MVP Medicare Advantage Plans 2025

Are you considering a Medicare Advantage plan but feeling overwhelmed by the choices? Look no further.

MVP Medicare Advantage plans for 2025 offer comprehensive coverage and a variety of options to suit your individual needs.

With flexible plan types, prescription drug coverage, and extra benefits like dental care and wellness programs, MVP is committed to providing high-quality care and services for its members. Let’s dive into the world of MVP Medicare Advantage plans and find the perfect fit for you.


Key Takeaways

  • MVP Medicare Advantage Plans offer comprehensive coverage, prescription drug benefits, and additional advantages like disease management support.


  • Evaluate plan costs, network options, and provider differences to select the right plan for individual needs.

Access services through the Gia app and care Guides for a personalized experience with quality assurance & accreditation from MVP Health Care.

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Exploring MVP Medicare Advantage Plans

MVP Health Care offers a selection of Medicare Advantage plans, including HMO-POS and PPO options. Each plan type provides unique benefits and flexibility, ensuring you find the right plan for your individual needs.


MVP Medicare Advantage plans offer:



  • Additional advantages like disease management support, medication review, and telemedicine


  • Comprehensive coverage that extends beyond the standard benefits of original Medicare to include a wide range of covered services.


Exploring MVP Medicare Advantage Plans


HMO-POS plans, or Health Maintenance Organization-Point of Service plans, are a type of MVP Medicare Advantage health plan that combines the benefits of HMOs and PPOs. These plans offer:


  • Referral requirement to visit a specialist, similar to traditional HMOs
  • Increased flexibility by allowing both in-network and out-of-network healthcare provider options
  • Comprehensive coverage
  • Access to online resources and advice from Medicare experts
  • Part D prescription drug coverage
  • Maximum out-of-pocket limit for Parts A and B


While HMO-POS health plans offer greater flexibility compared to traditional HMOs, it’s essential to review each plan’s details, as not all plans may have the same benefits.

These plans permit members to use healthcare providers outside of the plan’s network to receive some or all of their services, allowing for more choices when seeking care.


PPO Plans

2024 medicare advantage plansPreferred Provider Organization (PPO) plans are another option available through MVP Medicare Advantage.

PPO plans offer flexibility in choosing healthcare providers, allowing you to select from both in-network and out-of-network options. MVP Medicare Advantage PPO plans include:


  • Part D prescription drug coverage
  • Dental care
  • Vision care
  • Hearing care


In-network providers in PPO plans have negotiated prices with MVP, resulting in lower out-of-pocket costs for members. Conversely, out-of-network providers may have higher fees, and the health plan may cover a smaller percentage of the costs or require higher copayments.

Understanding the differences between in-network and out-of-network provider options is key for making well-considered decisions about your healthcare.

Prescription Drug Coverage in MVP Medicare Advantage Plans

Prescription drug coverage is a key component of MVP Medicare Advantage plans. The tier system categorizes medications into different tiers based on their cost and coverage, determining the cost-sharing amount for each drug.


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The formulary, a comprehensive list of medications covered by the plan, is organized into categories based on the medical conditions they treat.

Keep in mind, that the formulary may change throughout the year, which can affect the availability and cost of certain medications.

Keeping track of these changes can help you manage your prescription drug costs and ensure you have access to the medications you need.


Tier System

The tier system in MVP Medicare Advantage prescription drug coverage assigns each drug to a specific tier, with cost-sharing amounts based on the tier. Generally, drugs in lower tiers have lower cost-sharing amounts, while drugs in higher tiers have higher cost-sharing amounts.

Comprehending the tier system is key to managing your prescription drug costs and ensuring you receive the most cost-effective medications.


Formulary Changes

MVP’s formulary is subject to change, which may impact the availability and cost of certain medications.

Factors that influence formulary changes include drug efficacy and safety, drug availability and pricing, and modifications to treatment guidelines and recommendations.

MVP Health Care notifies members and providers of formulary changes in advance through direct mail, email, and online notifications, ensuring a smooth transition and minimizing disruptions in medication access.

Extra Benefits Offered by MVP Medicare Advantage Plans

Beyond comprehensive coverage and prescription drug benefits, MVP Medicare Advantage plans offer supplementary benefits to support overall health and well-being.

These benefits include dental care, vision services, and wellness programs. By incorporating these additional benefits, MVP helps to provide a more comprehensive healthcare experience for its members.

Dental care in MVP Medicare Advantage plans covers preventive services such as oral exams, routine cleanings, and x-rays, as well as an annual allowance of up to $2,000 for dental care.

Vision service coverage varies between plans, but typically includes an annual allowance for eyewear and access to multiple providers.

Wellness programs offered by MVP Medicare Advantage plans encompass wellness classes and the SilverSneakers Fitness program, promoting a healthy lifestyle for members.


Dental Care

MVP Medicare Advantage plans offer preventive and comprehensive dental benefits for members. Preventive dental care typically includes oral exams, routine cleanings, and x-rays, ensuring that members maintain good oral health.

Comprehensive dental care extends beyond preventive services, covering procedures such as dental X-rays, fluoride treatments, and other necessary dental work.


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However, there are limits on the utilization of dental benefits in MVP Medicare Advantage plans.

The annual maximum benefit amount ranges from $1,250 to $2,000, depending on the plan. Reviewing the dental coverage details of each plan can help you choose the right option for your dental care needs.


Vision Services

Vision services and hearing aids in MVP Medicare Advantage plans provide valuable support for maintaining healthy eyesight and hearing. These plans offer an annual allowance for eyewear, which can be applied to glasses and contact lenses.


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In addition to the annual allowance, MVP Medicare Advantage plan members have access to a variety of vision providers, including those offered through vision partner EyeMed. This network includes:


  • Online providers
  • Independent providers
  • National retail providers such as LensCrafters®
  • Regional retail providers such as Target OpticalSM and Pearle VisionSM


Evaluating the vision service coverage offered by each plan will help you choose the best option for your eye care needs.


Wellness Programs

Wellness programs are an integral part of MVP Medicare Advantage plans, promoting healthy lifestyles and overall well-being for members. Some examples of wellness programs offered include:


  • SilverSneakers® Fitness, which provides access to fitness locations and a library of on-demand videos and live online classes
  • Be Well Rewards, which offer incentives for completing an Annual Wellness Visit
  • Living Well classes, which cover various health and wellness topics.


These programs, supported by the national committee, are designed to support members in their journey towards better health and well-being, including managing their medical appointments.


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Another valuable resource is GetSetup, a platform that offers access to hundreds of peer-led classes on a variety of subjects. By participating in these wellness programs, members can stay engaged, active, and informed about their health.

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Costs and Network Considerations

When considering MVP Medicare Advantage plans, evaluating costs and network options is important. Here are some key points to consider:


  • The cost of each plan varies depending on the county and plan selected, with a monthly premium in addition to the standard Part B premium.
  • Understanding the differences between in-network and out-of-network providers is necessary.
  • In-network providers offer lower costs, while out-of-network providers may lead to higher out-of-pocket expenses.


Individuals can use Medicare’s search tool to view policies from all companies in their vicinity, and as an MVP Medicare Advisor, we can provide assistance to those considering MVP Medicare Advantage plans.

Impartial advice is also available through the State Health Insurance Assistance Program (SHIP) by phone at 877-839-2675 or via email at, as well as by calling 800-MEDICARE (800-633-4227).


In-Network vs. Out-of-Network Providers

In-network providers in MVP Medicare Advantage plans have agreed to provide services at a discounted rate to plan members, resulting in lower out-of-pocket costs. On the other hand, out-of-network providers do not have a contract with MVP and may not provide the same level of coverage or cost savings.

Visiting an out-of-network provider may incur higher costs, and the amount that you’ll be responsible for depends on the specific plan and its guidelines for out-of-network services.


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It’s advisable to visit providers within the network to reduce out-of-pocket expenses and ensure optimal coverage. Reviewing the network options in each plan can help you make an informed decision about your healthcare provider choices.


Evaluating Plan Options

Selecting the right MVP Medicare Advantage plan requires assessing your requirements, preferences, and budget, and comparing plan options. Factors to consider include:


  • Cost
  • Coverage
  • Network
  • Prescription drug coverage
  • Extra benefits
  • Quality ratings


Using tools like the comparison tool and considering star ratings can help you compare different MVP Medicare Advantage plans.

Taking the time to analyze benefits, costs, and provider networks will ensure you find the most suitable plan for your individual needs.

Quality Assurance and Accreditation

MVP Medicare Advantage plans are accredited and strictly monitored to ensure members receive care and services of the highest quality.

Accreditation and quality assurance measures include consumer experience and satisfaction surveys, healthcare performance measures, and adherence to federal and state regulatory requirements.

Choosing an accredited plan assures you of the quality of care and services you will receive.

Accessing Services with MVP Medicare Advantage Plans

Accessing services with MVP Medicare Advantage plans is made simple through tools like Gia, a user-friendly app that enables members to quickly access and manage their healthcare services and plan details.


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Personalized support is also available through expert Care Guides, who offer a range of services such as coverage information for prescription drugs, chiropractic care, diabetic supplies, and additional benefits like dental care.

With MVP’s commitment to providing a personalized member experience, accessing services and managing your healthcare needs has never been easier.

MVP strives to ensure that members have the tools and support necessary to navigate their healthcare journey with ease and confidence.

Choosing the Right MVP Medicare Advantage Plan

Choosing the right MVP Medicare Advantage plan requires careful assessment of your individual needs, preferences, and budget to find the most appropriate option.

By understanding the various plan options and their associated costs, coverage, and provider networks, you can make an informed decision that best meets your healthcare needs.

With MVP Medicare Advantage plans, also known as medicare plan options, you can enjoy comprehensive coverage, flexible plan options, and a range of additional benefits to support your overall health and well-being.


In conclusion, MVP Medicare Advantage plans offer an array of options to cater to individual needs and preferences. With flexible plan types, prescription drug coverage, and additional benefits like dental care and wellness programs, MVP is committed to providing high-quality care and services for its members.

By carefully assessing your needs, preferences, and budget, and considering factors such as costs, coverage, and provider networks, you can find the perfect MVP Medicare Advantage plan to support your healthcare journey.

Frequently Asked Questions



Who has the highest star-rated Medicare Advantage plans?

Humana Insurance Company has the highest star-rated Medicare Advantage plans.


→  Is MVP the same as Medicare?

No, MVP is not the same as Medicare; it is a health insurance provider that offers Medicare Advantage plans to residents of New York and Vermont.


→  What is the difference between HMO-POS and PPO plans in MVP Medicare Advantage?

MVP Medicare Advantage HMO-POS plans offer increased flexibility compared to PPO plans, allowing members to use both in-network and out-of-network healthcare providers.

PPO plans provide some flexibility by also allowing members to choose between in-network and out-of-network providers.


→  How does the tier system work for prescription drug coverage in MVP Medicare Advantage plans?

MVP Medicare Advantage plans use a tiered system to determine cost-sharing amounts for prescription drugs, with lower tiers having lower cost-sharing amounts and higher tiers having higher cost-sharing amounts.


→  What additional benefits are included in MVP Medicare Advantage plans?

MVP Medicare Advantage plans provide additional benefits, such as dental care, vision services and wellness programs, to help ensure comprehensive health and well-being.

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Russell Noga
( Medicare Expert )

Russell Noga is the CEO of ZRN Health & Financial Services, and head content editor of several Medicare insurance online publications. He has over 15 years of experience as a licensed Medicare insurance broker helping Medicare beneficiaries learn about Medicare, Medicare Advantage Plans, Medigap insurance, and Medicare Part D prescription drug plans.