of Benefits.

Your monthly rate will increase by $28.00.

For more details pertaining to the optional dental benefits, please see the Summary of Benefits.

Ready to Enroll?

It looks like you are interested in the plan outlined below. By clicking the “Enroll Now” button, you are confirming your intent to complete an actual enrollment request to join Vibra Health Plan.

You will want to have your Medicare card available to help complete the application.

If you need assistance during this process, our contact information is listed below.

Plan Breakdown

Primary Care Copay In $10 | Out $35
Out-of-pocket Max $6,700

Estimated monthly payment:

Monthly Premium $0
Monthly Dental Premium (Optional) $33.30
Monthly Total ${[{ mec.formatMonthlyTotal('2017_Essential_Coverage_PPO') }]}

Primary Care Copay In $5 | Out $25
Out-of-pocket Max $4,800

Monthly Premium $49.50
Monthly Dental Premium (Optional) $28.00
Monthly Total ${[{ mec.formatMonthlyTotal('2017_Enhanced_Coverage_PPO') }]}

Primary Care Copay In $5 | Out $35
Out-of-pocket Max $5,900

Monthly Premium $0
Monthly Dental Premium (Optional) $33.30
Monthly Total ${[{ mec.formatMonthlyTotal('2018_Essential_Coverage_PPO') }]}

Primary Care Copay In $5 | Out 30%
Out-of-pocket Max $4,800

Monthly Premium $55.00
Monthly Dental Premium (Optional) $28.00
Monthly Total ${[{ mec.formatMonthlyTotal('2018_Enhanced_Coverage_PPO') }]}

Important Information

You may enroll in only one Medicare Advantage Plan at a time.

You may join or leave that plan only at certain times of the year or in special circumstances.

The Annual Election Period occurs October 15 through December 7. During this time, eligible individuals may enroll in or change Medicare Advantage Plans. Coverage will begin January 1.

Other Enrollment Methods

Fax: 1-844-260-7923
For Submitting Applications by Phone (please call to speak with a licensed agent)
Dial: 1-844-324-0691 (TTY 711)
To contact Medicare, Dial: 1-800-MEDICARE (1-800-633-4227)
Hours: Monday through Friday, 8:00 a.m. to 8:00 p.m., with extended hours from October 1 through February 14.
Online: Medicare beneficiaries may also enroll in Vibra Health Plan through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.

Note

You must continue to pay your Medicare Part B premium.

Vibra Health Plan is a PPO with a Medicare contract. Enrollment in Vibra Health Plan depends on contract renewal.

This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year.

Non Discrimination and Foreign Language Assistance Notice

Last Updated Sep. 30th, 2017 (H9408_18_47546 Approved)