MVP PPO $25
PA015 w/515S Rx
The MVP PPO $25 plan is a comprehensive PPO plan design allowing members the flexibility to seek care from in-network providers nationwide without ever needing a referral. Or, access out of network care with higher member cost sharing.

Key benefits include:
  • $25 Copay for all primary and specialty care office visits
  • $25 Copay for all physical, occupational and speech therapy visits
  • $25 Copay for mental health and substance abuse office visits
  • $500 hospital copay for first admission only
  • Preventive care (i.e. Well Child, Screening Mammography, Annual Adult Physical) covered in full.
  • $10/30/50 Unlimited Prescription Drug Plan


Visit the Plan Options section to view a more detailed benefit summary of this plan option.