DualAccess (HMO D-SNP)

More Benefits and Even Greater Value–With No Monthly Payment

MVP DualAccess is a Dual Special Needs Plan (D-SNP). This is a special type of Medicare plan that works with Medicaid. It adds valuable extras and services to help you make the most of your health care coverage. 

 

With MVP DualAccess, You’ll Have:  

  • $0 co-pay for doctor and specialist visits, mental health services, virtual care services, and more 
  • $1,000 per year for dental costs with no deductible 
  • $50 per month to spend on healthy groceries (for those who qualify) 
  • $200 per year for eyewear 
  • $75 every three months to spend on over-the-counter medicine and health-related items 
  • FREE extras like rides to medical appointments and meal deliveries after a hospital stay 
  • FREE SilverSneakers® fitness membership, including gym access, online resources, and the NEW GetSetUp online social learning community

 

To enroll in MVP DualAccess (HMO D-SNP), you must be Medicare-eligible and Medicaid-eligible. Medicare eligibility means you have reached age 65 or have a qualifying disability at ages 18 to 64. Medicaid eligibility is determined by many factors, including family size and income. 

If you are dual eligible, you can enroll in MVP DualAccess throughout the year. You don’t need to wait for the Annual Enrollment Period (AEP). 

Watch this video to learn more about MVP DualAccess. 

DualAccess Frequently Asked Questions 

  • How Is MVP DualAccess Different From Other Medicare Plans?
    MVP DualAccess is a Dual Special Needs Plan (D-SNP) for those who qualify for both Medicare and Medicaid. It combines your doctor, hospital, and prescription drug coverage in one plan. It also provides extra benefits for a $0 monthly premium.
  • Where Is MVP DualAccess Available?

    MVP DualAccess is available in these Capital Region counties: 

    • Albany 
    • Columbia 
    • Greene 
    • Rensselaer 
    • Saratoga 
    • Schenectady 

     

    It’s also available in these counties in the Hudson Valley: 

    • Dutchess 
    • Monroe 
    • Orange 
    • Putnam 
    • Rockland 
    • Sullivan 
    • Ulster 
    • Westchester 
  • Are My Doctor Choices Limited With MVP DualAccess?
    MVP DualAccess members have the same access as MVP’s other Medicare Advantage members. It includes more than 23,000 doctors and hospitals in New York, Vermont, and other areas. It includes top specialists, physicians, urgent care centers, labs, and more. 
  • Does MVP DualAccess Offer Support to Help Manage My Health?
    As an MVP DualAccess member, you’ll have access to a consistent MVP Care Team for personalized guidance. They can help set up transportation, create a care plan, manage medications and supplies, and more. 
MVP Health Plan, Inc. is an HMO-POS/PPO/HMO D-SNP organization with a Medicare contract and a contract with the New York State Medicaid program. Enrollment in MVP Health Plan depends on contract renewal. MVP Health Plan, Inc. has been approved by the National Committee for Quality Assurance (NCQA) to operate as a Special Needs Plan (SNP) until 12/31/2024 based on review of MVP Health Plan’s Model of Care. 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. 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. For accommodations of persons with special needs at meetings, call 1-800-324-3899 (TTY 711).

Other physicians/providers are available in the MVP Health Care network. MVP virtual care services through Gia are available at no cost-share for most members. In-person visits and referrals are subject to cost-share per plan. Members enrolled in a Medicare Rx plan without additional MVP medical coverage do not have access to MVP virtual care services through Gia. SilverSneakers is a registered trademark of Tivity Health, Inc. SilverSneakers On-Demand is a trademark of Tivity Health, Inc. ©2023 Tivity Health, Inc. All rights reserved. GetSetUp is a third-party provider and is not owned or operated by Tivity Health, Inc. (“Tivity”) or its affiliates. Users must have internet service to access online services. Internet service charges are responsibility of user.

TruHearing® and (RE)TM are trademarks of TruHearing, Inc. All other trademarks, product names, and company names are the property of their respective owners. Retail pricing based on prices for comparable aids. Follow-up provider visits included for one year following hearing aid purchase. Free battery offer is not applicable to the purchase of rechargeable hearing aid models. Three-year warranty includes repairs and one-time loss and damage replacement. Hearing aid repairs and replacements are subject to provider and manufacturer fees. For questions regarding fees, contact a TruHearing hearing consultant.

Y0051_8263_M | Last Updated: 4/13/2023

Get Your Questions Answered 

Speak with an MVP Medicare Advisor today. 

Call 1-833-368-4565