hbbd```b``+@$S4dEddeM`7`2L^ .u@q2qD*ls D Univera Healthcare is an HMO and PPO plan with a Medicare contract. How Can We Help You Elevate & Streamline Your MA/MAPD, PDP, EGWP Plan Operations? Western New York Deserves More from Medicare: Dont worry; were here to help every step of the way. . With the Silver&Fit Fitness Benefits Program you can join a participating fitness center for a $0 annual fee, workout from home with a home fit kit (1 kit / $0 annual fee), and access online digital workouts. Complete your enrollment during your Initial Enrollment Period. This collaboration should allow you as the payer to have a say in the OTC benefit card program design: the product selection that is available to your membership, the variety of benefit configurations you would like to implement, any disease-states that your organization would like to target and tailor to, and more. For out-of-network providers, we will pay 100% of the allowance or dentist charges, whichever is less. Find your Medicare Plan to learn about the other benefits available to you, such as over-the-counter allowances and Silver&Fit. We serve members in the following counties: Find a plan that works in your service area. They also benefit from one award-winning customer service center to coordinate it all. You may be able to join or switch plans under special circumstances that grant a Special Election Period. Consulting services to health plans, health systems, specialty health organizations, and healthcare investors throughout the country, with exceptional expertise in the government-markets. hb```
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Our experiences partnering with both regional and national programs have helped us develop an efficient systemthat allows us to create Custom Benefits Programs at any scale to meet and exceed the needs of both you and your members. to keep all your important information in one place. * These statements have not been evaluated by the Food and Drug Administration. JavaScript seems to be disabled in your browser. With our expertly designed program, we track utilization accurately so that you only pay for what the members use. -Select who you are-MemberMedicare Member. For example, if you turn 65 on July 4, you can enroll anytime between April 1 and October 31. Links marked with an (external site) icon indicate you're leaving UniveraHealthcare.com. OTC Benefit Solutions: Supplemental Over The Counter Programs Over-the-Counter Benefit Program Administration Design and create your custom 2022 OTC Benefit Catalog Program Create Your 2022 Program Add more to your Health Plan with a Custom Over The Counter Benefit Catalog Program. If you have any questions or are having difficulty accessing the site please call 1-833-331-1573.We experience high call volume the first and last weeks of the month. See how we can develop an OTC plan for you. Our local experts can guide you through the Medicare basics and answer any questions you have. To find out how your prescriptions are covered, check our comprehensive list of covered prescription drugs (also known as the formulary). As the market-leading provider of supplemental OTC benefit administration services, we deliver the OTC solutions that members genuinely appreciate. And with integration into our flex wallet program, members can have simplified access to more benefits than ever before! Our extensive expertise, powerful technology, and robust data analytics deliver integrated, end-to-end healthcare solutions to achieve meaningful results. Why Should a Plan Offer an OTC Benefit Program? Wellcare is the Medicare brand for Centene Corporation, an HMO, PPO, PFFS, PDP plan with a Medicare contract and is an approved Part D Sponsor. Register now ! Plus, we've added a $1,000 annual allowance for comprehensive dental. For hours and additional contact information please visit the Contact Us page. Your plan benefits from one account manager, one reporting suite, one set of service level agreements, and consolidated billing. Convey manages member experience, compliance, and . Watch our Medicare Minute Videos to learn more about initial enrollment and working past 65. You can use this account to purchase non-prescription, over . Our nationwide network includes thousands of participating pharmacies. Get care from the people and places you know and trust using our robust network of doctors, hospitals, and pharmacies. Enrollment in Univera Healthcare depends on contract renewal. Tv~Ln``$;@ \P
Find the best plan for you with Medicare, individual and family plan options. Also, consider your travel habits, prescription drug needs, and calculate your annual health care budget. Call: As a focal point of Conveys thoughtfully developed member-centric OTC services, Conveys Medicare OTC card is a solution that will do just that. Time-saving fitness tips for real people on the go. Using Your Hearing Benefit. The Convey OTC benefit card solution is a focal point of our thoughtfully developed, member-centric OTC services. The information you're accessing may not be Medicare-specific and/or provided by Univera Healthcare. preventive health checklist for older adults, comprehensive formulary and searchable medication database, Summary of Benefits with Multi-Language Flyer, $5/$30 To the extent of any discrepancy between this web site and the Evidence of Coverage, the Evidence of Coverage terms take priority. The point-of-sale Medicare OTC card is supported by Convey's Miramar technology and administrative services. 10+ Years Administering the OTC Benefits Program. Create an Account View your Summary of Benefits and Coverage Find a doctor, estimate medical costs and track your deductible and spending View and order your member card Share this, If youre a caregiver for a loved one, we have resources that can support you. Out-of-network/non-contracted providers are under no obligation to treat Univera Healthcare members, except in emergency situations. This page last updated 10-01-2022. **Free shipping can only be fulfilled within the 48 contiguous United States (excludes recipients of Alaska, Hawaii, and other US territories). Closed Thanksgiving Day, Christmas Eve, Christmas Day, New Years Eve, and New Years Day See our Privacy Policy for how we use information. Log in, register for an account, pay your bill, print ID cards, and more. You can use this account to purchase non-prescription, over-the-counter drugs and many commonhealth-related items at local pharmacies without having to submit a receipt. Who is Convey Health Solutions? Comprehensive dental included in ALL plans with $1,000 annual allowance Quarterly OTC benefit Free routine hearing exams Free Gym Membership benefit Access to 100% of local hospitals, 99% of local physicians, so you can keep your doctor Telehealth services by video conferencing or phone $0 SeniorChoice Extra (HMO) The Importance of Offering an OTC Benefit during the COVID-19 Crisis, CMS Implements Supplemental Benefits for Chronically Ill Medicare Advantage Enrollees, The Importance of Utilization Reporting in the Over-the-Counter Benefit. Please contact us! Choose from retail, home delivery, long-term care, specialty, home infusion, or Indian/Tribal/Urban pharmacies. Use of this site indicates your acceptance of our Terms of Use. See how we're making maternal health a priority in our community. Learn More Dedicated to Solving Healthcare Challenges 9 of the Top 10 Health Plans are Convey Clients 20 Years in Business 3,000 Employees 19% MA Lives Served 2.2+ Billion Transactions To use your OTC benefits, choose one of the following ordering methods: Online: Visit the OTC Benefits website (powered by Convey Health) - registration required. Each year, Medicare plans earn ratings on a one-to-five scale, with one star representing poor performance and five stars representing the highest quality rating a health plan can earn. Helping a friend or family member as they navigate Medicare enrollment or switch plans can be overwhelming. 284 0 obj
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Speak with one of our Consultants today to see how our OTC Benefits Programs can promote better health for your member population. This benefit covers 100% of preventive dental services, like cleanings, x-rays, and bitewings, as well as more extensive services like restorative care or major procedures up to a $1,000 annual allowance. Or, see the Evidence of Coverage using the link above. Health Plans for Self-Employed Individuals, Stay informed on vaccines, testing coverage and more. For information on how to request reimbursement for Out-of-Network claims from emergency, urgent or other services, or Coverage Determinations and Appealscall Customer Care at1-877-883-9577 (TTY 711), Monday - Friday, 8 a.m. to 8 p.m. From October 1 through March 31, 8 a.m. to 8 p.m., 7 days a week. Submit a complaint about your Medicare plan at www.Medicare.gov or learn about filing a complaint by contacting the Medicare Ombudsman. LEADING INDUSTRY ADVISORY Improve your quality of life with our support. Our D-SNP plans have a contract with the state Medicaid program. Convey Health Solutions is the vendor that Univera Healthcare is using to administer the Over the Counter Benefit. .left-column
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At Convey, customer support and engagement are at the heart of our services and we have always put the best interests of our members first, Murray said. OTC items may only be purchased by you for your own personal use. To learn more about Conveys Medicare OTC card and our complete suite of supplemental benefits programs from a solution expert, hbspt.cta._relativeUrls=true;hbspt.cta.load(4332662, '11d72886-3898-4181-bcdb-162cb1a375da', {"useNewLoader":"true","region":"na1"}); Implement a Valuable Medicare OTC Card Program, A fully compliant and configurable multi-channel OTC solution to meet health plans requirements, A choice for members from five integrated purchasing methods for ease of access: online, phone, mobile app, mail-in form, and in-store OTC product purchasing, Expanded service offerings that include seamless benefits management, transaction activity and account balance assistance, and enhanced mobile and web capabilities, Support from the #1 VISA global payments processor for secure, real-time updates, Access to retail locations within an average of 10 miles from members homes, A solution that is part of larger concierge supplemental benefits and flex wallet programs. Conveys purpose-built solution and services support the OTC benefit card platform in concert with our other ordering channelsin place since we began administering this program in 2008. If you are encountering any difficulty accessing your account, please feel free to call our Customer Care Team at 877-627-4787 anytime from 6am - 5pm PST Monday - Friday, or email us directly at customercare@newunivera.com Create an online account to gain access to the benefits and extras that are part of your plan, and to connect with care. Convey manages member experience, compliance, and utilization, so you can focus on your core competencies. All Rights Reserved. Y0028_8829_C. We support our point-of-sale OTC benefit card with Conveys Miramar technology and administrative services. Call1-800-671-6081(TTY 711) for more information. Submit a Comment. Take advantage of exclusive rewards and perks to get more from your plan. Network Coverage Information- With our Medicare Advantage Health Maintenance Organization (HMO) plans you must use plan providers except in emergency or urgent care situations or for out-of-area renal dialysis or other services. Use of this site indicates your acceptance of our Terms of Use. See our Privacy Policy for how we use information. financial reconciliation, Specifically built to manage and support the, Integrated retail, debit card solution with strong focus on compliance, HITRUST certification for information security, Integrated OTC benefits: A Prescription for Customer Satisfaction. **For Plans 001 and 003, Convey provides mail order service. Preventive dental included in ALL plans with. Explore our mail order, benefit card, mobile, and web solution. Enrollment in Univera Healthcare depends on contract renewal.Submit a complaint about your Medicare plan atwww.Medicare.govor learn about filing a complaint by contacting the Medicare Ombudsman. 1-877-406-4823 (TTY: 711), Open Monday-Friday 8 a.m. 8 p.m. To chat with a licensed agent, click the blue chat box on the screen. Preventive dental included in your plan with NO copay. Wellcare By Fidelis Care offers members a pre-paid account that is automatically replenished on either a monthly or quarterly basis depending on your plan. Save up to 33% on prescriptions when you use mail-order pharmacy. The point-of-sale Medicare OTC card is supported by Conveys Miramar technology and administrative services. Convey Health Solutions is a specialized Medicare technology company committed to compliant member management software and service solutions. Chat is available from Mon. Select Your CountySelect your County - Select Your County -AlleganyCattaraugusChautauqua CentralNorthSouth GeneseeNiagaraOrleansWyoming, Speak with one of our dedicated Medicare Sales Advisors. Links marked with an (external site) icon indicate you're leaving the Medicare portion of UniveraHealthcare.com. Enrollment in Univera Healthcare depends on contract renewal. by Convey Team | Feb 20, 2018 | 1 comment. Forgot Password? .left-column
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View our Privacy Policy for information on how we protect your privacy. The Convey OTC benefit card solution is a focal point of our thoughtfully developed, member-centric OTC services. The over the counter benefit provides Medicare members the opportunity to purchase over the counter items from a select catalog using an allowance that is given to them each quarter. Advisors are also available weekends 8 a.m. to 8 p.m. Visit our. Understand your options and learn more about your coverage. Submit a complaint about your Medicare plan at www.Medicare.gov or learn about filing a complaint by contacting the Medicare Ombudsman. MA beneficiaries receive Conveys award-winning customer service throughout their supplemental benefits experience. Health plans that are seeing higher utilization of their OTC benefit program are also reporting improved member health, satisfaction, and reductions in costs of care, said Melissa Murray, Convey vice president of operations. Select plans also offer a $500 flex card to use toward out-of-pocket dental, hearing, or vision expenses. From Oct. 1 to Dec. 31, representatives also are available weekends from 8 a.m. to 8 p.m. Join us for a Medicare Seminar to learn more and let us help you choose the right plan. Convey manages member experience, compliance, and utilization, so health plans can focus on their core strategies. (In-network), Outpatient Hospital Coverage (In-network), Tier 1 Preferred Generic Drugs (Includes select vaccines). Get recipes and nutritional tips to prep your next meal. Eating healthy is easier than you think. Learn about Medicare Advantage and ask questions about plans and benefits from a Medicare expert. by Convey Team | Feb 17, 2021 | Articles, OTC, Medicare, Supplemental Benefits | Your members leverage one debit card for access to all integrated benefits and merchants via in-store purchases, home delivery, curbside pickup, and in-office transactions. Starting in 2023, all Univera Healthcare Medicare plans include preventive and comprehensive dental coverage at no cost.
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