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Attention New Enrollees!
If you have not received your 2012 Vantage ID Cards, please call Member Services at
888-823-1910.

Thank you for your interest in Vantage. After completing the form below, we will contact you within the next 1-2 business days. If you prefer to speak with someone instead, please call (318)361-0900 or TOLL FREE at (888)823-1910.

* required

First Name:

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Street Address:

City:

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Zip:

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Address:	PH:	(318) 361-0900
130 DeSiard Street, Suite 300	Toll Free:	(888) 823-1910
Monroe, LA 71201	Fax:	(318) 361-2159

Some Out-of-Network providers may be covered as in plan with VHP authorization. For an authorization to see an Out-of-Network provider, call 318.361.0900 or 888.823.1910.

Click here for the Out-of-Network Provider Benefit.

Vantage Health Plan
130 DeSiard Street, Suite 300
Monroe, LA 71201
888.823.1910