MVP Health Care
Have a MVP plan? What is covered, what you pay, and which providers are in network depend on your specific plan. Confirm the details with the number on your card and Moses Medical before booking.
MVP Health Care started in upstate New York and covers the Bronx too. If your employer plan is through MVP, bring your card and we can check it before your visit.
People hear “MVP” and sometimes wonder if it works down here. Network status for MVP HMO and MVP PPO depends on your specific plan, so call (646) 741-2111 with your card and we will check it for primary care, specialist visits, and diagnostics before your visit.
MVP-Covered Services at Our Office
Depending on your plan, your MVP card may cover these visits at our office:
- Primary care for yearly physicals, sick visits, vaccinations, and ongoing health management
- Primary care for diabetes, high blood pressure, thyroid conditions, and other adult medical issues
- Internal medicine for ongoing blood pressure, cholesterol, diabetes, and chronic condition management
- Dermatology for skin exams, rashes, eczema, and mole evaluations
- Mental health visits for evaluation, medication questions or management when appropriate, and referral planning for therapy or counseling when needed
- Podiatry for foot and ankle problems, orthotics, and diabetic foot care
- Lab services for blood draws, metabolic panels, and routine diagnostic tests, all on-site
Your providers and lab work can stay coordinated through the same clinic, with referrals handled when outside imaging is needed.
Confirming Your MVP Benefits
MVP offers HMO and PPO options, and the rules are different for each.
If you have an HMO plan, you need to choose a primary care provider. Specialist visits require a referral from that PCP. Ask MVP through the member portal at mvphealthcare.com, or call our office, to find out whether a Moses Medical provider can be designated under your product.
If you have a PPO plan, you can see specialists without a referral, but your copay may be higher for out-of-network visits. Staying in-network saves you money.
Not sure which plan type you have? Look at your MVP ID card or call MVP member services at 1-800-777-4793. You can also call us at (646) 741-2111 and we will check your eligibility before you come in.
Bring your MVP card and a photo ID to your first appointment. The front desk can run an eligibility check and tell you what the plan reports, though an eligibility response is not a guarantee that a service will be paid.
Tips for MVP Members
Ask about generic medications. MVP maintains a formulary, which is a list of preferred drugs. When your provider writes a prescription, ask if there is a generic option on the MVP formulary. The price difference can be significant, and some tiers carry no copay at all.
Use your preventive care benefits. Federal rules require most employer plans to cover in-network annual physicals, routine blood work, and age-appropriate screenings at no cost to you. Many health problems surface in routine lab work before you notice any symptoms.
Ask about network status before you book. Staying in network is what keeps those costs down, so confirm with MVP which offices are in network for your product. Keeping your primary care and follow-up in one place also helps keep records, labs, and medication lists in one system.
Do not let your HMO referral expire. If your PCP writes a referral for a specialist visit, it typically has a time window. Book the appointment before it lapses so you do not need to go back for another referral.
Call (646) 741-2111 to schedule your first visit.
Before the visit
Confirm the exact plan, provider, and service
A plan name alone does not confirm payment. Use the member number on your current card to ask about the specific product and visit. An eligibility response is not a guarantee that a claim will be paid.
- Is Moses Medical in network for this exact product?
- Is the requested provider in network?
- Does the visit need a referral or authorization?
- What copay, deductible, or coinsurance may apply?
- Are lab work, imaging, and medications billed separately?
- What should you bring to the appointment?
Moses Medical care options
Review the visit that matches your concern, then ask your plan and the office about network participation, referrals, authorization, and coverage for that specific visit.
Two calls can prevent confusion
Call the member-services number on your card for benefit and network questions. Then call Moses Medical at (646) 741-2111 with your current card and the care option you need. Final payment depends on the plan's rules and how the visit is billed.
Need help choosing?
Start with the care option that fits your concern.
Browse care options or call the office. We can help narrow down the choices.
