To access your benefits, claims, and account information,

Please go to the
Manage Your Account
section of the website


 

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Contact Us

MVP Medicare Customer Care Center
1-800-665-7924
TTY: 1-800-662-1220

Hours

Monday - Friday

8 am - 8 pm and

Saturday, 8 am to 4 pm (EST)

From Oct. 1 - Feb 14, call seven days a week, 8 am to 8 pm

 

Address

220 Alexander St.

Rochester, NY 14607

 

24/7 Nurse Advice Line

1-800-204-4712

 

Expedited Coverage Determination

1-800-665-7924

 

Coverage Determination Exception

Fax:1-800-401-0915


USA CareSM with Part D (PPO) — for Employer Group Retirees

USA Care PPO is a Medicare Advantage Preferred Provider Organization health plan that offers you the freedom to see any doctor in the country who accepts Medicare patients. USA Care is simple to use and easy to understand. Here are just a few of the benefits that add even more value to your health care experience:

  • $0 cost generic drugs and select vaccines
  • No specialist referrals needed.
  • Worldwide coverage for emergency room care.
  • Freedom to see any doctor who accepts Medicare patients.
  • Full coverage for preventive care, such as annual physicals and mammograms.
  • SilverSneakers® Fitness Program fitness center membership, at no added cost to you!
  • Coverage for acupuncture services.
  • $100 HealthDollarsSM each year to use toward health, wellness, and fitness activities, from Aerobics to ZUMBA® Gold, and from fall prevention classes to golf lessons.
  • A dedicated team experienced in Medicare Advantage health plans.

When you visit your family doctor or specialist, or are admitted to the hospital, you will pay only a fixed copay or coinsurance. You cannot be billed for any other amounts above your cost-sharing amount.

 

It is important that you ask your doctor or other health care provider if they participate with Medicare. Most doctors do, but ask in advance to be sure. These providers submit claims directly to MVP.

 

Find doctors, hospitals, and other providers who participate with Medicare at Medicare.gov

 

Provider Claim Forms

Part D Prescription Drug Coverage

CMS-1500 paper claim form (sample)
UB-04 paper claim form (sample)
File USA Care Claims Electronically
EDI Enrollment Form

Employer Group Retirees Part D Coverage

USA Care Medicare Part D Vaccine Billing

Form - Prior Authorization (prescriptions)
Form - Part D Vaccine Specific Reimbursement
Form - Express Scripts Pharmacy Mail Order
Form - Express Scripts Pharmacy Reimbursement
Mail Order Prescription Help

 

 

 

Last Updated October, 2014