MVP Health Plans

If you have any questions about any of the plans,
please feel free to call us at (914) 948-2110.

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#1 MVP - Hybrid (EPOc) - EC0022S - Click here for the detailed plan summary.
This plan is an EPO (Exclusive Provider Organization) Hybrid (includes in network deductibles) with no out of network coverage & no referrals needed. There is a $1,000 (single) $2,500 (family) in network deductible with an 80% coinsurance. It has a $40 primary & specialist office visit co-pay. Inpatient hospital you must meet deductible & coinsurance and a $200 co-pay for an emergency room visit. The Prescription coverage is $10 for generic only with no deductible.
	Monthly	Monthly	Quarterly
	Small Group	Sole Proprietor		Sole Proprietor
Employee	$297.72	$341.63		$1024.89
Family	$761.05	$874.46		$2,623.38
	Plan Selection	Plan Selection		Plan Selection
	Instructions	Instructions		Instructions
	Application	Application		Application
	Student Verification Form
	Rx Form for Plan EC0022S

#2 MVP - Hybrid (EPOc) - EC0034S - Click here for the detailed plan summary.
This plan is an EPO (Exclusive Provider Organization) Hybrid (includes in network deductibles) with no out of network coverage & no referrals needed. There is a $1,000 (single) $2,500 (family) in network deductible with an 80% coinsurance. It has a $30 primary & $50 specialist office visit co-pay. Inpatient hospital you must meet deductible & coinsurance and a $200 co-pay for an emergency room visit. The prescription coverage is 10/30/50 with no deductible.
	Monthly	Monthly	Quarterly
	Small Group	Sole Proprietor	Sole Proprietor
Employee	$367.26	$421.60	$1,264.80
Family	$935.05	$1074.56	$3,223.68
	Plan Selection	Plan Selection	Plan Selection
	Instructions	Instructions	Instructions
	Application	Application	Application
	Student Verification Form
	Rx Form for Plan EC0034S

#3 MVP - (EPO) - EX0048S - Click here for the detailed plan summary.
This plan is an EPO (Exclusive Provider Organization) with no out of network coverage & no referrals needed. There is a $40 primary & specialist office visit co-pay. Inpatient hospital $500 and a $100 co-pay for an emergency room visit. The Prescription coverage is 10/25/40 with no deductible but the plan has a $2,500 maximum.
	Monthly	Monthly	Quarterly
	Small Group	Sole Proprietor	Sole Proprietor
Employee	$416.25	$477.94	$1,433.82
Family	$1064.08	$1222.94	$3,668.82
	Plan Selection	Plan Selection	Plan Selection
	Instructions	Instructions	Instructions
	Application	Application	Application
	Student Verification Form
	Rx Form for Plan EX0048S

#4 MVP - (EPO) - EC0052S - Click here for the detailed plan summary.
This plan is an EPO (Exclusive Provider Organization) with no out of network coverage & no referrals needed. It has a $30 primary & $50 specialist office visit co-pay. The inpatient hospital is a $500 co-pay and a $100 co-pay for an emergency room visit. The Prescription coverage is 10/30/50 with no deductible.
	Monthly	Monthly	Quarterly
	Small Group	Sole Proprietor	Sole Proprietor
Employee	$443.37	$509.13	$1,527.39
Family	$1,131.97	$1301.02	$3,903.06
	Plan Selection	Plan Selection	Plan Selection
	Instructions	Instructions	Instructions
	Application	Application	Application
	Student Verification Form
	Rx Form for Plan EC0052S