
To make it as easy as possible for you to make decisions about Medicare Part D Prescription Drug Coverage, MVP Gold has created this special section of our Web site where you will find links to the most up-to-date information available. If you have questions about MVP Gold for individuals, please call MVP Gold Member Services at one of the phone numbers listed below.
MVP Gold with prescription drug coverage offers you coverage from day one since you pay no deductible and have low copayments. 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 tier 1 drugs
- $45 for tier 2 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 drugs for up to a 90-day supply
- 25% coinsurance for tier 3 drugs for up to a 90-day supply
View the MVP Gold Summary of Benefits to learn more about MVP Gold benefits by downloading the Summary of Benefits for your region:
- East Region (pdf) – For Albany, Fulton, Montgomery, Rensselaer, Saratoga, Schenectady, Schoharie, 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
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.social.security.gov or call them at 1-800-772-1213 (TTY 1-800-325-0778).
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:
Toll Free:
(800) 671-7504
TTY users may call:
(800) 662-1220
