Need More Information?
 
 
 
 
Mid-Central Albany Region - Effective July 1, 2017

 
Contact the Benefits Administrator at your school if you do not know which Plan you have.
 
Summary Plan Description is the legal document outlining the complete plan offerings through NY44 Health Benefits Plan Trust. Please note, in the case of discrepancies between the information on the NY44 Health Trust website and the Board-approved Summary Plan Description, the Summary Plan Description is primary.
 
Summary of Benefits and Coverage provides standard information about the plan.

Pharmacy Formulary lists the pharmacy tiers for brand name and generic drugs.
 

Mid-Central Albany - MVP Health Care

 Traditional Plan
- aka Option A
Core Plan
- aka Option B 
Progressive Plan 
 Summary Plan Descriptions (SPD)SPD
SPD
SPD
 Summary Benefits of Coverage (SBC)
 Pharmacy Tiers 1/2/3 $0 / $15 / $30 $5 / $25 / $60 $5 / $40 / $75
 Pharmacy Mail Order90 day supply, 2.5 copayment
Mail Order Link
 Formulary Formulary Link
 
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