2022 MVP SmartFund (MSA)
MVP SmartFund (MSA) H5613-002 is a 2022 Medicare Advantage Plan or Part-C by MVP HEALTH CARE available to residents in Vermont and New York. This plan does not provide additional prescription drug (Part-D) coverage. The MVP SmartFund (MSA) has a monthly premium of and has an in-network maximum out-of-pocket limit of $- (MOOP). This means that if you get sick or need a high cost procedure the co-pays are capped once you pay
$- out-of-pocket. This can be a extremely nice safety net.
MVP HEALTH CARE works with Medicare to provide significant coverage beyond Part A and Part B benefits. If you decide to sign up for MVP SmartFund (MSA) you still retain Original Medicare. But you will get additional Part A (Hospital Insurance) and Part B (Medical Insurance) coverage from MVP HEALTH CARE and not Original Medicare. With Medicare Advantage you are always covered for urgently needed and emergency care. Plus you receive all the benefits of Original Medicare from MVP HEALTH CARE except hospice care. Original Medicare still provides you with hospice care even if you sign up for Medicare Advantage.
Ready to Enroll?
Click Here |
Or Call
1-855-778-4180
Mon-Fri 8am-8pm EST
Sat 8am-8pm EST
2022 MVP HEALTH CARE Medicare Advantage Plan Costs
| Name: | MVP SmartFund (MSA) |
|---|
| Plan ID: | H5613-002 |
|---|
| Provider: | MVP HEALTH CARE |
|---|
| Year: | 2022 |
|---|
| Type: | MSA * |
|---|
| Monthly Premium C+D: | |
|---|
| Part C Premium: | |
|---|
| MOOP: | $- |
|---|
| Similar Plan: | H5613-002 |
|---|
| New Plan: | 2023 H5613-002 |
|---|
2021 MVP SmartFund (MSA) Summary of Benefits
*This will be updated with 2022 data when available.
Additional Benefits
Comprehensive Dental
| Diagnostic services |
Not covered |
| Endodontics |
Not covered |
| Extractions |
Not covered |
| Non-routine services |
Not covered |
| Periodontics |
Not covered |
| Prosthodontics, other oral/maxillofacial surgery, other services |
Not covered |
| Restorative services |
Not covered |
Deductible
Diagnostic Tests and Procedures
| Diagnostic radiology services (e.g., MRI) |
$0 copay after you pay your deductible |
| Diagnostic tests and procedures |
$0 copay after you pay your deductible |
| Lab services |
$0 copay after you pay your deductible |
| Outpatient x-rays |
$0 copay after you pay your deductible |
Doctor Visits
| Primary |
$0 copay after you pay your deductible |
| Specialist |
$0 copay after you pay your deductible |
Emergency care/Urgent Care
| Emergency |
$0 copay after you pay your deductible |
| Urgent care |
$0 copay after you pay your deductible |
Foot Care (podiatry services)
| Foot exams and treatment |
$0 copay after you pay your deductible |
| Routine foot care |
Not covered |
Ground Ambulance
| $0 copay after you pay your deductible |
|
|
Hearing
| Fitting/evaluation |
Not covered |
| Hearing aids - inner ear |
Not covered |
| Hearing aids - outer ear |
Not covered |
| Hearing aids - over the ear |
Not covered |
| Hearing exam |
$0 copay after you pay your deductible |
Inpatient Hospital Coverage
| $0 copay after you pay your deductible |
|
|
Medical Equipment/Supplies
| Diabetes supplies |
$0 copay after you pay your deductible |
| Durable medical equipment (e.g., wheelchairs, oxygen) |
$0 copay after you pay your deductible |
| Prosthetics (e.g., braces, artificial limbs) |
$0 copay after you pay your deductible |
Medicare Part B Drugs
| Chemotherapy |
$0 copay after you pay your deductible |
| Other Part B drugs |
$0 copay after you pay your deductible |
Mental Health Services
| Inpatient hospital - psychiatric |
$0 copay after you pay your deductible |
| Outpatient group therapy visit |
$0 copay after you pay your deductible |
| Outpatient group therapy visit with a psychiatrist |
$0 copay after you pay your deductible |
| Outpatient individual therapy visit |
$0 copay after you pay your deductible |
| Outpatient individual therapy visit with a psychiatrist |
$0 copay after you pay your deductible |
MOOP
Option
Optional supplemental benefits
Outpatient Hospital Coverage
| $0 copay after you pay your deductible |
|
|
Package #1
| Deductible |
|
| Monthly Premium |
$30.00 |
Preventive Care
Preventive Dental
| Cleaning |
Not covered |
| Dental x-ray(s) |
Not covered |
| Fluoride treatment |
Not covered |
| Oral exam |
Not covered |
Rehabilitation Services
| Occupational therapy visit |
$0 copay after you pay your deductible |
| Physical therapy and speech and language therapy visit |
$0 copay after you pay your deductible |
Skilled Nursing Facility
| $0 copay after you pay your deductible |
|
|
Transportation
Vision
| Contact lenses |
Not covered |
| Eyeglass frames |
Not covered |
| Eyeglass lenses |
Not covered |
| Eyeglasses (frames and lenses) |
Not covered |
| Other |
Not covered |
| Routine eye exam |
Not covered |
| Upgrades |
Not covered |
Wellness Programs (e.g. fitness nursing hotline)
Ready to Enroll?
Click Here |
Or Call
1-855-778-4180
Mon-Fri 8am-8pm EST
Sat 8am-8pm EST
Coverage Area for MVP SmartFund (MSA)
(Click county to compare all available Advantage plans)
Go to top
Source: CMS.
Data as of September 1, 2021.
Notes: Data are subject to change as contracts are finalized. For 2022, enhanced alternative may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part-D benefit.
Includes 2022 approved contracts. Employer sponsored 800 series and plans under sanction are excluded.
