Frequently Asked Questions (FAQs)

  • What makes you eligible to be a plan member?

    You are eligible for membership in our plan as long as:

  • What is the Part D "late enrollment penalty"?

    The late enrollment penalty is an amount that is added to you Part D premium. You may owe a Part D late enrollment penalty if at any time after your initial enrollment period is over, there is a period of 63 days or more in a row when you did not have Part D or other creditable prescription drug coverage. “Creditable prescription drug coverage” is coverage that meets Medicare’s minimum standards since it is expected to pay, on average, at least as much as Medicare’s standard prescription drug coverage. The cost of the late enrollment penalty depends on how long you went without Part D or creditable prescription drug coverage. You will have to pay this penalty for as long as you have Part D coverage. The Part D late enrollment penalty is added to your monthly premium. When you first enroll in Vitality Plus, we let you know the amount of the penalty. Your Part D late enrollment penalty is considered part of your plan premium.  

  • How much is the Part D late enrollment penalty?

    Medicare determines the amount of the penalty. Here is how it works:

  • How do I pay for my premium?

    OPTION 1: You can pay by check.

  • What kinds of medical care can you get without getting approval in advance from your PCP?

    You can get the services listed below without getting approval in advance from your PCP.

  • What if you are outside the plan's service area when you have an emergency or urgent care?

    All of our plans cover emergency and urgent care ANYWHERE in the United States, and some plans even include worldwide coverage.

  • What are your network pharmacies?

  • How do I get access to your mail order pharmacy?

    To start service with MedImpact Direct Mail, you will need a 90-day supply prescription for your first custom delivery order. We will also need some other information, including your allergies, payment information and shipping address. You have several options for getting your prescription to us: by phone, by mail, or have your provider send your prescription electronically via ePrescribe or by fax.

  • Do you cover Over-the-Counter (OTC) drugs?

    As a member of Vitality Health Plan of California (HMO), you have an Over-the-Counter (OTC) benefit every quarter. For more information about your OTC benefit, please call Member Service at 1-866-333-3530 (TTY 711).

  • Can I get my drugs without my ID card?

    Yes, please call Vitality Health Member Service Team for further assistance.

  • How can I get language assistance?

    It's important to have what you need to use your health plan. You deserve simple, straight-forward plan details, no matter what language you speak.

  • What happens to my coverage if I move out of the plan's service area?

    If you move out of the service area or are away from the service area for more than 6 months, you cannot remain a member of our plan. Please call Vitality Health Member Service Team at 1-866-333-3530 (TTY 711) for further assistance.

  • How can I qualify for Extra Help / Low Income Subsidy?

    Medicare beneficiaries can qualify for Extra Help with their Medicare prescription drug plan costs. The Extra Help is estimated to be worth about $4,000 per year. To qualify for the Extra Help, a person must be receiving Medicare, have limited resources and income, and reside in one of the 50 States or the District of Columbia.

  • How can I obtain care after normal business hours?

    If you feel like your life is in danger or you have any other emergency, please call 911 or go to the nearest urgent care or emergency room. Vitality Health Plan also offers a 24-Hour Nurse Advice Line at 1-833-378-4406 (TTY 711). A registered nurse will assess your health concern.

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