Find key documents and additional information to help you manage your plan. The documents and notices below are organized by plan type and region/coverage area.
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Medicare Advantage
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UVM Health Advantage
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DualAccess
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Individual & Family
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Small Group Employer
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
Annual Notice of Coverage (ANOC)
Capital District, Southern Tier, Hudson Valley, Central New York
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
Capital District, Southern Tier, Hudson Valley, Central New York
Hudson Valley
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
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)
2025 Plan Documents
Benefits at a Glance
Annual Notice of Coverage (ANOC)
Evidence of Coverage (EOC)
Summary of Benefits (SB)
Provider Directory
LIS Premium Grid
Medicare Star Rating
2025 Plan Documents
Annual Notice of Coverage (ANOC)
Evidence of Coverage (EOC)
Summary of Benefits (SB)
LIS Premium Grid
- LIS Premium Grid – Buffalo, Rochester
- LIS Premium Grid – Hudson Valley
- LIS Premium Grid – Hudson Valley (Spanish)
Provider Directories
Pharmacy Information
Medicare Star Rating
All Regions
MVP Health Plan, Inc. is an HMO-POS/PPO/HMO D-SNP organization with a Medicare contract and a contract with the New York State Medicaid program. Enrollment in MVP Health Plan depends on contract renewal. MVP Health Plan, Inc. has been approved by the National Committee for Quality Assurance (NCQA) to operate as a Special Needs Plan (SNP) until 12/31/2024 based on review of MVP Health Plan’s Model of Care. Health benefit plans are issued by MVP Health Plan, Inc., an operating subsidiary of MVP Health Care, Inc. Not all plans available in all states and counties. Every year, Medicare evaluates plans based on a 5-star rating system. Out-of-network/non-contracted providers are under no obligation to treat MVP Health Plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services. For accommodations of persons with special needs at meetings, call 1-800-324-3899 (TTY 711).
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Last Updated: 10/1/2024