[Intro]
Plan Details and Coverage
[Health and Wellness Benefits]
[Join MVP Gold]
MVP Gold includes all your Medicare benefits, plus prescription coverage and extra benefits.
- Features a network of 5,500 doctors and healthcare providers locally and across New York State.
- Coverage for eye and hearing exams, PLUS helps with eye wear and hearing aids.
- Coverage for you where you live, PLUS comes with a travel benefit that covers you at 70% for routine care wherever you go in the U.S. – with no deductible.
- Includes the SilverSneakers® Fitness Program – giving you free access to health clubs and exercise facilities.
- Gives you personal customer service – real people, not complicated phone trees!
RX Coverage
With MVP Gold’s prescription drug coverage, you have low copayments. (There is a yearly $275 deductible for brand-name drugs; $0 deductible for generics.) MVP Gold’s prescription drug coverage includes three tiers of cost sharing, and you can purchase up to a 90-day supply of your medication.
Retail
- $5 copayment for each 30-day supply of generic drugs
- $45 for brand-name drugs for each 30-day supply
- 25% coinsurance for tier 3 drugs for each 30-day supply
Mail-Order Program
- $10 copayment for generic drugs for up to a 90-day supply
- $90 copayment for brand-name drugs for up to a 90-day supply
- 25% coinsurance for tier 3 drugs for up to a 90-day supply
MVP Gold Formulary
To learn more about MVP Gold’s drug coverage and programs, search for participating pharmacies and check drug prices, please visit the main site at www.mvphealthcare.com/gold/partd
Low-Income Subsidy (LIS) Premium Summary Chart
For people with limited incomes and resources, extra help paying for a Medicare prescription drug plan is available. Information regarding this program is available through the Social Security Administration (SSA). For more information about this extra help, visit SSA at www.socialsecurity.gov or call them at 1-800-772-1213 (TTY 1-800-325-0778).
Summary of Benefits and Costs
Learn more about MVP Gold benefits and costs by downloading and viewing the MVP Gold Summary of Benefits for your region:
- East Region (pdf) – For Albany, Fulton, Montgomery, Rensselaer, Saratoga, Schoharie, Schenectady, Warren and Washington counties
- Mid-Hudson Region (pdf) – For Columbia, Dutchess, Greene, Orange and Ulster counties
- Mid-State Region (pdf) – For Cayuga and Onondaga counties
- Southern Tier (pdf) – For Broome and Tioga counties
To join MVP Gold today click Join MVP Gold to complete an application.
For more information about MVP Gold, please call MVP Gold Sales Monday through Friday, from 8:00 a.m. to 5:00 p.m. Eastern Time at (800) 671-7504. TTY users may call (800) 662-1220
From November 15 – March 1, advisors are also available weekends from 8:00 a.m. to 8:00 p.m. Eastern Time.
Next: Health and Wellness Benefits