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    Coverage for you, your spouse or your family.

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    Medicare Advantage

    Comprehensive plans starting at $0/month for people over 65 and select others.

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  1. MVP Health Care
  2. Notice of Privacy Practices and Compliance

Notice of Privacy Practices and Compliance

    • Privacy Notice (PDF)
    • Nonpublic Personal Financial Information Policy (PDF)
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    • Website and Mobile Privacy Policy (PDF)

    En Español

    • Privacy Notice – Spanish (PDF)
    • Politica de Información Financiera Personal No Pública (PDF)
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    • Authorization to Disclose Information — Spanish (PDF)
  • Annual Notices/Reports—Commercial

    • Member (PDF)
    • Provider – New York (PDF)
    • Provider – Vermont (PDF)
    • Vermont Report (PDF)

    Rate Filing—Narrative Summaries

    • 2025 New York Individual HMO (PDF)
    • 2025 New York Small Group HMO (PDF)
    • 2025 New York Small Group EPO and PPO (PDF)
    • 2025 New York Large Group HMO (PDF)
    • 2024 New York Individual HMO (PDF)
    • 2024 New York Small Group HMO (PDF)
    • 2024 New York Small Group EPO and PPO (PDF)
    • 2024 New York Large Group HMO (PDF)

    Protocols for Domestic Violence and Endangered Victims

    • Protocols for Domestic Violence Victims and Endangered Victims (PDF)
    • Protocolos de Confidencialidad para Victimas de Violencia Domestica y Victimas en Peligro (PDF)

    New York State Out-of-Network (OON) Law (Effective 3/30/15)

    • Independent Dispute Resolution Process for Emergency and Surprise Bills—Member (PDF)
    • Independent Dispute Resolution Process for Emergency and Surprise Bills—Health Care Providers (PDF)
    • Out-of-Network Reimbursement Examples (PDF)
    • NY No Surprises Act Disclosure Notice (PDF)
    • VT No Surprises Act Disclosure Notice (PDF)
  • New York Individual

    • FRNY EP 1&2 2025 COC (PDF)
    • FRNY EP 3&4 2025 COC (PDF)
    • FRNY44 INDV HMO COC 2025 CAT CL (PDF)
    • FRNY44 INDV HMO COC 2025 CHILD ONLY HDHP (PDF)
    • FRNY44 INDV HMO COC 2025 CHILD ONLY (PDF)
    • FRNY44 INDV HMO COC 2025 NSTD AGG-EMB (PDF)
    • FRNY44 INDV HMO COC 2025 NSTD PCP (PDF)
    • FRNY44 INDV HMO COC 2025 NSTD (PDF)
    • FRNY44 INDV HMO COC 2025 STD HDHP (PDF)
    • FRNY44 INDV HMO COC 2025 STD PCP (PDF)
    • FRNY44 INDV HMO COC 2025 STD (PDF)
    • NY44 INDV HMO COC 2025 CAT (PDF)
    • NY44 INDV HMO COC 2025 CHILD ONLY HDHP (PDF)
    • NY44 INDV HMO COC 2025 CHILD ONLY (PDF)
    • NY44 INDV HMO COC 2025 NSTD HDHP (PDF)
    • NY44 INDV HMO COC 2025 NSTD PCP (PDF)
    • NY44 INDV HMO COC 2025 NSTD (PDF)
    • NY44 INDV HMO COC 2025 STD HDHP (PDF)
    • NY44 INDV HMO COC 2025 STD PCP (PDF)
    • NY44 INDV HMO COC 2025 STD (PDF)

    New York Small Group

    • NY43 SG EPO COC 2025 AGG-EMB-Q (NoFP) (PDF)
    • NY43 SG EPO COC 2025 AGG-EMB (PDF)
    • NY43 SG EPO COC 2025 PCP-Q (NoFP) (PDF)
    • NY43 SG EPO COC 2025 PCP (PDF)
    • NY43 SG EPO COC 2025-Q (NoFP) (PDF)
    • NY43 SG EPO COC 2025 (PDF)
    • NY44 SG HMO COC 2025 AGG-EMB-Q (NoFP) (PDF)
    • NY44 SG HMO COC 2025 AGG-EMB (PDF)
    • NY44 SG HMO COC 2025 HNY-Q (NoFP) (PDF)
    • NY44 SG HMO COC 2025 HNY (PDF)
    • NY44 SG HMO COC 2025 PCP-Q (NoFP) (PDF)
    • NY44 SG HMO COC 2025 PCP (PDF)
    • NY44 SG HMO COC 2025- Q (NoFP) (PDF)
    • NY44 SG HMO COC 2025 (PDF)

    New York Large Group

    • NY43 CERT EPO GF 2025 (PDF)
    • NY43 HMOPOS COC 2025 IntRX FP (PDF)
    • NY43 HMOPOS COC 2025 IntRX NoFP (PDF)
    • NY43 HMOPOS COC 2025 NoRX FP (PDF)
    • NY43 HMOPOS COC 2025 NoRX NoFP (PDF)
    • NY43 HMOPOS COC GF 2025 (PDF)
    • NY43 LG 7 EPO COC 2025 IntRX AGG HD NoFP (PDF)
    • NY43 LG 7 EPO COC 2025 IntRX AGG HD (PDF)
    • NY43 LG 7 EPO COC 2025 IntRX AGG NoFP (PDF)
    • NY43 LG 7 EPO COC 2025 IntRX AGG (PDF)
    • NY43 LG 7 EPO COC 2025 IntRX AggEmb HD NoFP (PDF)
    • NY43 LG 7 EPO COC 2025 IntRX AggEmb HD (PDF)
    • NY43 LG 7 EPO COC 2025 IntRX AggEmb NoFP (PDF)
    • NY43 LG 7 EPO COC 2025 IntRX AggEmb (PDF)
    • NY43 LG 7 EPO COC 2025 IntRX EMB HD NoFP (PDF)
    • NY43 LG 7 EPO COC 2025 IntRX EMB HD (PDF)
    • NY43 LG 7 EPO COC 2025 IntRX EMB NoFP (PDF)
    • NY43 LG 7 EPO COC 2025 IntRX EMB (PDF)
    • NY43 LG 7 EPO COC 2025 NoRX EMB NoFP (PDF)
    • NY43 LG 7 EPO COC 2025 NoRX EMB (PDF)
    • NY43 PPO COC GF 2025 (PDF)
    • NY44 HMO COC GF 2025 (PDF)
    • NY44 LG 7 HMO COC 2025 IntRX NoFP (PDF)
    • NY44 LG 7 HMO COC 2025 IntRX (PDF)
    • NY44 LG 7 HMO COC 2025 NoRX NoFP (PDF)
    • NY44 LG 7 HMO COC 2025 NoRX (PDF)

    Vermont Small Group and Individual

    • FRVT HMO HDHP NON-STANDARD CTR (2025) (PDF)
    • FRVT HMO HDHP STANDARD CTR (2025) (PDF)
    • FRVT HMO NON-STANDARD CTR (2025) (PDF)
    • FRVT HMO STANDARD CTR (2025) (PDF)

    Vermont Large Group

    • VT 5 HMO 2025 COC INTRX HDHP (PDF)
    • VT 5 HMO 2025 COC INTRX (PDF)
    • VT 5 HMO 2025 COC (PDF)
  • New York Individual

    • FRNY EP 1&2 COC (2024) (PDF)
    • FRNY EP 3&4 COC (2024) (PDF)
    • FRNY44 INDV HMO COC 2024 CAT (PDF)
    • FRNY44 INDV HMO COC 2024 CHILD ONLY (PDF)
    • FRNY44 INDV HMO COC 2024 CHILD ONLY HDHP (PDF)
    • FRNY44 INDV HMO COC 2024 NSTD (PDF)
    • FRNY44 INDV HMO COC 2024 NSTD AGG EMB (PDF)
    • FRNY44 INDV HMO COC 2024 NSTD AGG EMB HDHP (PDF)
    • FRNY44 INDV HMO COC 2024 NSTD HDHP (PDF)
    • FRNY44 INDV HMO COC 2024 NSTD PCP (PDF)
    • FRNY44 INDV HMO COC 2024 STD (PDF)
    • FRNY44 INDV HMO COC 2024 STD HDHP (PDF)
    • FRNY44 INDV HMO COC 2024 STD PCP (PDF)
    • NY44 INDV HMO COC 2024 CAT (PDF)
    • NY44 INDV HMO COC 2024 CHILD ONLY (PDF)
    • NY44 INDV HMO COC 2024 CHILD ONLY HDHP (PDF)
    • NY44 INDV HMO COC 2024 NSTD (PDF)
    • NY44 INDV HMO COC 2024 NSTD AGG EMB (PDF)
    • NY44 INDV HMO COC 2024 NSTD AGG EMB HDHP (PDF)
    • NY44 INDV HMO COC 2024 NSTD HDHP
    • NY44 INDV HMO COC 2024 NSTD PCP (PDF)
    • NY44 INDV HMO COC 2024 STD (PDF)
    • NY44 INDV HMO COC 2024 STD HDHP (PDF)
    • NY44 INDV HMO COC 2024 STD PCP (PDF)

    New York Small Group

    • NY43 SG EPO COC 2024 (PDF)
    • NY43 SG EPO COC 2024 AGG EMB (PDF)
    • NY43 SG EPO COC 2024 AGG EMB HDHP (PDF)
    • NY43 SG EPO COC 2024 AGG EMB Q NoFP (PDF)
    • NY43 SG EPO COC 2024 AGG EMB Q NoFP HDHP (PDF)
    • NY43 SG EPO COC 2024 HDHP (PDF)
    • NY43 SG EPO COC 2024 PCP (PDF)
    • NY43 SG EPO COC 2024 PCP Q NoFP (PDF)
    • NY43 SG EPO COC 2024 Q NoFP (PDF)
    • NY43 SG EPO COC 2024 Q NoFP HDHP (PDF)
    • NY44 SG HMO COC 2024 (PDF)
    • NY44 SG HMO COC 2024 AGG EMB (PDF)
    • NY44 SG HMO COC 2024 AGG EMB HDHP (PDF)
    • NY44 SG HMO COC 2024 AGG EMB Q NoFP (PDF)
    • NY44 SG HMO COC 2024 AGG EMB Q NoFP HDHP (PDF)
    • NY44 SG HMO COC 2024 HDHP (PDF)
    • NY44 SG HMO COC 2024 HNY (PDF)
    • NY44 SG HMO COC 2024 HNY Q NoFP (PDF)
    • NY44 SG HMO COC 2024 PCP (PDF)
    • NY44 SG HMO COC 2024 PCP Q NoFP (PDF)
    • NY44 SG HMO COC 2024 Q NoFP (PDF)
    • NY44 SG HMO COC 2024 Q NoFP HDHP (PDF)

    New York Large Group

    • NY43 CERT EPO GF 2024 (PDF)
    • NY43 HMOPOS COC 2024 IntRX FP (PDF)
    • NY43 HMOPOS COC 2024 IntRX NoFP (PDF)
    • NY43 HMOPOS COC 2024 NoRX FP (PDF)
    • NY43 HMOPOS COC 2024 NoRX NoFP (PDF)
    • NY43 HMOPOS COC GF 2024 (PDF)
    • NY43 LG 7 EPO COC 2024 IntRX AGG HD NoFP (PDF)
    • NY43 LG 7 EPO COC 2024 IntRX AGG HD (PDF)
    • NY43 LG 7 EPO COC 2024 IntRX AGG NoFP (PDF)
    • NY43 LG 7 EPO COC 2024 IntRX AGG (PDF)
    • NY43 LG 7 EPO COC 2024 IntRX AggEmb HD NoFP (PDF)
    • NY43 LG 7 EPO COC 2024 IntRX AggEmb HD (PDF)
    • NY43 LG 7 EPO COC 2024 IntRX AggEmb NoFP (PDF)
    • NY43 LG 7 EPO COC 2024 IntRX AggEmb (PDF)
    • NY43 LG 7 EPO COC 2024 IntRX EMB HD NoFP (PDF)
    • NY43 LG 7 EPO COC 2024 IntRX EMB HD
    • NY43 LG 7 EPO COC 2024 IntRX EMB NoFP (PDF)
    • NY43 LG 7 EPO COC 2024 IntRX EMB (PDF)
    • NY43 LG 7 EPO COC 2024 NoRX EMB NoFP (PDF)
    • NY43 LG 7 EPO COC 2024 NoRX EMB (PDF)
    • NY43 PPO COC GF 2024 (PDF)
    • NY44 HMO COC GF 2024 (PDF)
    • NY44 LG 7 HMO COC 2024 IntRX NoFP (PDF)
    • NY44 LG 7 HMO COC 2024 IntRX (PDF)
    • NY44 LG 7 HMO COC 2024 NoRX NoFP (PDF)
    • NY44 LG 7 HMO COC 2024 NoRX (PDF)

    Vermont Small Group and Individual

    • FRVT HMO HDHP NON-STANDARD CTR (2024) (PDF)
    • FRVT HMO HDHP STANDARD CTR (2024) (PDF)
    • FRVT HMO NON-STANDARD CTR (2024) (PDF)
    • FRVT HMO STANDARD CTR (2024) (PDF)

    Vermont Large Group

    • VT 4 HMO 2024 COC INTRX HDHP (PDF)
    • VT 4 HMO 2024 COC INTRX NQHDHP (PDF)
    • VT 4 HMO 2024 COC Intrx (PDF)
    • VT 4 HMO 2024 COC (PDF)
  • New York

    Individual 
    • FRNY EP 1&2 COC (2023) (PDF)
    • FRNY EP 3&4 COC (2023) (PDF)
    • FRNY44 INDV HMO COC 2023 CAT (PDF)
    • FRNY44 INDV HMO COC 2023 CHILD ONLY (PDF)
    • FRNY44 INDV HMO COC 2023 NSTD (PDF)
    • FRNY44 INDV HMO COC 2023 NSTD AGG-EMB (PDF)
    • FRNY44 INDV HMO COC 2023 NSTD PCP (PDF)
    • FRNY44 INDV HMO COC 2023 STD (PDF)
    • FRNY44 INDV HMO COC 2023 STD PCP (PDF)
    • NY44 INDV HMO COC 2023 CAT (PDF)
    • NY44 INDV HMO COC 2023 CHILD ONLY (PDF)
    • NY44 INDV HMO COC 2023 NSTD (PDF)
    • NY44 INDV HMO COC 2023 NSTD AGG-EMB (PDF)
    • NY44 INDV HMO COC 2023 NSTD PCP (PDF)
    • NY44 INDV HMO COC 2023 STD (PDF)
    • NY44 INDV HMO COC 2023 STD PCP (PDF)

    Small Group
    • NY43 SG EPO COC 2023 (PDF)
    • NY43 SG EPO COC 2023 AGG-EMB (PDF)
    • NY43 SG EPO COC 2023 AGG-EMB-Q (NoFP) (PDF)
    • NY43 SG EPO COC 2023 PCP (PDF)
    • NY43 SG EPO COC 2023 PCP-Q (NoFP) (PDF)
    • NY43 SG EPO COC 2023-Q (NoFP) (PDF)
    • NY44 SG HMO COC 2023 (PDF)
    • NY44 SG HMO COC 2023 AGG-EMB (PDF)
    • NY44 SG HMO COC 2023 AGG-EMB-Q No FP (PDF)
    • NY44 SG HMO COC 2023 HNY (PDF)
    • NY44 SG HMO COC 2023 HNY-Q (NoFP) (PDF)
    • NY44 SG HMO COC 2023 PCP (PDF)
    • NY44 SG HMO COC 2023 PCP-Q (NoFP) (PDF)
    • NY44 SG HMO COC 2023- Q (NoFP) (PDF)

    Large Group
    • NY43 EPO COC GF 2023 (PDF)
    • NY43 PPO COC GF 2023 (PDF)
    • NY43 HMOPOS COC GF 2023 (PDF)
    • NY43 LG 7 EPO COC 2023 IntRX AGG (PDF)
    • NY43 LG 7 EPO COC 2023 IntRX AggEmb (PDF)
    • NY43 LG 7 EPO COC 2023 IntRX EMB (PDF)
    • NY43 LG 7 EPO COC 2023 NoRX EMB (PDF)
    • NY43 HMOPOS COC 2023 IntRX FP (PDF)
    • NY43 HMOPOS COC 2023 NoRX FP (PDF)
    • NY44 HMO COC GF 2023 (PDF)
    • NY44 LG 7 HMO COC 2023 IntRX (PDF)
    • NY44 LG 7 HMO COC 2023 NoRX (PDF)

     

    Vermont

    Small Group & Individual
    • FRVT HMO HDHP NON-STANDARD CTR (2023) (PDF)
    • FRVT HMO HDHP STANDARD CTR (2023) (PDF)
    • FRVT HMO NON-STANDARD CTR (2023) (PDF)
    • FRVT HMO STANDARD CTR (2023) (PDF)
     
    Large Group
    • VT 3 HMO 2023 COC (PDF)
    • VT 3 HMO 2023 COC INTRX HDHP (PDF)
    • VT 3 HMO 2023 COC INTRX NQHDHP (PDF)

     

    Dental

    Individual
    • Individual Adult Dental COC 2023 (PDF)
    • Individual Family Dental COC 2023 (PDF)
    • Individual Pediatric Dental COC 2023 (PDF)
     
    Small Group
    • Small Group Adult Dental COC 2023 (PDF)
    • Small Group Family Dental COC 2023 (PDF)
    • Small Group Pediatric Dental COC 2023 (PDF)
  • New York

    Individual

    • FRNY44 INDV HMO COC 2022 CAT (PDF)
    • FRNY44 INDV HMO COC 2022 CHILD ONLY (PDF)
    • FRNY44 INDV HMO COC 2022 NSTD (PDF)
    • FRNY44 INDV HMO COC 2022 NSTD AGG-EMB (PDF)
    • FRNY44 INDV HMO COC 2022 NSTD PCP (PDF)
    • FRNY44 INDV HMO COC 2022 STD (PDF)
    • FRNY44 INDV HMO COC 2022 STD PCP (PDF)
    • NY44 INDV HMO COC 2022 CAT (PDF)
    • NY44 INDV HMO COC 2022 CHILD ONLY (PDF)
    • NY44 INDV HMO COC 2022 NSTD (PDF)
    • NY44 INDV HMO COC 2022 NSTD AGG-EMB (PDF)
    • NY44 INDV HMO COC 2022 NSTD PCP (PDF)
    • NY44 INDV HMO COC 2022 STD (PDF)
    • NY44 INDV HMO COC 2022 STD PCP (PDF)
    • 2022 EP Subscriber Contract 1&2 (PDF)
    • 2022 EP Subscriber Contract 3&4 (PDF)

     

    Small Group

    • NY43 SG EPO COC 2022 (PDF)
    • NY43 SG EPO COC 2022-Q (NoFP) (PDF)
    • NY43 SG EPO COC 2022 AGG-EMB (PDF)
    • NY43 SG EPO COC 2022 AGG-EMB-Q (NoFP) (PDF)
    • NY43 SG EPO COC 2022 PCP (PDF)
    • NY43 SG EPO COC 2022 PCP-Q (NoFP) (PDF)
    • NY44 SG HMO COC 2022 HNY (PDF)
    • NY44 SG HMO COC 2022 HNY-Q (NoFP) (PDF)
    • NY44 SG HMO COC 2022 (PDF)
    • NY44 SG HMO COC 2022-Q (NoFP) (PDF)
    • NY44 SG HMO COC 2022 AGG-EMB (PDF)
    • NY44 SG HMO COC 2022 AGG-EMB-Q No FP (PDF)
    • NY44 SG HMO COC 2022 PCP (PDF)
    • NY44 SG HMO COC 2022 PCP-Q (NoFP) (PDF)

     

    Large Group

    • NY43 PPO COC GF 2022 (PDF)
    • NY43 PPO COC GF NoFP 2022 (PDF)
    • NY43 HDHP EPO COC GF 2022 (PDF)
    • NY43 EPO COC GF 2022 (PDF)
    • NY43 LG 7 EPO COC 2022 T1RX EMB (PDF)
    • NY43 LG 7 EPO COC 2022 T1RX EMB NoFP (PDF)
    • NY43 LG 7 EPO COC 2022 T1RX AggEmb (PDF)
    • NY43 LG 7 EPO COC 2022 T1RX AggEmb NoFP (PDF)
    • NY43 LG 7 EPO COC 2022 IntRX AGG (PDF)
    • NY43 LG 7 EPO COC 2022 IntRX AGG NoFP (PDF)
    • NY43 LG 7 EPO COC 2022 IntRX AggEmb (PDF)
    • NY43 LG 7 EPO COC 2022 IntRX AggEmb NoFP (PDF)
    • NY43 LG 7 EPO COC 2022 IntRX EMB (PDF)
    • NY43 LG 7 EPO COC 2022 IntRX EMB NoFP (PDF)
    • NY43 LG 7 EPO COC 2022 NoRX AGG (PDF)
    • NY43 LG 7 EPO COC 2022 NoRX AGG NoFP (PDF)
    • NY43 LG 7 EPO COC 2022 NoRX EMB (PDF)
    • NY43 LG 7 EPO COC 2022 NoRX EMB NoFP (PDF)
    • NY43 HMOPOS COC 2022 IntRX FP (PDF)
    • NY43 HMOPOS COC 2022 IntRX NoFP (PDF)
    • NY43 HMOPOS COC 2022 NoRX FP (PDF)
    • NY43 HMOPOS COC 2022 NoRX NoFP (PDF)
    • NY43 HMOPOS COC GF 2022 (PDF)
    • NY44 HMO COC GF 2022 (PDF)
    • NY44 LG 7 HMO COC 2022 IntRX (PDF)
    • NY44 LG 7 HMO COC 2022 IntRX NoFP (PDF)
    • NY44 LG 7 HMO COC 2022 NoRX (PDF)
    • NY44 LG 7 HMO COC 2022 NoRX NoFP (PDF)

     

     

    Vermont

    Small Group and Individual

    • FRVT HMO STANDARD CTR (2022) (PDF)
    • FRVT HMO NON-STANDARD CTR (2022) (PDF)
    • FRVT HMO HDHP STANDARD CTR (2022) (PDF)
    • FRVT HMO HDHP NON-STANDARD CTR (2022) (PDF)

     

    Large Group

    • VT 3 HMO 2022 COC (PDF)
    • VT 3 HMO 2022 COC INTRX HDHP (PDF)
    • VT 3 HMO 2022 COC INTRX NQHDHP (PDF)
  • Individual
    • Individual Adult NY PPO DD 003 A (PDF)
    • Individual Family NY PPO DD 002 F (PDF)
    • Individual Pediatric NY PPO DD 001 P (PDF)

    Small Group
    • Small Group Adult NY PPO SD 003 A (PDF)
    • Small Group Family NY PPO SD 002 F (PDF)
    • Small Group Pediatric NY PPO SD 001 P (PDF)
  • New York

    • NY43 VISION CTR INDIVIDUAL 2022 (PDF)
    • NY43 VISION COC GROUP 2022 SMALL (PDF)
    • NY43 VISION COC GROUP 2022 LARGE (PDF)

     

    Vermont

    • VT44 VISION CTR INDIVIDUAL 2022 (PDF)
    • VT44 VISION COC GROUP 2022 SMALL (PDF)
    • VT44 VISION COC GROUP 2022 LARGE (PDF)
    • Commercial Member Rights and Responsibilities (PDF)
    • Medicaid Member Rights and Responsibilities (PDF)
    • Medicare Member Rights and Responsibilities (PDF)
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