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
 
 
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