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

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Our Provider Value Proposition

Vibra Health Plan will work closely with physicians, hospitals, and health systems to improve quality, increase collaboration and decrease costly, burdensome processes by:

  1. Aligning physician reimbursement with incentives to provide quality care and increase patient satisfaction.
  2. Implementing physician-focused approaches to care management.
  3. Developing and nurturing strategic partnerships.
  4. Assisting patients and their caregivers in navigating the healthcare system.
  5. Innovating benefit design to promote prevention and patient compliance.

Quality Improvement Program

Vibra Health Plan is committed to partnering with our network to bring our members exceptional care. Our program is focused on evaluating, measuring and improving the quality of care and service provided to our members.

Coverage Determination Language

Vibra Health Plan uses Local Coverage Determinations (LCDs), which are established by the local Medicare Administrative Contractor. LCDs establish policy on whether to cover a particular service and are used in processing claims for payment. The LCDs are located on the Novitas Solutions website, medical policy portal.

Important Reminders

  • Medicare Outpatient Observation Notice (MOON) – Hospitals must deliver to any beneficiary who receives observation services as an outpatient for more than 24 hours. Must be signed by the patient; form will be available on Provider Portal.
  • Dual eligible enrollees cannot be balance billed – Federal law prohibits Medicare providers from collecting Medicare Part A and Part B deductibles, coinsurance, or copayments from anyone enrolled in the Qualified Medicare Beneficiaries program. Low income subsidy copayments still apply for Part D benefits.
  • Anti-discrimination based on payment status – Providers may not refuse to serve enrollees because they receive assistance with Medicare cost-sharing from a State Medicaid program.
Vibra Health Plan Coverage Map

* Highlighted counties represent Vibra Health Plan's service area

Get In Touch

For provider support, please contact Vibra Health Plan:

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We want to make sure that you know you are exiting our site and going to an external website.

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.

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

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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.

Are you new to Medicare?

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

Do you have end-stage renal disease ESRD?

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.

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View Plan Options

Please select one of our coverage options below.

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

Do you want to add optional dental coverage?

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.

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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') }]}
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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.


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