Time to renew your coverage? Be wary of scammers.

It’s important to confirm you are speaking with an MVP representative before sharing health and financial information. If you are unsure the call is coming from MVP, hang up immediately and call 1-800-852-7826 (TTY 711). An MVP representative will be available to assist you with your renewal.
  • Brokers
  • Employers
  • Providers
logo
  • Plan Options
  • Find Care
  • Resources
  • Contact Us
Find a Medicare Plan

Get a custom Medicare recommendation in 5 minutes or less.

Get My Recommendation
Caregiver with elderly woman

Plans

  • Individual and Family

    Coverage for you, your spouse or your family.

  • Medicare
    Medicare Advantage

    Comprehensive plans starting at $0/month for people over 65 and select others.

  • Medicaid

    Free or low-cost coverage from one of the top-rated plans in New York State.

  • Child Health Plus (CHP)

    Affordable coverage and $0 co-pays for children under 19.

Additional Plans

  • Dental and Vision
  • Dual Special Needs

    $0 monthly payments and valuable extras for those who qualify.

  • Employer-Sponsored

    Affordable group coverage for large and small businesses.

Create your account

ID Cards, Claims, Deductibles and more, right at your fingertips.  

Create My Account
Woman smiling while sitting at desk

Member Services

  • Pay My Bill
  • Forms
  • Get the Gia Mobile App

    Wherever life takes you, take Gia- a guide to your health and your health plan.

Helpful Information

  • Frequently Asked Questions
  • Prescription Benefits
  • Understanding Insurance

    Helpful information about the way your insurance plan keeps you covered.

Living Well

  • Community Events
  • Health and Wellness

    Well-Being programs and resources to help you live well and stay well.

Sign In/Register
MENU
logo
  • Plan Options
  • Find Care
  • Resources
  • Contact Us
Find a Medicare Plan

Get a custom Medicare recommendation in 5 minutes or less.

Get My Recommendation
Caregiver with elderly woman

Plans

  • Individual and Family

    Coverage for you, your spouse or your family.

  • Medicare
    Medicare Advantage

    Comprehensive plans starting at $0/month for people over 65 and select others.

  • Medicaid

    Free or low-cost coverage from one of the top-rated plans in New York State.

  • Child Health Plus (CHP)

    Affordable coverage and $0 co-pays for children under 19.

Additional Plans

  • Dental and Vision
  • Dual Special Needs

    $0 monthly payments and valuable extras for those who qualify.

  • Employer-Sponsored

    Affordable group coverage for large and small businesses.

Create your account

ID Cards, Claims, Deductibles and more, right at your fingertips.  

Create My Account
Woman smiling while sitting at desk

Member Services

  • Pay My Bill
  • Forms
  • Get the Gia Mobile App

    Wherever life takes you, take Gia- a guide to your health and your health plan.

Helpful Information

  • Frequently Asked Questions
  • Prescription Benefits
  • Understanding Insurance

    Helpful information about the way your insurance plan keeps you covered.

Living Well

  • Community Events
  • Health and Wellness

    Well-Being programs and resources to help you live well and stay well.

  • Brokers
  • Employers
  • Providers
English
Sign In/Register
  1. MVP Health Care
  2. notice privacy practices compliance

Notice of Privacy Practices and Compliance

  • Privacy Notices
    • Privacy Notice (PDF)
    • Nonpublic Personal Financial Information Policy (PDF)
    • Electronic Communications Disclosure (PDF)
    • Website and Mobile Privacy Policy (PDF)

    En Espanol

    • Privacy Notice – Spanish (PDF)
    • Politica de Información Financiera Personal No Pública (PDF)
     
  • Forms
    • Authorization to Disclose Information (PDF)
    • Authorization to Disclose Information — Spanish (PDF)
  • Legal Notices and Reports

    Annual Notices/Reports—Commercial

    • Member (PDF)
    • Provider – New York (PDF)
    • Provider – Vermont (PDF)
    • Vermont Report (PDF)

    Rate Filing—Narrative Summaries

    • 2024 New York Individual HMO (PDF)
    • 2024 New York Small Group HMO (PDF)
    • 2024 New York Small Group EPO and PPO (PDF)
    • 2024 New York Large Group HMO (PDF)
    • 2023 New York Individual HMO (PDF)
    • 2023 New York Small Group HMO (PDF)
    • 2023 New York Small Group EPO and PPO (PDF)
    • 2023 New York Large Group HMO (PDF)
    • 2022 New York Individual HMO (PDF)
    • 2022 New York Small Group HMO (PDF)
    • 2022 New York Small Group EPO and PPO (PDF)
    • 2022 New York Large Group HMO (PDF)

    Protocols for Domestic Violence and Endangered Victims

    • Protocols for Domestic Violence Victims and Endangered Victims (PDF)
    • Protocolos de Confidencialidad para Victimas de Violencia Domestica y Victimas en Peligro (PDF)

    New York State Out-of-Network (OON) Law (Effective 3/30/15)

    • Independent Dispute Resolution Process for Emergency and Surprise Bills—Member (PDF)
    • Independent Dispute Resolution Process for Emergency and Surprise Bills—Health Care Providers (PDF)
    • Out-of-Network Reimbursement Examples (PDF)
  • No Surprises Act (NSA)
    • NY No Surprises Act Disclosure Notice (PDF)
    • VT No Surprises Act Disclosure Notice (PDF)
  • Certificates of Coverage (COC) - 2023

    New York

    Individual 
    • FRNY EP 1&2 COC (2023) (PDF)
    • FRNY EP 3&4 COC (2023) (PDF)
    • FRNY44 INDV HMO COC 2023 CAT (PDF)
    • FRNY44 INDV HMO COC 2023 CHILD ONLY (PDF)
    • FRNY44 INDV HMO COC 2023 NSTD (PDF)
    • FRNY44 INDV HMO COC 2023 NSTD AGG-EMB (PDF)
    • FRNY44 INDV HMO COC 2023 NSTD PCP (PDF)
    • FRNY44 INDV HMO COC 2023 STD (PDF)
    • FRNY44 INDV HMO COC 2023 STD PCP (PDF)
    • NY44 INDV HMO COC 2023 CAT (PDF)
    • NY44 INDV HMO COC 2023 CHILD ONLY (PDF)
    • NY44 INDV HMO COC 2023 NSTD (PDF)
    • NY44 INDV HMO COC 2023 NSTD AGG-EMB (PDF)
    • NY44 INDV HMO COC 2023 NSTD PCP (PDF)
    • NY44 INDV HMO COC 2023 STD (PDF)
    • NY44 INDV HMO COC 2023 STD PCP (PDF)

    Small Group
    • NY43 SG EPO COC 2023 (PDF)
    • NY43 SG EPO COC 2023 AGG-EMB (PDF)
    • NY43 SG EPO COC 2023 AGG-EMB-Q (NoFP) (PDF)
    • NY43 SG EPO COC 2023 PCP (PDF)
    • NY43 SG EPO COC 2023 PCP-Q (NoFP) (PDF)
    • NY43 SG EPO COC 2023-Q (NoFP) (PDF)
    • NY44 SG HMO COC 2023 (PDF)
    • NY44 SG HMO COC 2023 AGG-EMB (PDF)
    • NY44 SG HMO COC 2023 AGG-EMB-Q No FP (PDF)
    • NY44 SG HMO COC 2023 HNY (PDF)
    • NY44 SG HMO COC 2023 HNY-Q (NoFP) (PDF)
    • NY44 SG HMO COC 2023 PCP (PDF)
    • NY44 SG HMO COC 2023 PCP-Q (NoFP) (PDF)
    • NY44 SG HMO COC 2023- Q (NoFP) (PDF)

    Large Group
    • NY43 EPO COC GF 2023 (PDF)
    • NY43 PPO COC GF 2023 (PDF)
    • NY43 HMOPOS COC GF 2023 (PDF)
    • NY43 LG 7 EPO COC 2023 IntRX AGG (PDF)
    • NY43 LG 7 EPO COC 2023 IntRX AggEmb (PDF)
    • NY43 LG 7 EPO COC 2023 IntRX EMB (PDF)
    • NY43 LG 7 EPO COC 2023 NoRX EMB (PDF)
    • NY43 HMOPOS COC 2023 IntRX FP (PDF)
    • NY43 HMOPOS COC 2023 NoRX FP (PDF)
    • NY44 HMO COC GF 2023 (PDF)
    • NY44 LG 7 HMO COC 2023 IntRX (PDF)
    • NY44 LG 7 HMO COC 2023 NoRX (PDF)

     

    Vermont

    Small Group & Individual
    • FRVT HMO HDHP NON-STANDARD CTR (2023) (PDF)
    • FRVT HMO HDHP STANDARD CTR (2023) (PDF)
    • FRVT HMO NON-STANDARD CTR (2023) (PDF)
    • FRVT HMO STANDARD CTR (2023) (PDF)
     
    Large Group
    • VT 3 HMO 2023 COC (PDF)
    • VT 3 HMO 2023 COC INTRX HDHP (PDF)
    • VT 3 HMO 2023 COC INTRX NQHDHP (PDF)

     

    Dental

    Individual
    • Individual Adult Dental COC 2023 (PDF)
    • Individual Family Dental COC 2023 (PDF)
    • Individual Pediatric Dental COC 2023 (PDF)
     
    Small Group
    • Small Group Adult Dental COC 2023 (PDF)
    • Small Group Family Dental COC 2023 (PDF)
    • Small Group Pediatric Dental COC 2023 (PDF)
  • Certificates of Coverage (COC) - 2022

    New York

    Individual

    • FRNY44 INDV HMO COC 2022 CAT (PDF)
    • FRNY44 INDV HMO COC 2022 CHILD ONLY (PDF)
    • FRNY44 INDV HMO COC 2022 NSTD (PDF)
    • FRNY44 INDV HMO COC 2022 NSTD AGG-EMB (PDF)
    • FRNY44 INDV HMO COC 2022 NSTD PCP (PDF)
    • FRNY44 INDV HMO COC 2022 STD (PDF)
    • FRNY44 INDV HMO COC 2022 STD PCP (PDF)
    • NY44 INDV HMO COC 2022 CAT (PDF)
    • NY44 INDV HMO COC 2022 CHILD ONLY (PDF)
    • NY44 INDV HMO COC 2022 NSTD (PDF)
    • NY44 INDV HMO COC 2022 NSTD AGG-EMB (PDF)
    • NY44 INDV HMO COC 2022 NSTD PCP (PDF)
    • NY44 INDV HMO COC 2022 STD (PDF)
    • NY44 INDV HMO COC 2022 STD PCP (PDF)
    • 2022 EP Subscriber Contract 1&2 (PDF)
    • 2022 EP Subscriber Contract 3&4 (PDF)

     

    Small Group

    • NY43 SG EPO COC 2022 (PDF)
    • NY43 SG EPO COC 2022-Q (NoFP) (PDF)
    • NY43 SG EPO COC 2022 AGG-EMB (PDF)
    • NY43 SG EPO COC 2022 AGG-EMB-Q (NoFP) (PDF)
    • NY43 SG EPO COC 2022 PCP (PDF)
    • NY43 SG EPO COC 2022 PCP-Q (NoFP) (PDF)
    • NY44 SG HMO COC 2022 HNY (PDF)
    • NY44 SG HMO COC 2022 HNY-Q (NoFP) (PDF)
    • NY44 SG HMO COC 2022 (PDF)
    • NY44 SG HMO COC 2022-Q (NoFP) (PDF)
    • NY44 SG HMO COC 2022 AGG-EMB (PDF)
    • NY44 SG HMO COC 2022 AGG-EMB-Q No FP (PDF)
    • NY44 SG HMO COC 2022 PCP (PDF)
    • NY44 SG HMO COC 2022 PCP-Q (NoFP) (PDF)

     

    Large Group

    • NY43 PPO COC GF 2022 (PDF)
    • NY43 PPO COC GF NoFP 2022 (PDF)
    • NY43 HDHP EPO COC GF 2022 (PDF)
    • NY43 EPO COC GF 2022 (PDF)
    • NY43 LG 7 EPO COC 2022 T1RX EMB (PDF)
    • NY43 LG 7 EPO COC 2022 T1RX EMB NoFP (PDF)
    • NY43 LG 7 EPO COC 2022 T1RX AggEmb (PDF)
    • NY43 LG 7 EPO COC 2022 T1RX AggEmb NoFP (PDF)
    • NY43 LG 7 EPO COC 2022 IntRX AGG (PDF)
    • NY43 LG 7 EPO COC 2022 IntRX AGG NoFP (PDF)
    • NY43 LG 7 EPO COC 2022 IntRX AggEmb (PDF)
    • NY43 LG 7 EPO COC 2022 IntRX AggEmb NoFP (PDF)
    • NY43 LG 7 EPO COC 2022 IntRX EMB (PDF)
    • NY43 LG 7 EPO COC 2022 IntRX EMB NoFP (PDF)
    • NY43 LG 7 EPO COC 2022 NoRX AGG (PDF)
    • NY43 LG 7 EPO COC 2022 NoRX AGG NoFP (PDF)
    • NY43 LG 7 EPO COC 2022 NoRX EMB (PDF)
    • NY43 LG 7 EPO COC 2022 NoRX EMB NoFP (PDF)
    • NY43 HMOPOS COC 2022 IntRX FP (PDF)
    • NY43 HMOPOS COC 2022 IntRX NoFP (PDF)
    • NY43 HMOPOS COC 2022 NoRX FP (PDF)
    • NY43 HMOPOS COC 2022 NoRX NoFP (PDF)
    • NY43 HMOPOS COC GF 2022 (PDF)
    • NY44 HMO COC GF 2022 (PDF)
    • NY44 LG 7 HMO COC 2022 IntRX (PDF)
    • NY44 LG 7 HMO COC 2022 IntRX NoFP (PDF)
    • NY44 LG 7 HMO COC 2022 NoRX (PDF)
    • NY44 LG 7 HMO COC 2022 NoRX NoFP (PDF)

     

     

    Vermont

    Small Group and Individual

    • FRVT HMO STANDARD CTR (2022) (PDF)
    • FRVT HMO NON-STANDARD CTR (2022) (PDF)
    • FRVT HMO HDHP STANDARD CTR (2022) (PDF)
    • FRVT HMO HDHP NON-STANDARD CTR (2022) (PDF)

     

    Large Group

    • VT 3 HMO 2022 COC (PDF)
    • VT 3 HMO 2022 COC INTRX HDHP (PDF)
    • VT 3 HMO 2022 COC INTRX NQHDHP (PDF)
  • Dental Schedules of Benefits – 2020/2021
    Individual
    • Individual Adult NY PPO DD 003 A (PDF)
    • Individual Family NY PPO DD 002 F (PDF)
    • Individual Pediatric NY PPO DD 001 P (PDF)

    Small Group
    • Small Group Adult NY PPO SD 003 A (PDF)
    • Small Group Family NY PPO SD 002 F (PDF)
    • Small Group Pediatric NY PPO SD 001 P (PDF)
  • Vision Schedules of Benefits

    New York

    • NY43 VISION CTR INDIVIDUAL 2022 (PDF)
    • NY43 VISION COC GROUP 2022 SMALL (PDF)
    • NY43 VISION COC GROUP 2022 LARGE (PDF)

     

    Vermont

    • VT44 VISION CTR INDIVIDUAL 2022 (PDF)
    • VT44 VISION COC GROUP 2022 SMALL (PDF)
    • VT44 VISION COC GROUP 2022 LARGE (PDF)
  • Member Rights and Responsibilities
    • Commercial Member Rights and Responsibilities (PDF)
    • Medicaid Member Rights and Responsibilities (PDF)
    • Medicare Member Rights and Responsibilities (PDF)
Contact Us

Who We Are

  • About Us
  • Careers
  • Community Events
  • Corporate Giving
  • News Center
  • Leadership
  • Locations

Explore Plans

  • Individual and Family Plans
  • Child-Only Plans
  • Employer-Based Plans
  • Medicare Plans
  • Dental and Vision

Sign In

  • Members
  • Brokers
  • Employers
  • Providers
  • Website & Mobile Terms of Use
  • Privacy Practices & Compliance
  • Site Help
  • Non-Discrimination & Language
  • SMS Terms of Use
  • Fraud and Abuse

Copyright © 2023, MVP Health Care. All Rights Reserved.