MVP Health Care Part D Coverage Determination Forms

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Preferred Gold HMO and GoldAnywhere PPO Sales
1-800-665-7924
1(888) 280-6205

Preferred Gold and GoldAnywhere
Member Services
1-800-665-7924
(585) 327-2480

MVP After Hours 24-Hour Nurse Line

1-800-204-4712

Expedited Coverage Determination

Preferred Gold and GoldAnywhere

1-800-665-7924

USA Care

1-888- 597-4419

Coverage Determination Exception Fax line:

1-800-401-0915



Coverage Determination Forms All submitted requests must be signed by a physician and sent with the supporting medical documentation identified in the Medicare Part D criteria. Medicare Standard Form