2025-q1-member-resources-webinar-slides.pdf

©2025 MVP Health Care 1
2025 MVP Medicare Advantage Plans

Agenda
• MVP Care Guides
• Access to Gia®
• Part D Prescription Drug Coverage
• Benefits and Well-Being Extras
• Resources & Contact Information
Everything discussed today
can be found at:
mvphealthcare.com/
MVPresources

MVP Care Guides
Our expert Care Guides offer personalized support
and guidance as you navigate your health care
experience.
Care Guides help with:
• Understanding your benefits and extra
coverage
• Accessing care and resources for new or
ongoing health needs
• Questions about pharmacy coverage
• Scheduling appointments
• Coordinating prior authorizations

Gia®: A Guide to Your Health
and Your Health Plan
Use Gia to get the most out of your
MVP Medicare Advantage plan.
• $0 Virtual Care, 24/7 in the
Gia by MVP mobile app
• Urgent Care
• Everyday Health Care
• Behavioral Health Care
• Manage your health plan:
• Access claims & your
MVP Member ID card
• Benefit details and
cost-shares
• Send a secure message
to MVP Customer Care
• Pay monthly premium
• View prescription costs
• Find nearby providers

Access Gia Your Way!
Sign in Online
• Visit my.mvphealthcare.com
Download the Gia by MVP Mobile App
• Visit mvphealthcare.com/GetGia
• Scan the code above with your mobile device

©2025 MVP Health Care
• You’ll need your MVP Member ID card
to create an account
▪ Do not include spaces or dashes when entering your
MVP Member ID number
▪ When entering your date of birth, use the following
format: MM/DD/YYYY
• You can create one account to access Gia
online and in the Gia by MVP mobile app
• A valid email address is required to set
up your account
6
Create an Account
To create a new account, click or tap Register Now,
then follow the instructions to set up your account.

Set Your Communication Preferences
Update your communications preferences in
Gia:
• Sign in online and under Important Links, select
Communication Preferences, or
• In the Gia by MVP mobile app tap Menu in the
lower right corner, then Profile and Settings, then
Communication Preferences
Select Go Paperless! to receive certain plan
information via email instead of physical mail
Please note—We are required by law to send some
plan documents via postal mail.
Get less mail—Go Paperless!

Send Messages, Securely
• To access messages, sign in to Gia then click or tap
Messages
• See immediate confirmation that your message was
sent
• Get a response within two business days
• An email notification lets you know that a new
message is waiting
• View full message threads and attachments in Gia
Send secure messages to an MVP Customer
Care Representative—any time in Gia.

Pay Premium Invoices
Sign in to Gia to:
• Make payments securely
• Set up automatic payments—never miss a due date
• See your current balance in real time
If you pay your premium invoice directly to MVP
, it is quick
and easy in Gia—no checks, no envelopes, no stamps.
Make payments how you choose—
online at my.mvphealthcare.com
or in the Gia by MVP mobile app!

Access Your Member Guide
Your Member Guide includes your Evidence of
Coverage (EOC), which is the legal contract between
you and MVP. It contains detailed information about
your health insurance benefits and how to use them.
To access your Member Guide:
• Sign in to Gia at my.mvphealthcare.com
• Choose My Plan, then My Benefits, then
Download Member Guide
To access plan materials, you can also:
• Visit mvphealthcare.com/PlanDocuments
• Contact the MVP Medicare Customer Care
Center to have a printed version mailed to you
Access important plan details in your Member Guide

A Guide to Your Health
Gia virtual care services in the Gia by MVP mobile app are
$0 for MVP Medicare Advantage members.
For serious and life-threatening emergencies, please dial 911.
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 without an MVP Medical plan do not have
access to Gia.
Some services, including everyday health care and behavioral health medication management, are only
available to members ages 18 or older.
Behavioral Health Care
Urgent Care
Everyday Health Care

Virtual Care Is Great When You…
• Need urgent care
• Cannot get in with your PCP in a timely manner
• Would like to speak with someone about anxiety,
depression, grief, addiction, or other behavioral
health conditions
• Need care after most in-person facilities are closed
• Do not have transportation
• Are traveling, are living away from home for a few
months, or live in a rural area
• Are transitioning home from the hospital
• Have a new health issue and are not sure where to
start…
Start with Gia!

Find a Doctor
• Search by name, specialty, or location to find doctors, dentists, and facilities in the MVP network
• Be sure you’re signed in to Gia for the most accurate results
13
Sign in to Gia online at
my.mvphealthcare.com,
select Get Care, and
Find a Doctor of Facility
In the Gia by MVP
mobile app, tap
Doctor/Facility Search

Primary Care Provider
Next Steps: Medicare Advantage members with HMO-POS plans can choose a PCP online in Gia.
Sign in at my.mvphealthcare.com and select My Plan, and then Select Primary Care Provider. If you
need help choosing a PCP or adding a PCP to your MVP Profile, call the MVP Medicare Customer
Care Center at 1-800-665-7924. This number is also on the back of your MVP Member ID card.
Your Primary Care Provider (PCP) plays an important role in
your overall health. When you add your PCP to your MVP
profile, we can better help you coordinate care.
You may see several doctors or specialists for different health care
needs, but good communication between these doctors and your
PCP can help you have better health outcomes.

MVP Medicare Part D
Prescription Drug Coverage

Part D Drug Coverage
Formulary changes to ensure coverage of safe,
clinically equivalent, and cost-effective
medications
• Approximately 270 drugs moved to a lower-cost tier,
including antibiotics and drugs used to treat common
conditions like high blood pressure
Coverage Gap eliminated
$2,000 maximum for covered prescriptions
• The most you will pay for covered prescriptions in
2025 is $2,000
• Once you pay $2,000 out-of-pocket for Part D
drugs, you will pay nothing for covered
prescriptions through December 31
2025 Part D Benefit Changes

MVP Medicare Part D Formulary
• A list of all covered prescriptions and
requirements or limits associated with a drug
• Includes brand name and generic drugs
• Drug costs are based on varying Tiers
• mvphealthcare.com/PartDFormulary
• Sign in online to Gia at my.mvphealthcare.com
and select My Plan, then Manage Prescriptions,
then Plan & Benefits, and then Covered Drugs List
Tier 1 Drugs
• $0 preferred generic drugs includes many
common prescriptions to treat acid reflux,
diabetes, high blood pressure, high cholesterol,
osteoporosis, and thyroid conditions
• Get a 100-day supply right at the pharmacy!
Important!
Review your EOC
to confirm if you have a
prescription drug deductible.
A deductible is an amount that
you must spend out-of-pocket
before your benefits begin.

• Many drugs are available through the
CVS/Caremark Mail Service Pharmacy
• Receive a three-month supply of Tier 2 and
Tier 3 prescriptions for only two co-pays
• Shipping to home is free
• Set this up in your CVS online portal or call CVS
Caremark Customer Care at 1-866-494-8829,
24 hours a day, seven days a week
• If a drug is not available for mail service, it will
be noted in the Formulary with “NM”
• Search for in-network pharmacies and
compare drug costs using the Gia by MVP
mobile app
• Tap Menu and then Drug Cost/Pharmacy Search
Filling Prescriptions

Benefits and Well-Being Extras

Flexible Dental Coverage
Your plan lets you choose how and where to get
dental care.
• Annual allowance to use toward preventive
and comprehensive dental services
• Includes regular exams, cleanings, x-rays, fillings, root
canals, and crowns
• No deductibles
• Go to any dentist
• You’re not limited by a select network of providers
• Use your Benefits Mastercard® Prepaid Card to
pay your dentist directly
• No claims to file or waiting for a reimbursement

Over-the-Counter (OTC) Allowance
Use your allowance to buy eligible items online, in
the app, or at select stores.
• A quarterly allowance to purchase over-the-
counter health related items
• Eligible items include:
• Allergy and cold/flu medicine
• Aspirin or pain relievers
• Band Aids® or first aid products
• Incontinence products
• Prebiotics, probiotics, and acid reducers
• Vitamins and supplements
• Participating retail locations include CVS
Pharmacy and Walmart.
Learn more at mvphealthcare.com/OTC. Use your allowance by the end of each quarter!
Unused allowances do not roll over.

Prepaid Benefits Card
• Your benefit amounts are loaded into separate
“purses” on your Benefits Mastercard® Prepaid
Card
• As you use your Prepaid Benefits Card, your
purchase will automatically apply to the correct
purse to pay for eligible items and/or covered
services
• Visit MVP.NationsBenefits.com or download
the Benefits Pro App to:
• Check your card balance
• View item eligibility
• Order covered items
• Access store locator (for OTC retailers)
• Request a new card
Use one card for both dental and OTC.
New members should have
received their card in the mail.
Returning members can use
the same card as last year.
If you need a new card,
call 1-855-996-4327.
Please note: This is not a credit card, and it cannot be used at
an ATM or to receive cash back or to buy prescription drugs,
alcohol, tobacco, firearms, or gift cards. The card comes pre-
loaded with your benefit allowance, but it must be activated
before use.

Be Well Rewards
Schedule your $0 Annual Wellness Visit today.
• Earn a $100 reward card after completing your
Annual Wellness Visit with your Primary Care
Provider (PCP)
• This visit helps you keep up with preventive
screenings and immunizations, review your
overall physical and mental health, and discuss
any other needs
• The Annual Wellness visit is covered in full by
MVP
Have your Annual Wellness visit and earn a
$100 reward card—it’s that simple!

Be Well Rewards
Redeem your rewards online in Gia.
1. Sign in to Gia® at my.mvphealthcare.com—
Under Important Links select Be Well
Rewards.
2. Once you are on the Be Well Rewards
page, check to see if your Annual Wellness
Visit claim has been processed (Activity
Completed).
3. Once you see “Activity Completed”,
select the REDEEM button and the site
will prompt you through choosing your
preferred reward card.

Vision Benefit
Your plan includes coverage for eyewear. Use your
MVP Member ID card to access your benefit.
• Annual allowance for eyeglasses and contacts
• MVP partners with EyeMed to provide a
network that gives you a choice of
independent, national retail, regional retail, and
online vision providers
• LensCrafters®
• Pearle VisionSM
• Target OpticalSM
• Get discounts when you see an EyeMed
provider
Find an EyeMed provider at
eyedoclocator.eyemedvisioncare.com.

Hearing Benefit
Save thousands of dollars on a wide selection of
high-quality hearing aids featuring the latest
technology like more natural hearing, reduced
background noise, and smartphone compatibility.
• Choose to pay either:
TruHearing Premium ($999 co-pay/hearing aid)
TruHearing Advanced ($699 co-pay/hearing aid)
Or
• Use an allowance toward hearing aids from brands
in the TruHearing catalog ($600 per hearing aid)
Learn more at mvphealthcare.com/TruHearing.
All plans include a flexible hearing aid benefit
through our partner, TruHearing®

Transportation Benefit
• $0 one-way rides (30-mile maximum per trip) to:
• Primary Care Provider
• Eye Doctor
• Chiropractor
• Oncologist
• Behavioral Health Provider
• Dentist
• Pharmacy
To schedule a ride, call American Logistics at least
48 hours in advance at 1-855-923-4125 (TTY 711).
MVP Partners with American Logistics to provide
rides to non-emergency medical appointments.

SilverSneakers®
With SilverSneakers, you’re free to move in the ways
that work for you—in the gym, at home or on the go,
and in your community.
- Thousands of participating locations nationwide
- Enroll at multiple locations
- Classes for all levels and abilities
- LIVE online classes and workshops
- On-Demand videos available 24/7
- SilverSneakers GO mobile app
- Activities and opportunities outside the gym
Learn more at mvphealthcare.com/SilverSneakers.
This benefit is more than a traditional fitness program.

Living Well Programs
• MVP offers well-being initiatives, educational
opportunities, and supportive resources that
empower and motivate attendees to live
healthy and vibrant lives
• Includes:
• Fitness Classes
• Educational Seminars
• Unique Experiences
Learn more at mvphealthcare.com/LivingWell.
Join MVP for in-person and virtual experiences.

Feedback & Resources

We’d Love to Hear From You
• Surveys
• Medicare Advisory Group
• Consumer Panel
• Interviews for people living with
certain conditions
If you receive a survey in the mail,
we encourage you to complete it!
There are lots of ways to share your feedback!

Contacts
Phone Number Hours to Call
MVP Medicare
Customer Care
1-800-665-7924
(TTY 711)
October 1-March 31, seven days a week, 8 am–8 pm
April 1–September 30, Monday-Friday, 8 am–8 pm
MVP Care Guide
1-844-232-9687
(TTY 711)
Monday–Friday, 8:30 am–5 pm
mvphealthcare.com/MVPResources

Contacts
Phone Number Hours to Call
CVS Caremark
(Mail Order Prescriptions)
1-866-494-8829 24 hours a day, seven days a week
TruHearing
(Hearing Aids)
1-855-547-9322
(TTY 711)
October 1-March 31, seven days a week, 8 am–8 pm
April 1–September 30, Monday-Friday, 8 am–8 pm
American Logistics
(Transportation)
1-855-923-4125
(TTY 711)
Monday–Friday, 8 am–5 pm
NationsBenefits
(OTC Card)
1-855-996-4327
(TTY 711)
Seven days a week, 8 am–8 pm, Eastern Time
EyeMed
(Vision)
1-866-912-9729
(TTY 711)
October 1–March 31: 8 am–2 am seven days a week
April 1–September 30: 8 am–2 am Monday–Saturday, and 11 am–8 pm on Sunday
mvphealthcare.com/MVPResources

Disclaimers
MVP Health Plan, Inc. is an HMO-POS/PPO organization with a Medicare contract. Enrollment in MVP Health Plan depends on
contract renewal. 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).
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’ direct or digital provider visits may be subject to co-pay/cost-share per plan.
SilverSneakers is a registered trademark of Tivity Health, Inc. ©2025 Tivity Health, Inc. All rights reserved.
©2025 TruHearing, Inc. All rights reserved. TruHearing® is a trademark of TruHearing, Inc. All other trademarks, product
names, and company names are the property of their respective owners.
©2025 NationsBenefits, LLC. and NationsOTC, LLC. NationsOTC is a registered trademark of NationsOTC, LLC. All other marks
are the property of their respective owners.
The Benefits Mastercard® Prepaid Card is issued by The Bancorp Bank N.A., Member FDIC, pursuant to license by Mastercard
International Incorporated and card can be used for eligible expenses wherever Mastercard is accepted. Mastercard and the
circles design is a trademark of Mastercard International Incorporated. Valid only in the U.S. No cash access. This is not a gift
card or gift certificate. You have received this card as a gratuity without the payment of any monetary value or consideration.
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