Broker Tools & Resources
General Broker Tools & Resources
Broker Forms
- Authorization to Disclose Information (post-login page)
- Broker of Record for Individuals (post-login page)
- Broker of Record Letter (post-login page)
Large Group Information
- Together We Grow Brochure (attached in email)
- Same as Broker post-login page
Small Group Information
- Small Group Management Center Quick Reference Guide (currently on pre-login page)
- Together We Grow Brochure (attached in email)
- Same as Broker post-login page, except Underwriting Guidelines
Individual Information
- Together We Grow Brochure (attached in email)
- Same as Broker post-login page
Medicare Individual Broker Information
- Medicare Sales Material Request (PDF)
- Online Enrollment Tool
- Scope of Sales Appointment Confirmation Form (Fillable) (PDF)
- Scope of Sales Appointment Confirmation Form (Static) (PDF)
- Authorization to Disclose Information (ADI) Form (PDF)
- Medicare Part D Comprehensive Formulary (PDF)
- Plan Recommendation Tool
Benefits at a Glance
- Capital District/Central/Southern Tier Region (PDF)
- Hudson Valley Region (PDF)
- Rochester/Buffalo Region (PDF)
- Optional Supplemental Dental Rider (All Regions) (PDF)
MVP® Medicare Patriot PlanSM
- MVP Medicare Patriot Plan with Part D Overview (PDF) – For residents of the following counties in New York: Albany, Allegany, Cattaraugus, Chautauqua, Dutchess, Erie, Genesee, Jefferson, Livingston, Monroe, Niagara, Oneida, Onondaga, Ontario, Orange, Orleans, Oswego, Putnam, Rensselaer, Rockland, Saratoga, Schenectady, Seneca, St.Lawrence, Steuben, Ulster, Wayne, Westchester, Wyoming, and Yates.
Supplemental Benefit Information
- WellBeing Rewards (PDF)
- SilverSneakers (PDF)
- Eyewear Allowance (PDF)
- TruHearing (PDF)
- Mom’s Meals (PDF)
Summary of Benefits
Capital District/Central/Southern Tier Region HMO-POS plans
- MVP Medicare Secure and Preferred Gold with Part D (HMO-POS) (PDF)
- MVP Medicare Secure Plus and Preferred Gold without Part D (HMO-POS) (PDF)
- MVP Medicare WellSelect Plus with Part D (PPO) (PDF)
Vermont and Northern New York Region HMO-POS plans
- UVM Health Advantage Preferred, Secure, and Select with Part D (PPO) (PDF)
- MVP Medicare Secure Plus and Preferred Gold without Part D (HMO-POS) (PDF)
- MVP Medicare WellSelect with Part D (PPO) (PDF)
Hudson Valley Region plans
- MVP Medicare Secure and Preferred Gold with Part D (HMO-POS) (PDF)
- MVP Medicare Secure Plus and Preferred Gold without Part D (HMO-POS) (PDF)
- MVP Medicare WellSelect and WellSelect Plus with Part D (PPO) (PDF)
Rochester/Buffalo Region Plans
- MVP Medicare Secure, Preferred Gold with Part D, and Preferred Gold without Part D (HMO-POS) (PDF)
- MVP® Medicare WellSelect® with Part D (PPO) (PDF)
MVP Medicare Patriot Plan PPO (PDF)
Low Income Subsidy Premium Charts
- Capital District/Southern Tier Region
- Central New York Region (PDF)
- Hudson Valley Region (PDF)
- Rochester/Buffalo Region (PDF)
- Vermont Region (PDF)
- MVP Medicare Patriot Plan (PDF)
Enrollment Applications
- Capital District/Central/Southern Tier/Vermont Region (PDF)
- Hudson Valley Region (PDF)
- Rochester/Buffalo Region (PDF)
- MVP Medicare Patriot Plan (PDF)
Medicare Star Ratings
- MVP GoldValue with Part D (HMO-POS), MVP GoldSecure with Part D (HMO-POS), and MVP Preferred Gold with and without Part D (HMO-POS) (PDF)
- MVP Gold PPO with Part D (PPO) and MVP® WellSelect® with Part D (PPO) (PDF)
- MVP® SmartFund MSA™ (PDF)
Video Resources
- MVP® SmartFund MSA®
- 2021 MVP Medicare Plan Options
Creditable Coverage
2019 Creditable Coverage Materials
2018 Creditable Coverage Materials
2017 Creditable Coverage Materials
links from 2017
Medicare Broker Tools and Resources
Medicare Individual Broker Information
Same as Broker post-login page
Medicare Group Broker Information
- Medicare Advantage Employer Handbook (post-login page)
- Medicare Advantage Certification Course (post-login page)
- Medicare Group Comprehensive Part D Formulary (post-login page)
Supplemental Benefits
- link
- link
- link
- link