Help with Drug Costs

Information about Low Income Subsidy (LIS or Extra Help), EPIC/V-Pharm, and the Veteran's Administration.

 

  • Low Income Subsidy ("Extra Help")

    Medicare provides "Extra Help" to help pay for prescription drug costs for Medicare eligible members who meet specific income and resource requirements.

    To see if you qualify, call:

    • Medicare at 1-800-MEDICARE (1-800-633-4227), 24 hours a day (TTY 1-877-486-2048)

    • Social Security Administration Office at 1-800-772-1213 (TTY 1-800-325-0778)

    • Your state Medicaid Office

    If you have both Medicare and Medicaid, you automatically qualify for Extra Help.

    MVP follows Medicare's Best Available Evidence policy to determine your eligibility for extra help paying for your prescription drug costs. For more information on BAE visit Medicare's Centers for Medicare & Medicaid Services (CMS) website.

  • State Pharmaceutical Assistance Programs

    You may be eligible for help from the state with paying for drug coverage. This program may help you with the costs of your prescription drugs and your plan premium.

    To qualify, you:

    • Must be eligible for or already enrolled in Medicare Part D

    • Must live in New York State for EPIC or in Vermont for VPharm

    • Must meet age requirements

    • Must meet income requirements

    To learn about possible help with Part D coverage:

    New York: EPIC (Elderly Pharmaceutical Insurance Coverage)

    1-800-332-3742 (TTY 1-800-290-9138)

    Visit the New York State EPIC website

    Vermont: VPharm (Vermont Prescription Assistance)

    1-800-250-8427

    Visit the State of Vermont Green Mountain Care website

  • Veterans Administration (VA) Coverage

    VA benefits can work together with your MVP Medicare Advantage plan. If you qualify for prescription drug benefits through the VA, you may be able to save money on your prescriptions. Call your local VA for more information.


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    Last updated: October 1, 2018

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Important Information

 

MVP Health Plan, Inc. is an HMO-POS/PPO/MSA organization with a Medicare contract. Enrollment in MVP Health Plan depends on contract renewal. This information is not a complete description of benefits. Call 1-800-665-7924 (TTY: 1-800-662-1220) for more information.

Every year, Medicare evaluates plans based on a 5-star rating system. Out-of-network/non-contracted providers are under no obligation to treat MVP Health Plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services. Medicare beneficiaries may also enroll in Preferred Gold HMO-POS, GoldValue HMO-POS, GoldSecure HMO-POS, Gold PPO, and/or WellSelect PPO through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.

 

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