• MVP Option A

     
    SBC
    Summary of Benefits and Coverage (SBC)

    Effective January 1, 2017, includes benefit change to out-of-pocket out-of-network

     
    Please contact your benefit administrator at your district/school to determine your region or use map at bottom of page.
    SPD
    Summary Plan Description (SPD)
    The MVP Summary Plan Description Option A is the legal document outlining the complete plan offerings through NY44 Health Benefits Plan Trust. Please note, in the case of discrepancies between the information on the NY44 Health Trust website and the Board approved Summary Plan Description, the Summary Plan Description is primary.
    Effective Jan. 1, 2017

    Fitness Activity Reimbursement

    FORMS  -  NY44 Living Healthy Wellness Program

    We offer two wellness programs: the fitness activity reimbursement and the physical reward. We encourage enrollees to stay healthy by getting an annual physical and by engaging in sustained, on-going physical activities.
    Get the Forms
    Medical Plan
    Find a Medical Provider
    Use the online provider search page to find a medical provider.
    Pharmacy Benefit Dimensions  
    Prescription Plan
    The prescription plan from Pharmacy Benefit Dimensions includes:
    • $0 co-payment for Tier 1 generic prescriptions,Tier 2 corticosteroids, Tier 1 & 2 diabetic medications, diabetic supplies such as insulin needles, syringes, lancets, test strips.

    • $15 co-payment:  Tier 2

    •  $30 co-payment:  Tier 3

    • Mail order (90 day supplies) are available. Call Customer Service at 1-888-878-9172.

     
    Dental Plan
    Dental Pay Plus Plan
    Not every district participates in the dental plan. This is a negotiated item.
    See the
    Dental tab for information about the plan.
    Contact MVP
    MVP Customer Service     
    Monday to Friday, 8 a.m. to 6 p.m. 
    Phone:    1-800-229-5851