MVP Gold: Growing to meet your needs
At MVP Gold, we want to help people eligible for Medicare to take on life and live well. We put your health care needs first. And we’re here to help guide you through the many options to consider when choosing the health coverage that’s best for you.
As a Health Maintenance Organization (HMO)*, we offer comprehensive benefits and Medicare Part D prescription drug coverage, plus:
- Dedicated, caring service
- Coverage that’s easy to understand
- People who are easy to work with, on the phone and in person
- A plan focused on preventive care
*An HMO is a type of managed care plan where a group of doctors, hospitals, and other health care professionals agree to quality of care standards while providing your health care.
Now available in 18 counties!
MVP Gold is now offered in Albany, Broome, Cayuga, Columbia, Dutchess, Fulton, Greene, Montgomery, Onondaga, Orange, Rensselaer, Saratoga, Schenectady, Schoharie, Tioga, Ulster, Warren and Washington counties.
MVP contracts with the Centers for Medicare and Medicaid Services (CMS) to offer MVP Gold Medicare Advantage plans – providing people with new choices in how they receive their Medicare benefits. This special section of MVP's website provides direct pay members with detailed information on MVP Gold.
What MVP Gold can offer you
- The choice of Medicare prescription drug coverage, with no deductible for generic drugs.
- The choice of more than 5,500 local physicians and health care professionals.
- Worldwide coverage for urgent and emergency care.
- Coverage for eye exams, physicals and preventive care, doctor visits and lab tests.
- A Nurse Advice Line for after-hours help, seven days a week.
- Free health, exercise and wellness programs to help you improve your life.
- Free SilverSneakers® Fitness program® fitness center membership benefits.
- Coverage for routine care anywhere in the U.S. with our travel benefit.
- $50 in HealthDollarsSM* to use toward health, wellness, and fitness programs, such as therapeutic massage, yoga classes, bowling or golf lessons, and more.
- Allowances to help with the costs of hearing aids and eye wear*.
- Virtually no paperwork!
* Any unused portion of the HealthDollars benefit or eye wear benefit cannot carry over from one calendar year to the next.
View the MVP Gold Summary of Benefits to learn more about MVP Gold benefits by downloading the Summary of Benefits for your region:
- East Region (pdf) – For Albany, Fulton, Montgomery, Rensselaer, Saratoga, Schenectady, Schoharie, Warren and Washington counties
- Mid-Hudson Region (pdf) – For Columbia, Dutchess, Greene, Orange and Ulster counties
- Mid-State Region (pdf) – For Cayuga and Onondaga Counties
- Southern Tier (pdf) – For Broome and Tioga counties
For information on MVP’s Medicare prescription drug plan click here.
To contact the Member Services Department via email, click here.
We’re simple and easy to use
As an MVP Gold member:
- You will have one membership card and one prescription drug card (if you join our Part D prescription drug plan).
- Always carry and show your MVP Gold membership card when you visit your doctor and pay your copayment.
Our Member Services team can answer your questions about benefits and your coverage for past and future health care procedures. Member Services offers:
- A real person to give personal attention to your questions about your health care coverage – no automated phone trees.
- A dedicated Gold Member Services team experienced in serving Medicare Advantage health plan members.
- Toll-free phone service weekdays from 7:00 a.m. to 8:00 p.m. Eastern Time. From November 15 through March 1, phone representatives also are available weekends from 8:00 a.m. to 8:00 p.m.
- Timely, accurate answers based on your particular health plan questions – we take the time to listen, and make sure you understand the answers.
The premium and benefit package for MVP Gold may change at the beginning of each calendar year. It will not change during the calendar year unless the change is to the advantage of our members.
Am I eligible to join?
You are eligible to join MVP Gold if you:
- Are entitled to Medicare Part A (hospital) and enrolled in Medicare Part B (medical) you must continue to pay your Part B premium.
- Live in Albany, Broome, Cayuga, Columbia, Dutchess, Fulton, Greene, Montgomery, Onondaga, Orange, Rensselaer, Saratoga, Schenectady Schoharie, Tioga, Warren, Ulster or Washington county.
- Have end-stage renal disease and are already covered by MVP Health Plan, Inc., or if you have had end-stage renal disease and have had a successful kidney transplant.
To join MVP Gold today, click Join MVP Gold to complete an application.
For more information about MVP Gold, please call MVP Gold Sales Monday through Friday, from 8:00 a.m. to 5:00 p.m. Eastern Time at:
Toll Free:
(800) 671-7504
TTY users may call:
(800) 662-1220
