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MEMBER INFORMATION

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General Information

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Disclosure of Protected Health Information

Click here to view the Authorization form for Disclosure of Protected Health Information (PHI): English

Prior Authorization (Organization and Coverage Determinations) Exceptions

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How to File an Appeal

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How to File a Grievance/Complaint

Prescription Drug/ Medication Information

  • Medication Transition Process
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  • Medication Therapy Management Program

Fraud, Waste, and Abuse

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Last updated 11/30/2020

18000 Studebaker Rd. Suite 960 Cerritos, CA 90703 1-866-333-3530 (TTY 711)
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  • Last updated 01/09/2020

Vitality is an HMO plan with a Medicare contract. Enrollment in Vitality Health Plan depends on contract renewal.

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