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MVP® SMARTFUND® MSA

SmartFund MSA® combines a high-deductible Medicare Advantage health plan with a medical savings account, giving you freedom to choose how you spend your health care dollars.

 

An MSA plan has two parts:


Part 1 is a Medicare Advantage health plan that covers hospital (Medicare Part A) and medical (Medicare Part B, including Part B drugs) services. MSAs do not cover Medicare Part D prescription drugs or non-Medicare-covered services. You pay the full cost for your Medicare-covered medical services until you reach your annual deductible. If you reach your deductible, the health plan then pays for your Medicare-covered medical services for the remainder of the year.

 

Part 2 is a tax-exempt trust or custodial savings account (as defined by the IRS). The bank account is set up and a yearly contribution amount is deposited by MVP. The contribution amount is pro-rated based on the month you enroll in SmartFund. You can use this money to help pay for Medicare-covered medical services.

 

SmartFund is not available in all areas.

Learn More...

 

 

SmartFund MSA® 2020 Plan Highlights

Monthly Plan Premium
You must continue to pay your Part B premium to Medicare.

$0 Medical Coverage Only
$28 With Optional Rider

Annual Deductible

$8,000

Annual Contribution

$2,500
Contribution is adjusted based on the month you enroll.

Referrals

Not required

PCP/Specialist Visits
Emergency Room and Urgently Needed Care
Inpatient and Outpatient Hospital Stays
Ambulatory Surgical Center
Outpatient Surgery
Lab
X-rays, CT Scan, MRI
Preventive Services, such as annual physicals and screenings
Part B Drugs

Before deductible is met: You pay 100% of your Medicare-covered medical services.
After deductible is met: MVP pays 100% of your Medicare-covered medical services for the remainder of the year.

 

SmartFund MSA® Optional Rider

$28 monthly premium

SilverSneakers fitness program

Fitness center membership benefits

Eye Wear

$100 allowance every year

Dental

$240 allowance per year for preventive dental services

TruHearing® Select Hearing Aid Benefit

You pay $699 or $999 per aid.
Up to two aids per year

SmartFund does not cover Part D prescription drugs. To avoid a Medicare penalty, you must enroll in a separate Part D Prescription Drug Plan (PDP) or have creditable drug coverage, which is prescription drug coverage that is as good as Medicares standard.


For information about your SmartFund savings account, contact BenefitWallet at 1-888-769-4788. Monday - Friday from 8 am to 11 pm (EST) or visit www.mybenefitwallet.com/msa.


Appointment of Representative Instructions

Appointment of Representative Form  

Grievances & Appeals

Medicare Complaint Form

 

  • How the SmartFund MSA plan works

    Using Your Benefits

    • You are not limited to MVP network providers. You may see any doctor or other health care provider who participates with Medicare. Most doctors do, but ask in advance to be sure. If your provider would like more information about SmartFund MSA®, they can call MVP Provider Services at the phone number on the back of your MVP Member ID card.
    • When you visit a doctor or are admitted to the hospital, the doctor or hospital submits a claim to MVP. Do not pay at the time of your visit. MVP will process the claim to determine if it qualifies to count toward your deductible.
       – If you have not met your deductible, or if the service is not covered under your plan, you will receive a bill from the doctor or hospital.
       – If you have met your deductible, MVP pays for Medicare-covered medical services.
    • If you need to submit a claim for reimbursement of Medicare-covered medical services, complete a Medical Claim Reimbursement Request form.
    • Only Medicare-covered expenses count toward your deductible.

    About Qualified Medical Expenses
    • Qualified Medical Expenses are medical expenses that can be deducted on your yearly income tax return.
    • For more information on Qualified and Non-Qualified Medical Expenses as defined by Medicare, refer to the Medicare & You handbook or call 1-800-MEDICARE or visit www.medicare.gov.
    • For more information on Qualified and Non-Qualified Medical Expenses as defined by the Internal Revenue Service, refer to IRS publication 502, Medical and Dental Expenses and IRS publication 969, Health Savings Accounts and Other Tax-Favored Health Plans. Call the IRS at 1-800-829-3676 or visit www.irs.gov.
    • To avoid a tax on withdrawals from your account, you need to file Form 1040, U.S. Individual Income Tax Return, and Form 8853 each year to report your Qualified Medical Expenses.

  • Manage Your SmartFund Plan Online

    Sign In/Register for an MVP online account.

    • Check your Claims Status & History
    • Track your Deductibles & Limits
    • Compare the cost and quality of various health care services and providers with the Treatment Cost Calculator
    • Use the Payment Center to pay your monthly premium invoice (if your plan has a monthly premium)
    • Order replacement ID Cards or print a temporary copy
    • Manage your Communication Preferences to go paperless and get certain communications by email
    • And more!

  •  

    MVP Health Plan, Inc. is an HMO-POS/PPO/MSA organization with a Medicare contract. Enrollment in MVP Health Plan depends on contract renewal. Every year, Medicare evaluates plans based on a 5-star rating system.

    Last updated: October 1, 2019

     

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