MVP Option A
Summary of Benefits and Coverage (SBC)
Effective January 1, 2017, includes benefit change to out-of-pocket out-of-network
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
FORMS - NY44 Living Healthy Wellness ProgramWe 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 FormsFind a Medical ProviderUse the online provider search page to find a medical provider.Prescription Plan
The prescription plan from Pharmacy Benefit Dimensions includes:
Dental Pay Plus Plan
$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.
Not every district participates in the dental plan. This is a negotiated item.
See the Dental tab for information about the plan.MVP Customer Service
Monday to Friday, 8 a.m. to 6 p.m.