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Health Plan Technology & Advisory | Convey Health Solutions LEADING INDUSTRY ADVISORY View preventive health checklist for older adults. 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 Welcome | Medicare Members | Univera Healthcare Univera SeniorChoice Advanced (HMO-POS) provides comprehensive coverage for the health care services you need, including: $360 copay (per day) for days 1-5, days 6+ are covered in full. How do I help a loved one find the right Medicare plan? Or, see the Evidence of Coverage using the link above. Convey | Demo Request - Convey Health Solutions 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. 284 0 obj
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Health Insurance Plans | Univera Healthcare Univera Healthcare is an HMO and PPO plan with a Medicare contract. Enrollment in Univera Healthcare depends on contract renewal. You dont have to manage health conditions alone. Optimize your business processes for operational success from a strategic and financial perspective. Preventive dental included in your plan with NO copay. Contact us today to speak with our Medicare Advantage experts. Submit a complaint about your Medicare plan at www.Medicare.gov or learn about filing a complaint by contacting the Medicare Ombudsman. Learn About Medicare | Univera Healthcare The intensity of competition within the MA marketplace commands health plans to consistently identify solutions that contribute to enrollment growth. Our technology + service solutions meet the specific challenges that you face when trying to provide an optimal member experience. Paying Your Monthly Premium Pay Your Bill The Univera Healthcare Advantage Our network of doctors and hospitals 10+ Years Administering the OTC Benefits Program. 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. Your account can be used to purchase over-the-counter (OTC) eligible items that help treat injuries or illness. 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. FIDELIS and FIDELIS CARE are trademarks of Centene Corporation, Non-Discrimination Notice and Language Assistance, Transparency in Coverage Machine Readable Files. Members receive an OTC benefit card with a pre-determined allowance for approved, health-related OTC products such as vitamins and minerals, diabetes care, and nutritional supplements. 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 Consulting services to health plans, health systems, specialty health organizations, and healthcare investors throughout the country, with exceptional expertise in the government-markets. Y0028_8829_M. Your plan benefits from one account manager, one reporting suite, one set of service level agreements, and consolidated billing. Get mental health support via in-person and telehealth visits, with a participating licensed therapist (20% coinsurance) and/or psychiatrist (specialist copay applies). From October 1 to March 31, you can call us 7 days a week from 8 a.m. to 8 p.m. From April 1 to September 30, you can call us Monday through Friday from 8 a.m. to 8 p.m. A messaging system is used after hours, weekends and on federal holidays. Forgot Username Forgot Password Sign In Frequently Asked Questions Registration Not Registered? Univera Healthcare is an HMO plan and PPO plan with a Medicare contract. Your account can be used to purchase over-the-counter (OTC) eligible items that help treat injuries or illness. If you enroll during AEP, your coverage will begin January 1st of the following year. .left-column
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. Login | Members | Univera Healthcare If you obtain routine care from Out-of-Network providers neither Medicare nor Univera Healthcare will be responsible for the costs. This page last updated 10-01-2022. Complete your enrollment during your Initial Enrollment Period. As health plans seek ways to expand and enhance their supplemental benefits, countless Medicare Advantage (MA) members are recognizing the value of their health plans OTC benefit as a highly useful and meaningful tool to help manage their health. Login Your Account Email/Customer ID Password Forgot Your Password? Terms of Use | Web Privacy Policy | Accessibility Statement. Submit a complaint about your Medicare plan at www.Medicare.gov or learn about filing a complaint by contacting the Medicare Ombudsman. As the market-leading provider of supplemental OTC benefit administration services, Convey delivers the solutions your members genuinely appreciate while helping to ensure your health plan's success. Review your current health care coverage to see what options you have after you turn 65. Every year, Medicare evaluates plans based on a 5-star rating system. preventive health checklist for older adults, comprehensive formulary and searchable medication database, Summary of Benefits with Multi-Language Flyer, $5/$30 Convey manages member experience, compliance, and utilization, so you can focus on your core competencies. Our supplemental benefits solutions (including our industry leading OTC program) increase competitiveness of your plan offering, create positive member experiences, and improve clinical outcomes for health plan beneficiaries. Annual Election Period for 2020 Coverage: October 15 December 7, including $0 premium plans andvision coverage without copays and, on most plans including 50+ frequently prescribed medications, like hearing aids, gym memberships, and no-cost preventive screenings, from Jamestown to Rochester and every Buffalo neighborhood in between, in network just choose the one closest to you, to urgent care, emergency care, and telemedicine visits by video conference or phone. Need information in a different format? You can use this account to purchase non-prescription, over . Convey Health Solutions is the vendor that Univera Healthcare is using to administer the Over the Counter Benefit. 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. You may be able to join or switch plans under special circumstances that grant a Special Election Period. membership &
Submit a Comment. OTC items may only be purchased by you for your own personal use. View Benefits & Coverage (Requires login) Disenrollment Rights & Responsibilities Give permission to access your health information Univera Healthcare is an HMO plan and PPO plan with a Medicare contract. $0 preventive care services, including annual wellness visit, cancer screenings, vaccines, and more. Find a Univera Healthcare Medicare plan that fits your needs and budget. 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. Conveys integrated, end-to-end OTC benefit administration solution for mail order, benefit card, and flex wallet programs. Gladys Gonzalez on March 1, 2022 at 6:54 pm thank you. View our. JavaScript seems to be disabled in your browser. Through our experience serving 3.5+ million plan members, we have the expertise needed to provide comprehensive, member-centric OTC services. We use cookies and other technologies to optimize site functionality, analyze website traffic, and share information with social media, advertising, and analytics partners. $50 allowance every three months for items such as allergy medication, antacids, digestive aids, cold & flu medication, denture products, and more. The point-of-sale Medicare OTC card is supported by Conveys Miramar technology and administrative services. See our Privacy Policy for how we use information. 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. endstream
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<. Forgot Password? Weve got you covered. For additional savings, ask your doctor for a 90-day supply of your medication and fill the prescription at a local pharmacy or through home delivery. Links marked with an (external site) icon indicate you're leaving UniveraHealthcare.com. See our Privacy Policy for how we use information. View our Privacy Policy for information on how we protect your privacy. As the market-leading provider of supplemental OTC benefit administration services, Convey delivers the solutions your members genuinely appreciate while helping to ensure your health plans success. Benefit Overview. Register now! 100% of hospitals and 97% of doctors in your community. Our nationwide network includes thousands of participating pharmacies. For most plans, you pay 1 copayment for a 30-day supply and 2 copayments for a 90-day supply. Starting in 2023, all Univera Healthcare Medicare plans include preventive and comprehensive dental coverage at no cost. 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. The Convey OTC benefit card solution is a focal point of our thoughtfully developed, member-centric OTC services. Submit a complaint about your Medicare plan at www.Medicare.gov or learn about filing a complaint by contacting the Medicare Ombudsman. Login | Medicare Members | Excellus BlueCross BlueShield COVID-19: Stay informed on vaccines, testing coverage and more Medicare Login Username Password Forgot Username? Optimize your business processes for operational success from a strategic and financial perspective. A prescription drug deductible may apply, check the Evidence of Coverage (EOC) for additional details. Specifically built to manage and support the supplemental benefits program, Miramar easily exchanges member data, enforces compliance, and allows for varying benefit designs. Login | Members | Univera Healthcare Member COVID-19: Stay informed on vaccines, testing coverage and more Member Login Username Password Forgot Username? Chat is available from Mon. In OTC form, these drugs are FDA approved and often equally effective as prescription drugs at 2023 Convey Health Solutions. Yes! When building the Medicare OTC card solution, we integrated member support services into every step of the process, just as we have for the other ordering channels. Improve your quality of life with our support. From Oct. 1 - March 31: Telehealth for care by telephone, email or chat. *Health plan members: Rather than submitting this form, we recommend you contact your health plan directly. Part D Prescriptions: $100 deductible, $0 for Tier 1 preferred generic drugs and vaccines at preferred pharmacies. hb```
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Partnering with a leading provider of supplemental OTC benefit administration services can deliver your plan and members with solutions that are genuinely appreciated, and help to ensure your health plans success. Higher copays apply for medications on Tiers 1-4 if a standard pharmacy is utilized. Call Customer Service toll-free at 1-877-883-9577 (TTY 711) 8 a.m. to 8 p.m. Monday - Friday. Products such as cold or allergy medications, compression socks, and sleep aids are available in store, and through our home delivery program. Eligible beneficiaries must use network pharmacies to access their prescription drug benefit, except under non-routine circumstances, and quantity limitations and restrictions may apply. The Convey OTC benefit card solution is a focal point of our thoughtfully developed, member-centric OTC services. Here are some resources to simplify the process and guide you along the way. Save money with lower copays on your Tiers 1-4 medications when you use one of our 35,000 preferred pharmacies. OTC Benefit Solutions has established an ten-year track record of success and member satisfaction in administering Mail Order OTC Benefit Programs to Medicare Advantage Health Plans. and get answers to the most common questions we hear about Medicare. As a focal point of Conveys thoughtfully developed member-centric OTC services, Conveys Medicare OTC card is a solution that will do just that. Our Star Rating is a testament to how hard we work to help support your health and wellness. Enrollment in our plans depends on contract renewal. 306 0 obj
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To the extent of any discrepancy between this web site and the Evidence of Coverage, the Evidence of Coverage terms take priority. membership &
Using Your Hearing Benefit. Find your Medicare Plan to learn about the other benefits available to you, such as over-the-counter allowances and Silver&Fit. Whether your looking for a plan on your own or would like help from an expert, we've got you covered. OUTSOURCING SOLUTIONS Our technology + service solutions meet the specific challenges that you face when trying to provide an optimal member experience. For out-of-network providers, we will pay 100% of the allowance or dentist charges, whichever is less. Sign In Sign in to access your over-the-counter benefit. Did you know you can make a one-time switch into a 5 Star Medicare Plan. Forgot Password? Copyright 2023 Univera Healthcare. For Plans 002, 004, and 008, you will use your Wellcare By Fidelis Care Member ID card. Univera Healthcare is an HMO plan and PPO plan with a Medicare contract. This product is not intended to diagnose, treat, cure, or prevent any disease. Log in to your member account 24/7 for your member card, coverage, claims, and more. hbbd```b``+@$S4dEddeM`7`2L^ .u@q2qD*ls D Put more money in your pocket. Create an online account to gain access to the benefits and extras that are part of your plan, and to connect with care. Eating healthy is easier than you think. Enrollment in Univera Healthcare depends on contract renewal. If you are encountering any difficulty accessing your account, please feel free to call our Customer Care Team at. Along with urgent and emergency care when you travel. Understand your options and learn more about your coverage. We provide everything needed to ensure the success of your supplemental OTC programs. Use of this site indicates your acceptance of our Terms of Use. We serve members in the following counties: Find a plan that works in your service area. by Convey Team | Feb 20, 2018 | 1 comment. Watch our Medicare Minute Videos to learn more about initial enrollment and working past 65. Login | Medicare Members | Univera Healthcare COVID-19: Stay informed on vaccines, testing coverage and more Medicare Login Username Password Forgot Username? Forgot Password? Any unused dollars at the end of your benefit period are not rolled over and cannot be used in following periods. 1-844-596-0345 Examples of what can be purchased using your OTC account are Acetaminophen (Tylenol), antacids, and topical antibiotics. We designed the Convey OTC benefit card program to help your MA beneficiaries make the most of their OTC benefitsto achieve or maintain wellness. Login | Medicare Members | Excellus BlueCross BlueShield 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. Speak with one of our Consultants today to see how our OTC Benefits Programs can promote better health for your member population. (In-network), Outpatient Hospital Coverage (In-network), Tier 1 Preferred Generic Drugs (Includes select vaccines). Health Plans for Self-Employed Individuals, Stay informed on vaccines, testing coverage and more. 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. When it comes to Medicare, sometimes you need to talk to someone face-to-face. . OTC Benefit Solutions: Supplemental Over The Counter Programs You have from 3 months before you turn 65 to 3 months after your birthday month to enroll. Y0028_8829_C. We support our point-of-sale OTC benefit card with Conveys Miramar technology and administrative services. Enrollment in Univera Healthcare depends on contract renewal. Y0028_8829_M. Plus, members have access to our 24/7 Nurse Call Line. All Rights Reserved. Take advantage of exclusive rewards and perks to get more from your plan. -Select who you are-MemberMedicare Member. Learn about Medicare Advantage and ask questions about plans and benefits from a Medicare expert. Non-Discrimination Notice and Language Assistance(PDF). .left-column
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How Can We Help You Elevate & Streamline Your MA/MAPD, PDP, EGWP Plan Operations? This page last updated 10-01-2022. Visit our. financial reconciliation, Compliant Debit Card & Flex Card Solutions, Specifically built to manage and support the, Personal emergency response systems (PERS). Sign up for our e-mail for the latest news & updates. CMS-Compliant OTC Services As the market-leading provider of supplemental OTC benefit administration services, we deliver the OTC solutions that members genuinely appreciate. Univera SeniorChoice Basic (HMO) | Univera Healthcare TTY: 711. Once youre enrolled in Medicare, you can change your Medicare coverage during the Annual Election Period from October 15 to December 7. Convey's integrated, end-to-end OTC benefit administration solution for mail order, benefit card, and flex wallet programs. Convey Health Solutions is a specialized Medicare technology company committed to compliant member management software and service solutions. As the market-leading provider of supplemental OTC benefit administration services, we deliver the OTC solutions that members genuinely appreciate. 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. Submit a complaint about your Medicare plan at www.Medicare.gov or learn about filing a complaint by contacting the Medicare Ombudsman. Univera Healthcare is an HMO and PPO plan with a Medicare contract. Log in, register for an account, pay your bill, print ID cards, and more. Convey manages member experience, compliance, and . Home | Medicare Members | Univera Healthcare www.conveyhealthsolutions.com 855-219-2578 BusinessSolutions@conveyhs.com THE CORNERSTONE OF MIRAMAR:BENEFITS CONVEY'S OVER-THE-COUNTER SOLUTION Convey Health Solutions ACCOMPLISH STRATEGIC SALES, CLINICAL, & MEMBER SATISFACTION GOALS WITH OTC CONVEY'S CMS-COMPLIANT OTC SOLUTION >Fully integrated mail, mobile, web & retail options available Save up to 33% on prescriptions when you use mail-order pharmacy. otc-catalog. To use your OTC benefits, choose one of the following ordering methods: Online: Visit the OTC Benefits website (powered by Convey Health) - registration required. 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) To help your loved one choose the best plan for them, youll need to know the answers to a few important questions. 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. OTC Health Solution | Services | Convey Health Solutions Create an Account View your Summary of Benefits and Coverage Find a doctor, estimate medical cost and track your deductible and spending Mail: Use the mail order form in the product catalog that was mailed to you. 2023 Convey Health Solutions. Use of this site indicates your acceptance of our Terms of Use. Specifically built to manage and support the supplemental benefits program, Miramar:OTC easily exchanges member data with client interfaces, empowering both advocates and members to navigate the OTC program with ease. Over-the-Counter Benefits - Fidelis Care Please contact us! Please call your health plan for assistance. 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. 0 comments. Take these important steps to learn about Medicare and see what you have to do now to prepare for enrollment. by Convey Team | Feb 17, 2021 | Articles, OTC, Medicare, Supplemental Benefits | The information you're accessing may not be provided by Univera Healthcare. View our Privacy Policy for information on how we protect your privacy. Why Should a Plan Offer an OTC Benefit Program? Out-of-network/non-contracted providers are under no obligation to treat Univera Healthcare members, except in emergency situations. Let's get started! Customer Login - Univera
