There are 3 easy ways to enroll in an MVP Medicare Advantage plan.

1. Phone

Call 1-833-368-4565 to enroll right over the phone in minutes (TTY: 1-800-662-1220).

2. Online

Click here to enroll online.

Review the Pre-Enrollment Checklist to understand our plan benefits and rules.

To enroll in SmartFund® (MSA), click here.

To enroll in MVP DualAccess click here.

3. Mail

Start by downloading the appropriate application below:

2022 Capital District/Southern Tier/Central New York Region Application (PDF)
(Albany, Allegany, Broome, Cattaraugus, Cayuga, Chautauqua, Chemung, Chenango, Columbia, Cortland, Delaware, Dutchess, Fulton, Greene, Herkimer, Jefferson, Lewis, Madison, Montgomery, Oneida, Onondaga, Orange, Oswego, Otsego, Putnam, Rensselaer, Rockland, Saratoga, Schenectady, Schoharie, Schuyler, Steuben, Sullivan, Tioga, Tompkins, Ulster, Warren, Washington, and Westchester counties)

2022 Hudson Valley Region Application (PDF)
(Dutchess, Orange, Putnam, Rockland, Sullivan, Ulster and Westchester counties)

2022 Rochester / Buffalo Region Application (PDF)
(Erie, Genesee, Livingston, Monroe, Niagara, Ontario, Orleans, Seneca, Wayne, Wyoming and Yates counties)

2022 Patriot Plan PPO Application (PDF)
(Albany, Allegany, Cattaraugus, Chautauqua, Dutchess, Erie, Genesee, Jefferson, Livingston, Monroe, Niagara, Oneida, Onondaga, Ontario, Orange, Orleans, Oswego, Putnam, Rensselaer, Rockland, St. Lawrence, Saratoga, Schenectady, Seneca, Steuben, Ulster, Wayne, Westchester, Wyoming, and Yates counties)

2022 MVP DualAccess HMO D-SNP Application (PDF)
(Albany, Columbia, Dutchess, Greene, Orange, Putnam, Rensselaer, Rockland, Saratoga, Schenectady, Sullivan, Ulster, and Westchester counties)

2022 SmartFund MSA Application (PDF)
(Albany, Allegany, Broome, Cattaraugus, Cayuga, Chemung, Chenango, Clinton, Columbia, Cortland, Delaware, Dutchess, Essex, Franklin, Fulton, Greene, Hamilton, Herkimer, Jefferson, Lewis, Madison, Montgomery, Oneida, Onondaga, Orange, Oswego, Otsego, Putnam, Rensselaer, Rockland, Saratoga, Schenectady, Schoharie, St. Lawrence, Sullivan, Tioga, Tompkins, Ulster, Warren, Washington and Westchester counties only)

2022 Vermont/Northern New York (PDF)
(Addison, Bennington, Caledonia, Chittenden, Essex, Franklin, Grand Isle, Lamoille, Orange, Orleans, Rutland, Washington, Windham, and Windsor counties in Vermont; Clinton, Essex, Franklin, Hamilton, and St. Lawrence counties in New York)

Once you’ve downloaded the application, follow these simple instructions:

  1. Select your plan choice on the application.
  2. Be sure to fill out one application for each person enrolling.
  3. Sign and date the application(s).
  4. Send your completed application(s) to:MVP Health Care
    MVP Medicare Enrollment
    MVP Health Care
    220 Alexander St.
    Rochester, NY 14607

IMPORTANT: You must enroll no later than the last working day of the month to meet Medicare’s deadline for becoming effective the first day of the next month. For example, if you enroll on January 31, your coverage will begin February 1.

*Medicare beneficiaries may also enroll in an MVP Medicare Advantage plan through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.

Want more information?

Get MVP’s Quick Guide to Medicare

Get Details

Request a FREE MVP Medicare Plan Benefit Kit

Speak with an MVP Medicare Advisor:

1-833-368-4565 TTY: 1-800-662-1220

Seven days a week, 8 am-8 pm Eastern Time
April 1-September 30, Monday-Friday, 8 am-8 pm

Or call the MVP Medicare Customer Care Center
1-800-665-7924 (TTY: 1-800-662-1220).

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