It’s Easy to Sign Up for Your Medicare Plan
There are three easy ways for you to enroll in an MVP Medicare Advantage plan. Choose the one that works best for you:
If you qualify for MVP DualAccess, enroll for that plan.
Review the Pre-Enrollment Checklist to understand our plan benefits and rules.
Enroll by Mail
Choose the appropriate application from the list below.
-
2024 Capital District/Southern Tier/Central New York Region
Use this application if you live in one of the following counties:
- 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
- Westchester
Download the Application (PDF) -
2024 DualAccess HMO D-SNP Application
Use this application if you qualify for MVP DualAccess and you live in one of the following counties:
- Albany
- Columbia
- Dutchess
- Greene
- Monroe
- Orange
- Putnam
- Rensselaer
- Rockland
- Saratoga
- Schenectady
- Sullivan
- Ulster
- Westchester
-
2024 Hudson Valley Region
Use this application if you live in one of the following counties:
- Dutchess
- Orange
- Putnam
- Rockland
- Sullivan
- Ulster
- Westchester
-
2024 Rochester/Buffalo Region
Use this application if you live in one of the following counties:
- Erie
- Genesee
- Livingston
- Monroe
- Niagara
- Ontario
- Orleans
- Seneca
- Wayne
- Wyoming
- Yates
-
2024 Vermont/Northern New York
If you live in Vermont, use this application if you live in one of the following counties:
- Addison
- Bennington
- Caledonia
- Chittenden
- Essex
- Franklin
- Grand Isle
- Lamoille
- Orange
- Orleans
- Rutland
- Washington
- Windham
- Windsor
If you live in northern New York State, use this application if you live in one of the following counties:
- Clinton
- Essex
- Franklin
- Hamilton
- St. Lawrence
Next Steps for Enrolling by Mail
Once you’ve downloaded the right application:
- 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 Enrollment
220 Alexander St.
Rochester, NY 14607
Important Enrollment Information
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.
You may also enroll in an MVP Medicare Advantage plan through the Centers for Medicare & Medicaid Services Medicare Online Enrollment Center on the Medicare website.
What Happens After I Enroll?
We’ll give you a heads-up about next steps after you become a member.
Find Out What to ExpectMVP 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).
Other physicians/providers are available in the MVP Health Care network. Gia virtual care services are available at no member cost-share for medical plans, including qualified high-deductible health plans (QHDHPs). Exceptions may apply for self-funded plans. In-person visits and referrals are subject to cost-share per plan. Members enrolled in a Medicare Rx plan without additional MVP medical coverage do not have access to MVP virtual care services through Gia. SilverSneakers is a registered trademark of Tivity Health, Inc. SilverSneakers On-Demand is a trademark of Tivity Health, Inc. ©2024 Tivity Health, Inc. All rights reserved. GetSetUp is a third-party provider and is not owned or operated by Tivity Health, Inc. (“Tivity”) or its affiliates. Users must have internet service to access online services. Internet service charges are responsibility of user.
TruHearing® and (RE)TM are trademarks of TruHearing, Inc. All other trademarks, product names, and company names are the property of their respective owners. Retail pricing based on prices for comparable aids. Follow-up provider visits included for one year following hearing aid purchase. Free battery offer is not applicable to the purchase of rechargeable hearing aid models. Three-year warranty includes repairs and one-time loss and damage replacement. Hearing aid repairs and replacements are subject to provider and manufacturer fees. For questions regarding fees, contact a TruHearing hearing consultant.
©2024 NationsBenefits, LLC. and NationsOTC, LLC. NationsOTC is a registered trademark of NationsOTC, LLC. All other marks are the property of their respective owners. Mom’s Meals® is a registered trademark of PurFoods, Inc.
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Last Updated: 10/1/2024
Speak to a Representative
To shop for a plan, contact an MVP Medicare Advisor at 1-800-324-3899 (TTY 711)
For questions about your plan, contact the MVP Medicare Customer Care Center at 1-800-665-7924 (TTY 711). If you have an MVP DualAccess plan, call 1-866-954-1872 (TTY 711).
From April 1-September 30, reach us Monday-Friday, 8 am-8 pm.
From October 1-March 31, reach us seven days a week, 8 am-8 pm.