Virginia Premier Provider Portal

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Updated: April 21, 2022

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Virginiapremier.com

FAQs

1

What Va Premier covers?

Virginia Premier has been inspiring healthy living in the communities we serve since 1995. Our Medicaid and Medicare Advantage (HMO D-SNP) health plans cover doctor visits, emergency care, hospital stays and prescriptions. When you are a member, you also get no-cost extra benefits.
2

Can I use Virginia Premier out of state?

A: No. Because each state has its own Medicaid eligibility requirements, you can't just transfer coverage from one state to another, nor can you use your coverage when you're temporarily visiting another state, unless you need emergency health care.
3

Does Va premier cover dentures?

You have dental benefits that cover an exam, cleaning, fluoride treatment, and X-rays every 12 months at no cost to you. You also have a $4,000 allowance to use for fillings, extractions, crowns, dentures, and more. You must use a DentaQuest in-network provider for these services.
4

What is portal provider?

The Provider Portal is a quick resource that allows Providers convenient access to member and claim information. The portal is designed to provide access to: Claim and Payment status as well as a member's benefits and eligibility.
5

Does Virginia premier cover dentures for adults?

You have dental benefits that cover an exam, cleaning, fluoride treatment, and X-rays every 12 months at no cost to you. You also have a $4,000 allowance to use for fillings, extractions, crowns, dentures, and more. You must use a DentaQuest in-network provider for these services.
6

How do I renew my Virginia Premier?

You can renew your health coverage in 1 of these 3 ways:
  1. Online: Go to commonhelp.virginia.gov. Select "Renew my benefits." Read below for how to create an account.
  2. By phone: Call Cover Virginia at 833-5CALLVA (TTY: 1-888-221-1590). The call is free.
  3. By mail or in person: Fill out the paper renewal form.
7

Is Virginia Premier Medicaid or Medicare?

Founded in 1995 as a Medicaid HMO, Virginia Premier is the first and only nonprofit managed care organization in the Commonwealth, now serving more than 280,000 members statewide by offering Medicare, Medicaid, and health insurance exchange plans.
8

How do I check to see if my Medicaid is active?

Verify your enrollment online
  1. Log in to your HealthCare.gov account.
  2. Click on your name in the top right and select "My applications & coverage" from the dropdown.
  3. Select your completed application under “Your existing applications.”
  4. Here you'll see a summary of your coverage.
2. Virginianavigator.org

Medicaid Transportation, Member Services | VirginiaNavigator

https://virginianavigator.org/program/52753/medicaid-transportation-me...

Virginia Premier Health Plan (VPHP) is a licensed Health Maintenance organization owned by the Virginia Commonwealth University Health System.

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