2025 Plan Documents

The MVP Medicare Member ID cards have a new look for 2025. We’ve removed details that could change each year so you can keep the same ID card for as long as you remain in the same plan. You can find your 2025 plan details below. You will be able to see 2025 plan details in Gia ® after January 1, 2025. Sign in to Gia.

Benefits at a Glance

• Capital District, Southern Tier, Central New York
• Hudson Valley
• Rochester and Buffalo

Annual Notice of Coverage (ANOC)

Capital District, Southern Tier, Hudson Valley, Central New York

• Medicare Preferred Gold without Part D (HMO-POS)
• Medicare Secure Plus with Part D (HMO-POS)

East Region

• Medicare WellSelect with Part D (PPO)
• Medicare WellSelect Plus with Part D (PPO)
• MVP Medicare Patriot Plan with Part D (PPO)

Hudson Valley

• Medicare WellSelect with Part D (PPO)
• MVP Medicare WellSelect® with Part D (PPO)(Spanish)
• MVP Medicare Patriot Plan with Part D (PPO)

Rochester and Buffalo

• Medicare Preferred Gold without Part D (HMO-POS)
• Medicare Preferred Gold with Part D (HMO-POS)
• Medicare Secure with Part D (HMO-POS)
• Medicare WellSelect Plus with Part D (PPO)

Evidence of Coverage (EOC)

Capital District, Southern Tier, Central New York

• Medicare WellSelect with Part D
• Medicare WellSelect Plus with Part D

Capital District, Southern Tier, Hudson Valley, Central New York

• Medicare Preferred Gold without Part D
• Medicare Secure Plus with Part D
• Medicare Patriot Plan

Hudson Valley

• Medicare WellSelect with Part D
• Medicare WellSelect with Part D (Spanish)

Rochester and Buffalo

• Medicare Complete Wellness with Part D
• Medicare Preferred Gold without Part D
• Medicare Preferred Gold with Part D
• Medicare Secure with Part D
• Medicare WellSelect with Part D

Summary of Benefits (SB)

Capital District, Southern Tier, Hudson Valley, Central New York

• Medicare Secure Plus with Part D (HMO-POS), Medicare Preferred Gold without Part D (HMO-POS
• Medicare WellSelect with Part D (PPO), Medicare WellSelect Plus with Part D (PPO), Medicare Patriot Plan with Part D (PPO)

Hudson Valley

• Medicare WellSelect with Part D (PPO), Medicare WellSelect Plus with Part D (PPO), Medicare Patriot Plan with Part D (PPO)
• MVP® Medicare WellSelect® with Part D (PPO) and MVP® Medicare WellSelect® Plus with Part D (PPO), Medicare Patriot Plan with Part D (PPO) (Spanish)

Rochester and Buffalo

• Medicare Secure with Part D (HMO-POS), Medicare Preferred Gold with Part D (HMO-POS) and Medicare Preferred Gold without Part D (HMO-POS)
• Medicare WellSelect Plus with Part D (PPO), MVP Medicare Patriot Plan with Part D (PPO), Medicare Complete Wellness with Part D (PPO)

Provider Directories

• MVP Medicare Advantage Provider Directories

Medicare Pharmacy Information

• Medicare Part D Information
• 2025 Medicare Pharmacy Directory
• 2025 Medicare Pharmacy Directory (Spanish)
• MVP Medicare Advantage Formulary

LIS Premium Grid

• Capital District, Central New York, and Southern Tier
• Hudson Valley
• Hudson Valley (Spanish)
• Rochester

Medicare Star Rating

All Regions

• H3305 2025 Medicare Star Ratings (English)
• H3305 2025 Medicare Star Ratings (Spanish)
• H9615 2025 Medicare Star Ratings (English)
• H9615 2025 Medicare Star Ratings (Spanish)