Prescription Drug Coverage

Manage your medications with savings and convenience.

Part D Prescription Drug Coverage

UVM Health Advantage plans include Part D prescription drug coverage, making it easy to manage your prescription needs and expenses with one health plan.

View UVM Health Advantage’s 2023 Medicare Part D formulary (list of covered drugs) (PDF) (Updated 10/1/22)

$0 Preferred Generic Drugs

Tier 1 of the Formulary, Preferred Generic Drugs, covers commonly used generic medications at no additional cost. Talk to your doctor to see if these medications may be right for you.

Important Message About What You Pay for Vaccines

Our plan covers most Part D vaccines at no cost to you, even if you haven’t paid your deductible.

Important Message About What You Pay for Insulin

You won’t pay more than $35 for a one-month supply of each insulin covered by our plan, no matter what cost-sharing tier it’s on, even if you haven’t paid your deductible.

Convenient Pharmacy Access

With UVM Health Advantage, you have access to thousands of participating pharmacies, including UVMMC Specialty Pharmacy and Retail Pharmacy and all major pharmacy chains. Just show your Member ID card any time you fill a prescription. Prescriptions filled at non-contracted pharmacies are covered only in certain situations.

Find a pharmacy near you

View MVP’s 2023 Medicare Advantage Pharmacy Directory (PDF)

Free Home Delivery (and Extra Savings)

Take advantage of savings on prescriptions you take regularly with the CVS Caremark Mail Service Pharmacy. Get a three-month supply of medication for only two co-pays. Shipping is free!

SimpleDose and PillPack Make Medications Simpler

Get 30-day supplies of eligible medications prepared in one easy box, and sorted and labeled by dose, day and when to take. Take advantage of SimpleDose from CVS Pharmacy®, available for pick-up from your local CVS store or sent to your home for free. PillPack is also available with free shipping to your home.

Personalized, Convenient Medication Support with UVM Medical Center Specialty and Retail Pharmacy

The pharmacy team at UVM Medical Center will work closely with your doctors and nurses to provide you a personalized and convenient experience with delivery right to your home! With UVM Medical Center, your medications will be renewed with ease and prescriptions can even be synced so that they all renew together. Plus if you have one or more prescriptions at another pharmacy, they will coordinate and transfer them for you. All delivered right to your door!

UVM Health Advantage 2023 Medicare Part D Coverage Details

Initial Coverage Period

Download details on costs for a 30-day supply from a retail pharmacy. Costs vary by plan.

Coverage in the Gap

If your total drug costs in 2022 reach $4,430, you enter the Coverage Gap you pay 25% for generic drugs and 25% for Medicare-contracted brands in the Gap.

Reaching the $7,400 Catastrophic Coverage Limit in 2023:

If your true out-of-pocket costs reach $7,400 in 2023, your cost for prescriptions is reduced. You pay the greater of 5% or $4.15 for generics and $10.35 for brand-name drugs.

Note: If you do not join a Medicare Part D plan when you first become eligible for Medicare, or do not have coverage as good as Medicare’s, you may have to pay a penalty if you join at a later date. This penalty will apply for as long as you are enrolled in Part D coverage. Learn more.

View UVM Health Advantage’s 2023 Medicare Part D formulary (list of covered drugs) (PDF) (Updated 10/1/22)

Find out how your drug is covered.

Help With Drug Costs

You may be eligible for certain state and federal programs that reduce your monthly prescription drug premium or co-pays.

Low Income Subsidy
To see if you qualify, call 1-800-MEDICARE (1-800-633-4227) 24 hours a day, seven days a week. Or call the Social Security Office at 1-800-772-1213 Monday–Friday, 7 a.m.–7 p.m. (TTY 1-800-325-0778). You can also call your state Medicaid office.

Pharmaceutical Assistance Programs
To ask if you qualify, call:

Vermont VPharm
(Vermont Prescription Assistance)
1-800-250-8427 (TTY 1-888-834-7898)

New York State EPIC
(Elderly Pharmaceutical Insurance Coverage)
1-800-332-3742 (TTY 1-800-290-9138)

Learn more about UVM Health Advantage Medicare plans:

Request a UVM Health Advantage Plan Benefit Kit!

Get benefit details, compare plans and more when you request your FREE Plan Benefit kit now.

Get the Kit

Meet With Us!

Our UVM Health Advantage Plan Guides will meet with you on your terms – in person, by phone or videoconference.

Schedule a Meeting
UVM Health Advantage Plan Guides

UVM Health Advantage Plan Guides are here to help.

Get expert guidance to help you understand your options, find the right plan and make sure your transition to your new plan goes smoothly with no disruption to your care.

1-833-368-4592 (TTY 711)

Seven days a week, 8 a.m.-8 p.m. Eastern Time
April 1-September 30, Monday-Friday, 8 a.m.-8 p.m.

UVM Health Advantage plans are insured and
administered by MVP Health Care®.

MVP Health Care offers Medicare Advantage plans in the following counties: Vermont- Addison, Bennington, Caledonia, Chittenden, Essex, Franklin, Grand Isle, Lamoille, Orange, Orleans, Rutland, Washington, Windham, and Windsor counties. New York - Clinton, Essex, Franklin, Hamilton, and St. Lawrence counties.

MVP Health Plan, Inc. is an HMO-POS/PPO/MSA 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. Every year, Medicare evaluates plans based on a 5-star rating system. 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. Regulatory restrictions may apply. For accommodations of persons with special needs at meetings call, 1-833-825-5886 (TTY 711).

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). Every year, Medicare evaluates plans based on a 5-star rating system. Other physicians/providers are available in the MVP Health Care network.

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.

SilverSneakers is a registered trademark of Tivity Health, Inc. SilverSneakers On-Demand is a trademark of Tivity Health, Inc. ©2022 Tivity Health, Inc. All rights reserved. GetSetUp is a third-party provider and is not owned or operated by Tivity Health, Inc. ("Tivity") or its affiliates. Users must have internet service to access online services. Internet service charges are responsibility of user.

All content ©2022 TruHearing, Inc. All Rights Reserved. TruHearing® and (RE)TM are trademarks of TruHearing, Inc. All other trademarks, product names, and company names are the property of their respective owners. Retail pricing based on prices for comparable aids. Follow-up provider visits incuded for one year following hearing aid purchase. Free battery offer is not applicable to the purchase of rechargable hearing aid models. Three-year warranty includes repairs and one-time loss and damage replacement. Hearing aid repairs and replacements are subject to provider and manufacturer fees. For questions regarding fees, contact a TruHearing hearing consultant.

MVP Health Care complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex (including sexual orientation and gender identity).

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1 844 946 8010 (TTY 711). 注意:如果您使用繁體中文,您可以免費獲得語言援助服務。請致電 1-844-946-8010 (TTY 711).

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Last updated: 10/1/2021