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Vantage Forms and Documents Enrollment Form Enrollment Application Evidence of Coverage Evidence of Coverage - 2008 Basic Evidence of Coverage - 2008 Premium Provider Directory Vantage Provider Directory Vantage (Statewide for Groups) Provider Directory Maps Medicare Coverage Map Policies Privacy Policy Coverage Determination and Related Forms Medicare Coverage Determination Request Form Medicare Redetermination Request Form Medicare Part D Coverage Determination Request Form Medicare Appointment of Representation Form   This page was last modified January 16, 2008

Home · Privacy Policy · Vantage Health Plan

130 DeSiard Street, Suite 300 · Monroe, LA 71201
(318) 361-0900   ·  1-888-823-1910   ·  TDD 1-866-524-5144

November 15th through March 2nd:
Seven (7) Days a Week 8:00 A.M. - 8:00 P.M.

All other Dates:
Monday Through Friday Week 8:00 A.M. - 8:00 P.M.