Enroll Now In the Plan That Works For You
To enroll in SmartFund® (MSA), click here.
Here are ways you can enroll in an MVP HMO-POS or PPO Medicare Advantage Plan*:
1. Call 1-800-324-3899 to enroll right over the phone in minutes.
TTY users may call 1-800-662-1220.
3. Download your Application
Select your region below to download the right application.
Once you’ve downloaded the application, follow these simple instructions:
- Select your plan choice on the application.
- Be sure to fill out one application for each person enrolling.
- Sign and date the application(s).
- Send your completed application(s) to:
MVP Health Care
MVP Medicare Sales
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.
Download the appropriate application:
2018 Capital District / Southern Tier Region Application (PDF)
(Albany, Broome, Cayuga, Chenango, Columbia, Cortland, Essex, Fulton, Greene, Montgomery, Rensselaer, Saratoga, Schenectady, Schoharie, Tioga, Tompkins, Warren and Washington counties)
2018 Central New York Application (PDF)
(Herkimer, Madison, Oneida, Onondaga, Oswego, and Otsego counties)
2018 Vermont Region Application (PDF)
(Addison, Bennington, Chittenden, Lamoille, Rutland and Washington counties)
2018 Hudson Valley Region Application (PDF)
(Dutchess, Orange, Putnam, Ulster and Westchester counties)
2018 Rochester / Buffalo Region Application (PDF)
(Erie, Genesee, Livingston, Monroe, Niagara, Ontario, Orleans, Seneca, Steuben, Wayne, Wyoming and Yates counties)
*Medicare beneficiaries may also enroll in an MVP Medicare Advantage plan through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.
Prefer a printed copy?
Request your FREE copy of the 2018 MVP Medicare Advantage plan information.
Call our expert Medicare team:
1-800-324-3899 TTY: 1-800-662-1220
Monday – Friday, 8 am – 8 pm Eastern Time.
Or call the MVP Medicare Customer Care Center Monday – Friday, 8 am – 8 pm
1-800-665-7924 (TTY: 1-800-662-1220).
From October 1 – February 14, call us every day from 8 am – 8 pm.