MVP Medicare Preferred Gold without Part D (HMO-POS) Medicare Advantage Plan H3305-007 • 2027 • Ontario County, NY
- Monthly Premium
- $0.00Plus Part B premium.
- Medical Deductible
- $0.00
- Maximum Out-of-Pocket
- $7200.00In-network
- Part B Giveback
- Not offered
- Prescription Coverage
- Not Included
- Additional Benefits
- Dental, Vision, Hearing
- Service Area
- Ontario County, NY
- Local Enrollment
- 51 beneficiaries in Ontario County
MVP Medicare Preferred Gold without Part D (HMO-POS) Introduction
MVP Medicare Preferred Gold without Part D is a Medicare Advantage HMO-POS plan offered by MVP HEALTH CARE. It uses a Health Maintenance Organization with a Point of Service (HMO-POS) provider network and comes without prescription drug coverage. For the 2027 plan year it has a $0.00 monthly premium, $0.00 medical deductible, and $7200.00 in-network maximum out-of-pocket. CMS Plan ID H3305-007 identifies this plan.
You must live in Ontario County, New York to enroll in this plan. CMS reports 51 beneficiaries enrolled in this plan in Ontario County. For assistance with this plan, new members can call (800)324-3899 (TTY 711).
Compare Similar Plans in Ontario County
Compare this plan with the two most-enrolled HMO-POS plans available in Ontario County, New York. Enrollment is based on CMS local enrollment data.
| Plan Detail | MVP Medicare Preferred Gold without Part D | Medicare Blue Choice Prime | MVP Medicare Preferred Gold with Part D |
|---|---|---|---|
| CMS Plan ID | H3305-007-0 |
H3351-023-0 |
H3305-015-0 |
| Local Enrollment | 51 | 2,499 | 340 |
| Monthly Premium | $0.00 | $89.80 | $277.00 |
| Medical Deductible | $0.00 | $0.00 | $0.00 |
| Maximum Out-of-Pocket | $7,200.00 | $8,000.00 | $6,800.00 |
| Part B Giveback | Not offered | Not offered | Not offered |
| Primary Care | $0 copay | $5 copay | $0 copay |
| Specialist | $30 copay | $40 copay | $40 copay |
| Part D Deductible | Not Applicable | $700.00 | $400.00 |
| CMS Star Rating | 3.5 | 4.0 | 3.5 |
| Dental | $0 copay | $0 copay | $0 copay |
| Vision | $0 copay | $0 copay | $0 copay |
| Hearing | $0 copay | $0 copay | $0 copay |
Want to explore more options? Browse all Medicare Advantage plans in Ontario County, or compare Medicare Advantage plans across New York, including premiums, out-of-pocket costs, CMS ratings, and enrollment.
Plan Benefits
Cost-sharing for MVP Medicare Preferred Gold without Part D includes out-of-pocket expenses for covered healthcare services. The following tables provide a summary of typical in-network out-of-pocket costs for plan H3305-007.
You can also compare 2027 costs and coverage with last year, side-by-side: Plan H3305-007-0 Cost Compare.
Office Visits
- Primary care
- In-network: $0 copay
Out-of-network: 30% coinsurance - Specialist
- In-network: $30 copay
Out-of-network: 30% coinsurance
Preventive and Wellness Services
- Annual wellness exam
- In-network: $0 copay
- Telehealth benefit
- In-network: $0 copay
- Routine chiropractic
- Not covered
- Fitness benefits
- Coming soon
- Health education
- In-network: $0 copay
- Counseling services
- Not covered
- Over-the-counter drug benefits
- In-network: $0 copay
- Health transportation (non-emergency)
- Coming soon
Diagnostic, Lab, and Imaging Services
- Diagnostic radiology services
- In-network: $30-$100 copay
Out-of-network: 30% coinsurance - Lab services
- In-network: $0 copay
Out-of-network: 30% coinsurance - Outpatient x-rays
- In-network: $30 copay
Out-of-network: 30% coinsurance - Diagnostic tests and procedures
- In-network: $10 copay
Out-of-network: 30% coinsurance
Emergency and Urgent Care Services
- Emergency room care
- $115 copay
- Worldwide emergency care
- Coming soon
- Urgent care
- $40 copay
- Inpatient hospital care
- In-network:
Tier 1
$375 per day for days 1-5
$0 per day for days 6-90
$0 per stay
Out-of-network:
30% per stay - Skilled Nursing Facility
- In-network:
Tier 1
$0 per day for days 1-20
$221 per day for days 21-100 - Ground ambulance
- In-network: $200 copay
Out-of-network: $200-$300 copay
Mental Health Services
- Outpatient individual therapy
- In-network: $30 copay
- Outpatient group therapy
- In-network: $30 copay
- Inpatient psychiatric hospital care
- In-network:
Tier 1
$375 per day for days 1-5
$0 per day for days 6-90
$0 per stay
Out-of-network:
30% per stay
Rehabilitation Services
- Physical therapy and speech and language therapy
- In-network: $20 copay
Out-of-network: 30% coinsurance - Occupational therapy
- In-network: $20 copay
Out-of-network: 30% coinsurance
Medical Equipment and Supplies
- Diabetes supplies
- In-network: $0 copay
- Durable medical equipment
- In-network: 20% coinsurance
Out-of-network: 30% coinsurance - Prosthetics
- In-network: 0%-20% coinsurance
Out-of-network: 30% coinsurance
Medicare Part B Drugs
- Chemotherapy
- In-network: 0%-20% coinsurance
- Other Part B drugs (Medicare-covered)
- In-network: 0%-20% coinsurance
Dental Services
- Oral exam
- In-network: $0 copay
- Dental x-rays
- In-network: $0 copay
- Cleaning
- In-network: $0 copay
- Periodontics
- In-network: $0 copay
- Endodontics
- In-network: $0 copay
- Restorative services
- In-network: $0 copay
- Implant services
- Not covered
- Orthodontics
- Not covered
- Oral/Maxillofacial surgery
- In-network: $0 copay
Vision Services
- Routine eye exam
- In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance - Contact lenses
- In-network: $0 copay
- Eyeglass frames only
- In-network: $0 copay
- Eyeglass lenses only
- In-network: $0 copay
- Eyeglasses (frames & lenses)
- In-network: $0 copay
- Upgrades
- In-network: $0 copay
Hearing Services
- Hearing exam
- In-network: $0 copay
- Fitting/evaluation
- In-network: $0 copay
- Prescription hearing aids
- In-network: $699-$999 copay
- OTC hearing aids
- Not covered
Additional and Special Needs Services
- Adult day health services
- Not covered
- Home-based palliative care
- Not covered
- Personal emergency response system
- Coming soon
- Weight management programs
- Not covered
- Wigs for chemotherapy-related hair loss
- Coming soon
- Alternative therapies
- Not covered
- Massage therapy
- Not covered
- Home/bathroom safety devices
- Not covered
Certain preventive services are covered 100% by MVP Medicare Preferred Gold without Part D as a Part B benefit.
Prescription Drug Coverage
This plan does not include a Medicare Part D plan for prescriptions.
CMS 5-Star Performance Ratings (Contract ID: H3305)
The Centers for Medicare & Medicaid Services (CMS) rates Medicare Advantage (Part C) and Part D prescription drug plans each year using a 5-star system. These ratings measure plan performance in areas such as preventive care, management of chronic conditions, and member experience.
| CMS Measure | Star Rating |
|---|---|
| 2027 Overall Rating | |
| Staying Healthy: Screenings, Tests, Vaccines | |
| Managing Chronic (Long Term) Conditions | |
| Member Experience with Health Plan | |
| Complaints and Changes in Plans Performance | |
| Health Plan Customer Service | |
| Drug Plan Customer Service | |
| Complaints and Changes in the Drug Plan | |
| Member Experience with the Drug Plan | |
| Drug Safety and Accuracy of Drug Pricing |
Contact Information for MVP HEALTH CARE
- Website
- MVP HEALTH CARE Plan Page
- Providers
- MVP HEALTH CARE Providers Page
- Formulary
- MVP HEALTH CARE Formulary Page
- Pharmacy
- MVP HEALTH CARE Pharmacy Page
- New Member Health Plan Help
- (800)324-3899
- New Member Health Plan TTY
- 711
Enrollment status and eligibility information are available through the Social Security Administration. Additional information about Medicare Advantage is available at Medicare.gov.
Medicare Advantage Plan Availability
MVP Medicare Preferred Gold without Part D is available to eligible Medicare beneficiaries residing in Ontario County, New York, including communities such as Canandaigua, Farmington, Clifton Springs, Geneva, Bloomfield, Honeoye, Manchester, Naples, Phelps, Shortsville, Stanley, Victor, and other areas throughout the county. Enrollment eligibility is based on county of residence, not city.
Medicare Plan Data Sources and Methodology
| Data Source | Publisher | Last Accessed |
|---|---|---|
| Landscape Source Files | Centers for Medicare & Medicaid Services | October 5, 2026 |
| Medicare Part C & D Performance | Centers for Medicare & Medicaid Services | October 5, 2026 |
| Plan Benefits Package | Centers for Medicare & Medicaid Services | October 5, 2026 |
| Monthly Enrollment by Contract/Plan/State/County | Centers for Medicare & Medicaid Services | October 5, 2026 |
Data sources and methodology documentation.
| Publisher | Reference | Last Accessed |
|---|---|---|
| MVP HEALTH CARE (official source) | http://www.mvphealthcare.com/plans/medicare | October 4, 2026 |
| Medicare.gov | Compare types of Medicare Advantage Plans | 25 May, 2025 |
| NCOA.org | 5 Steps to Choosing the Right Medicare Plan for You | 25 May, 2025 |
| Medicare.gov | Your coverage options | 25 May, 2025 |
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