Your county selected is >> Change Settings

 

MVP Medicare Advantage Plans

 

MVP Medicare Advantage health plans provide coverage with valuable benefits that work for you and how you live. MVP works hard to provide high-quality health plans with a focus on service and satisfaction. Our continuing commitment to these areas is proven in the high Star ratings we receive from Medicare for quality and customer satisfaction.

 

Get the most value from your plan by taking advantage of what MVP offers you:

• Low or no cost generic drugs and cost-saving mail order services.
• No specialist referrals.
• Worldwide coverage for emergency room and urgently needed care.
• 22,000 MVP doctors and hospitals across New York State and Vermont.
• A SilverSneakers® fitness program membership with access to 14,000 sites across the U.S., at no added cost to you!
• $75 Wellness Rewards for staying current with yearly exams, tests and screenings.
• Full coverage for preventive care, like Annual Wellness visits and mammograms.
• Freedom to see any provider who participates with Medicare for routine care, such as allergy shots, physical therapy, or maintenance lab work (you may pay more for doctors who are not contracted with MVP).
• Coverage for high-quality, affordable hearing aids.
• Access to health care professionals online when you can't get to your doctor, it's after hours, or you're traveling.
• A dedicated team experienced in Medicare Advantage health plans.

 

• MVP's 2018 Medicare Advantage Plans

  GoldValue with Part D (HMO-POS) Plan
  Preferred Gold with and without Part D (HMO-POS) Plan
  Gold PPO with Part D (PPO) Plan
  BasiCare with Part D (PPO) Plan
  2018 Benefits at a Glance
  Medicare Star Rating
  
  Estimate your prescription and out-of-pocket costs per plan.

• Premium Assistance Programs

  State Pharmaceutical Assistance Program
  You may be eligible for New York State's EPIC (Elderly Pharmaceutical Insurance Coverage) program. EPIC members may pay lower premiums and co-pays.
  
  Call EPIC Monday-Friday, 8:30 am-5:00 pm at 1-800-332-3742 (TTY: 1-800-290-9138) or more information.
  
  Getting Extra Help—Low Income Subsidy
  You may be able to get Extra Help—also called Low Income Subsidy (LIS)—to help reduce your monthly prescription drug premium and drug co-pays. To see if you qualify for Extra Help, call 1-800-MEDICARE (1-800-633-4227) 24 hours a day, seven days a week.
  
  Or call the Social Security Office at 1-800-772-1213 Monday-Friday, 7 am-7 pm (TTY: 1-800-325-0778), or call your state Medicaid office.
  
  2018 LIS "Extra Help" Premium Grid

 

 

Last Updated October 2017

Important Information

 

MVP Health Plan, Inc. is an HMO-POS/PPO/MSA organization with a Medicare contract. Enrollment in MVP Health Plan depends on contract renewal. This information is not a complete description of benefits. Contact the plan for more information. Limitations, co-payments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium.

The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. Medicare evaluates plans based on a 5-star rating system. Star Ratings are calculated each year and may change from one year to the next.

Out-of-network/non-contracted providers are under no obligation to treat MVP Health Plan members, except in emergency situations. For a decision about whether we will cover an out-of-network service, we encourage you or your provider to ask us for a pre-service organization determination before you receive the service. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services. Medicare beneficiaries may also enroll in Preferred Gold HMO-POS, GoldValue HMO-POS, GoldSecure HMO-POS, Gold PPO, BasiCare PPO, and/or WellSelect PPO through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.