Medicare Coverage for Employer- and Union-Group Retirees

MVP Medicare Advantage group plans provide comprehensive coverage beyond Medicare Parts A and B. Benefits include Part D prescription drug coverage, access to everyday care nationwide, $0 virtual care services, and more.

Benefit Highlights

All MVP Employer Group Medicare Advantage plans include:

Sign into Gia® to view specific benefit information such as coverage and cost details, and to access plan documents.

Drug Coverage

Our Medicare Advantage plans provide comprehensive prescription drug coverage with access to Medicare-approved drugs and benefits that offer more than the standard Part D coverage.

Check how your prescriptions are covered: 

2027 MVP Formulary Documents

2026 MVP Formulary Documents

Low or No-Cost Preferred Generic Drugs

Your plan prescription drug benefit covers many commonly used generic drugs. Tier 1 of the Formulary—Preferred Generic Drugs—includes select drugs to treat diabetes, blood pressure, bone health, and high cholesterol. Tier 1 drugs are $0 with most plans. Talk to your doctor to see if these drugs may be right for you. 

  • Tier 1 Preferred Generic Drugs

    Blood Pressure

    • aliskiren tab
    • amlodipine/benazepril cap
    • amlodipine/valsartan tab
    • amlodipine tab
    • atenolol/chlorthalidone tab
    • atenolol tab
    • benazepril/hctz tab
    • benazepril tab
    • bisoprolol/hctz tab
    • bisoprolol tab
    • candesartan/hctz tab
    • candesartan tab
    • captopril/hctz tab
    • captopril tab
    • carvedilol tab IR
    • chlorthalidone
    • clonidine tab
    • enalapril/hctz tab
    • enalapril tab
    • felodipine ER tab
    • fosinopril/hctz tab
    • fosinopril tab
    • furosemide tab
    • hydralazine tab
    • hydrochlorothiazide (hctz) cap & tab
    • indapamide tab
    • irbesartan/hctz tab
    • irbesartan tab
    • lisinopril/hctz tab
    • lisinopril tab
    • losartan/hctz tab
    • losartan pot tab
    • metoprolol tab ER
    • metoprolol tartrate tab
    • moexipril tab
    • olmesartan/amlodipine/hctz tab
    • olmesartan/hctz tab
    • olmesartan tab
    • perindopril tab
    • quinapril/hctz tab
    • quinapril tab
    • ramipril cap
    • spironolactone tab
    • telmisartan/amlodipine tab
    • telmisartan/hctz tab
    • telmisartan tab
    • terazosin cap
    • trandolapril tab
    • triamterene/hctz cap 37.5–25mg
    • triamterene/hctz tab
    • valsartan/hctz tab
    • valsartan tab
    • verapamil tab IR & ER

    High Cholesterol

    • atorvastatin tab
    • ezetimibe/simvastatin tab
    • fluvastatin cap
    • fluvastatin tab ER
    • lovastatin tab
    • pitavastatin tab
    • pravastatin tab
    • rosuvastatin tab
    • simvastatin tab

    Blood Pressure / High Cholesterol

    • amlodipine/atorvastatin tab

    Osteoporosis

    • alendronate tab 10mg, 35mg, & 70mg

    Thyroid

    • levothyroxin tab
    • levoxyl tab (not 300mg)
    • methimazole tab 5mg & 10mg
    • unithroid tab

    Diabetes

    • dapagliflozin/metformin tab ER
    • dapagliflozin tab
    • glimepiride tab 1mg, 2mg, & 4mg
    • glipizide/metformin tab
    • glipizide tab ER
    • glipizide tab 5mg & 10mg
    • metformin tab 500mg, 850mg, & 1000mg
    • metformin tab 500mg ER & 750mg tab ER (generic Glucophage XR only)
    • nateglinide tab
    • pioglitazone/metformin tab 15 500mg & 15–850mg
    • pioglitazone tab
    • repaglinide tab

    Acid Reflux

    • famotidine tab 20mg & 40mg
    • omeprazole cap
    • pantoprazole tab

    Key
    • cap = capsule
    • tab = tablet
    • hctz = hydrochlorothiazide
    • IR = immediate release
    • ER = extended release

Learn More

Learn more about your prescription drug coverage, including participating pharmacies and cost-saving mail-order prescriptions on our Medicare Part D page.

Access to Care When and Where You Need It

Feel secure with the flexibility to see medical providers close to home or across the country with all plans.

A Strong Regional Network

Choose from nearly 67,000 total combined health care professionals and facilities throughout New York State and Vermont. Find a Doctor

Everyday Care Nationwide*

All plans include the freedom to see out-of-network providers who accept Medicare across the U.S.

Preferred Gold with Part D (HMO-POS) members are covered for many essential services from out-of-network providers—from doctor visits, x-rays, physical therapy, and lab work to outpatient surgery and hospital stays.

USA Care with Part D (PPO) members are covered for essential services plus more benefits from any provider nationwide who accepts Medicare. The cost for services will be the same whether or not the provider is part of the MVP network. You cannot be billed for additional costs above your cost-sharing amount.

*You may pay more for care received from out-of-network providers.

Worldwide Coverage

You are covered for urgent and emergency care around the world.

To be eligible to provide care to a USA Care plan member, providers must be state-licensed and have a Medicare billing number, or be eligible to obtain one. Institutional providers treating USA Care members, such as hospitals and skilled nursing facilities, must contract with Medicare to treat Medicare beneficiaries. The Medicare program reports that over 90% of all health care providers accept Medicare payment.

To find doctors, hospitals, and other providers who participate with Medicare, visit Medicare.gov.

If your doctor or other health care provider would like more information about USA Care, they may call MVP Provider Services at 1-800-684-9286 (TTY 711)

Additional Dental Coverage

Some plans offer flexible dental benefits, with annual allowances, no deductibles, and the freedom to choose your dentist.

Annual allowance

Plans include an annual allowance to use toward preventive and comprehensive services, such as regular exams, cleanings, x-rays, fillings, root canals, and crowns. See your plan’s Evidence of Coverage for a full list of covered dental services.

No deductible

There is no deductible for covered dental services.

Choose your dentist

Go to any dentist you choose—you are not limited by a select network of providers.

Use your allowance to pay

Pay the dentist’s charges for the services you get using the dental allowance on your Prepaid Benefit Card.

Your dental allowance is an annual benefit and does not carry over to the next calendar year, so you must use the full amount offered on your plan by the end of the calendar year.

Sign into Gia® or create an account to view your Evidence of Coverage or plan Riders for more details.

If your dentist doesn’t accept your Prepaid Benefits Card, you can request a reimbursement for eligible dental services you received during the current plan year. Complete the Reimbursement Request Form and follow the instructions for mailing your request to NationsBenefits.

SilverSneakers is a registered trademark of Tivity Health, Inc. © 2026 Tivity Health, Inc. All rights reserved. All content ©2026 TruHearing, Inc. All Rights Reserved. TruHearing® is a trademark of TruHearing, Inc. All other trademarks, product names, and company names are the property of their respective owners. Gia virtual care services generally start at $0, but a member cost-share may apply for specialty providers, in-person visits, and referrals. Refer to Gia for estimated costs at the time of service. Eligibility, covered services, and age limits may apply. The Benefits Mastercard® Prepaid Card is issued by The Bancorp Bank N.A. pursuant to license by Mastercard International Incorporated and card can be used for eligible expenses wherever Mastercard is accepted. Mastercard and the circles design is a trademark of Mastercard International Incorporated. Valid only in the U.S. No cash access. This is not a gift card or gift certificate. You have received this card as a gratuity without the payment of any monetary value or consideration.

MVP Health Plan, Inc. is an HMO-POS/PPO  organization with a Medicare contract. Enrollment in MVP Health Plan depends on contract renewal. Health benefit plans are issued by MVP Health Plan, Inc., an operating subsidiary of MVP Health Care, Inc. Not all plans available in all states and counties. 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. For accommodations of persons with special needs at meetings, call 1-800-324-3899 (TTY 711).

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Last updated: 10/1/26

Get More Plan Information

Sign in to Gia® to view specific benefit information such as coverage and cost details, and to access plan documents.

Speak to a Representative

For questions about your plan, contact the MVP Medicare Customer Care Center at 1-800-665-7924 (TTY 711).

From April 1-September 30, reach us Monday-Friday, 8 am-8 pm.

From October 1-March 31, reach us seven days a week, 8 am-8 pm.