Albany (change county)
IN = In-Network; OUT = Out-of-Network
MVP is here to help. Call 1-800-324-3899
|Monthly Plan Premium||$0 with Part D|
|Part D Prescription Drug Coverage||
Tiers 1 and 2: No deductible.
Tiers 3-5: $325 deductible. You pay 100% of the cost of retail and mail order drugs until you spend $325.
|Part D 30-Day Supply - Ask about $0 generics and mail order savings! Co-pays differ in the coverage gap. (LIS and EPIC may reduce your co-pays.)||
|Primary Doctor Visit||IN - $0; OUT - $60|
|Specialist Visit||IN - $50; OUT - $60|
|Urgently Needed Care Worldwide Coverage||$60|
|Emergency Room Care Worldwide Coverage||$90|
|Inpatient Hospital Stays Emergency admissions covered worldwide||IN - $365/day for days 1-5; $0/day for days 6+; OUT - 40% co-insurance for non-emergency admissions|
|Ambulatory Surgical Center||IN - $225; OUT - 40% co-insurance|
|Outpatient Hospital||IN - $350; OUT - 40% co-insurance|
|X-ray||IN - $60; OUT - $60|
|Lab||IN - $0; OUT - 40% co-insurance|
|$100 WellBeing Rewards||For health and wellness activities|
|TruHearing® Hearing Aid Benefit||Hearing aids for $699 or $999 per ear|
|Eye Wear Allowance||N/A|
|Dental Allowance for preventive services||$240 per year|
|SilverSneakers® Fitness Program||Gym membership and SilverSneakers classes|
|myVisitNow®–24/7 Online Doctor Visits||$0|
|Out-of-Network Coverage for Non-Urgent and Non-Emergency Services||$60 office visits; 40% co-insurance for most other services|
|Out-of-Pocket Protection That Includes Part B Drugs Does not include monthly premium, acupuncture and Part D costs||
IN ONLY - $6,700; IN and OUT - $10,000
Once met, MVP pays 100% of covered services
We can help you find the right plan for your needs.
Monday – Friday, 8 am – 6 pm Eastern Time (TTY: 1-800-622-1220) October 1 – March 31, Saturdays from 8 am – 12 pm.
Click here for the 2020 Summary of Benefits for WellSelect PPO with Part D (PPO) and Gold PPO with Part D (PPO).
Click here for the 2020 Annual Notice of Change for WellSelect with Part D (PPO).
Click here for the 2020 Evidence of Coverage for WellSelect with Part D (PPO).
View a side-by-side comparison of plans in your area
Click here for the 2020 Medicare Star Ratings.
You may also want to consider:
GoldSecure with Part D (HMO-POS) Plan
$39 per month
GoldValue with Part D (HMO-POS) Plan
$89 per month
Gold PPO with Part D (PPO) Plan
$115 per month
Preferred Gold with and without Part D (HMO-POS) Plan
$139 with Part D per month
$62 without Part D per month
Want to learn more?
- Attend a Seminar
- Call us at 1-800-324-3899 ( TTY: 1-800-662-1220)
Ready to enroll?Enroll Online
Or Download your application:
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.