Part D Prescription Drug Coverage

View MVP’s 2020 Medicare Part D formulary (list of covered drugs). (Updated 10/2019)

MVP’s Medicare Advantage plans offer the convenience of both medical coverage and Part D prescription drug coverage together in one plan, and with one convenient monthly bill. Plus, with MVP’s mail order program, you can often get a three-month supply for the price of two!

MVP’s 2020 coverage for medically necessary Medicare Part D approved drugs includes:

Depending on which MVP Medicare Advantage plan you choose, Tier 1 drugs are available at $0 during the Deductible and Initial Coverage Stages.

Part D drugs excluded from MVP’s Part D Formulary must go through an exception process in order for MVP to cover them. If they are approved, they will be covered in Tier 4.

MVP’s 2020 Medicare Part D Coverage Details

Initial Coverage Period

View your cost for a 30-day supply from a retail pharmacy in Medicare Part D’s Initial Coverage Period. Costs vary by MVP Medicare plan and region.

Coverage in the Gap

If your total drug costs in 2020 reach $4,020, you enter the Coverage Gap:

With WellSelect and GoldSecure plans, you pay 25% for generic drugs and 25% for Medicare-contracted brands in the Gap.

With GoldValue, Gold PPO, and Preferred Gold plans, you pay $0 for Tier 1 drugs, and 25% for generic drugs and 25% for Medicare-contracted brands in Tiers 2-5.

Reaching the $6,350 Catastrophic Coverage Limit in 2020:

If your True Out-of-Pocket costs reach $6,350 in 2020, you reach the Catastrophic Coverage Limit and your cost for prescriptions is reduced to the greater of 5% or $3.60 for generics and $8.95 for brand name drugs.

Note: If you do not join a Medicare Part D plan when you first become eligible for Medicare, or do not have coverage as good as Medicare’s, you may have to pay a penalty if you join at a later date. This penalty will apply for as long as you are enrolled in Part D coverage. Learn more.

Programs that may help you save money

NOTE: If you qualify for extra help with your Medicare prescription drug coverage costs, Medicare will pay part of your monthly plan premium. MVP will bill you for the amount that Medicare does not cover.

See more details about MVP’s Medicare Part D Prescription Drug Coverage

Medicare Advantage Part D Covered Drugs and Pharmacy Directory

View MVP’s 2020 Medicare Part D formulary (list of covered drugs). (Updated 10/2019)
Ver el formulario 2020 Medicare Parte D de MVP (lista de medicamentos cubiertos). (Actualizado 10/2019)

Find out how your drug is covered under GoldSecure with Part D and WellSelect with Part D or under GoldValue with Part D, Preferred Gold with Part D, Gold PPO with Part D.

Learn more about MVP’s Medicare Pharmacy Programs.

For certain prescription drugs, MVP has additional requirements or limits on our coverage to ensure that our members use these drugs effectively and to help control drug plan costs. Learn more about our Covered Drugs.

You can ask MVP to cover a drug for a lower cost, remove a coverage requirement or limitation, or cover a drug that is not listed on the Formulary. This is called a coverage determination. Learn more about MVP’s coverage determinations.

Click here to view MVP’s 2020 Medicare Advantage Pharmacy Directory or find a pharmacy near you.
Ver el directorio de farmacias 2020 Medicare Advantage de MVP.

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Speak with an MVP Medicare Advisor:

1-800-324-3899 TTY: 1-800-662-1220

Monday – Friday, 8 am – 6 pm Eastern Time. October 1 – March 31, Saturdays, 8 am – 12 pm.

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 – March 31, call us every day from 8 am – 8 pm.

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