Our D-SNP plans have a contract with the state Medicaid program. 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. 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. FIDELIS and FIDELIS CARE are trademarks of Centene Corporation, Non-Discrimination Notice and Language Assistance, Transparency in Coverage Machine Readable Files. and check to see if your prescriptions are covered. Copyright 2023 Univera Healthcare. 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 Save up to 33% on prescriptions when you use mail-order pharmacy. Y0028_8829_C. Out-of-network/non-contracted providers are under no obligation to treat Univera Healthcare members, except in emergency situations. CMS-Compliant OTC Services As the market-leading provider of supplemental OTC benefit administration services, we deliver the OTC solutions that members genuinely appreciate. .left-column
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If you obtain routine care from Out-of-Network providers neither Medicare nor Univera Healthcare will be responsible for the costs. 1 Comment. Need information in a different format? 100% of hospitals and 97% of doctors in your community. 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. With the OTC debit card, Conveys flexible card solution can aggregate and support nearly all supplemental benefits (50 purses). - Thurs. I would like to receive emails from Univera Healthcare, such as Wellness and Health newsletters and more. See our Privacy Policy for how we use information. Advisors are also available weekends 8 a.m. to 8 p.m. Benefit Overview. Review your current health care coverage to see what options you have after you turn 65. Over-the-Counter Benefit Program Administration. Login | Medicare Members | Univera Healthcare Western New York Deserves More from Medicare: Dont worry; were here to help every step of the way. 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 Additionally, Univera Healthcare has contracts with pharmacies that equal or exceed the CMS requirements for pharmacy access in your area. Were here for you with helpful online tools and a support team that has your back. 2023 Convey Health Solutions. Customer Login - Univera Submit a Comment. Your account can be used to purchase over-the-counter (OTC) eligible items that help treat injuries or illness. 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. 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. 306 0 obj
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Our 5 Tier comprehensive formulary and searchable medication database will help you determine if your prescription drug is covered by the Plan or if any utilization edits apply, such as prior authorization or step therapy. 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. How Can We Help You Elevate & Streamline Your MA/MAPD, PDP, EGWP Plan Operations? In OTC form, these drugs are FDA approved and often equally effective as prescription drugs at 2023 Convey Health Solutions. 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. 0 comments. Please contact us! Visit our. Log into your account, view patient information, and more. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services. Get care from the people and places you know and trust using our robust network of doctors, hospitals, and pharmacies. Please call your health plan for assistance. Enrollment in our plans depends on contract renewal. Eligible beneficiaries must use network pharmacies to access their prescription drug benefit, except under non-routine circumstances, and quantity limitations and restrictions may apply. 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. Your members receive our award-winning customer service every step of the way. 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. Find your Medicare Plan to learn about the other benefits available to you, such as over-the-counter allowances and Silver&Fit. financial reconciliation, Compliant Debit Card & Flex Card Solutions, Specifically built to manage and support the, Personal emergency response systems (PERS). 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. See how we can develop an OTC plan for you. To see which stores participate, check withyour OTC partner. 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. Paying Your Monthly Premium Pay Your Bill The Univera Healthcare Advantage Our network of doctors and hospitals Let's get started! Call1-800-671-6081(TTY 711) for more information. by Convey Team | Feb 17, 2021 | Articles, OTC, Medicare, Supplemental Benefits | 1-844-596-0345 Contact us today to speak with our Medicare Advantage experts. Login | Medicare Members | Excellus BlueCross BlueShield membership &
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 help your loved one choose the best plan for them, youll need to know the answers to a few important questions. Did you know you can make a one-time switch into a 5 Star Medicare Plan. You dont have to manage health conditions alone. 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. Working with our technology team to properly maintain our operations and IT systems (HIPAA, PHI, PCI, Privacy and Security), our compliance team focuses on upholding all regulatory requirements, Jonathan Starr, Executive Vice President for Convey Health Solutions. You may be able to join or switch plans under special circumstances that grant a Special Election Period. As a focal point of Conveys thoughtfully developed member-centric OTC services, Conveys Medicare OTC card is a solution that will do just that. To use your OTC benefits, choose one of the following ordering methods: Online: Visit the OTC Benefits website (powered by Convey Health) - registration required. We provide everything needed to ensure the success of your supplemental OTC programs. Watch our Medicare Minute Videos to learn more about initial enrollment and working past 65. All Rights Reserved. Simply implementing an OTC debit card for your member to use is not enough in this competitive market. 2023 CMS Medicare Star Rating. Sign up for our e-mail for the latest news & updates. View our Medicare Advantage Timeline to learn more. Specifically built to manage and support the supplemental benefits program, Miramar easily exchanges member data, enforces compliance, and allows for varying benefit designs. Our local experts can guide you through the Medicare basics and answer any questions you have. Login | Medicare Members | Univera Healthcare COVID-19: Stay informed on vaccines, testing coverage and more Medicare Login Username Password Forgot Username? Beneficiaries receive white glove customer service from our dedicated teams.. LEADING INDUSTRY ADVISORY OTC Benefit Solutions: Supplemental Over The Counter Programs Welcome | Medicare Members | Univera Healthcare hbbd```b``+@$S4dEddeM`7`2L^ .u@q2qD*ls D Univera Healthcare is an HMO plan and PPO plan with a Medicare contract. For hours and additional contact information please visit the Contact Us page. By clicking on these links, you will leave the Fidelis Care website. .left-column
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. You have from 3 months before you turn 65 to 3 months after your birthday month to enroll. Products such as cold or allergy medications, compression socks, and sleep aids are available in store, and through our home delivery program. Wellcare ByFidelis Care offers members a pre-paid account that is automatically replenished on either a monthly or quarterly basis depending on your plan. A prescription drug deductible may apply, check the Evidence of Coverage (EOC) for additional details. Put more money in your pocket. Convenient ordering via mail, phone, or online makes getting products to your members easy. Login | Medicare Members | Excellus BlueCross BlueShield COVID-19: Stay informed on vaccines, testing coverage and more Medicare Login Username Password Forgot Username? See how we're making maternal health a priority in our community. $0 preventive care services, including annual wellness visit, cancer screenings, vaccines, and more. **Free shipping can only be fulfilled within the 48 contiguous United States (excludes recipients of Alaska, Hawaii, and other US territories). Convey Health Solutions is the vendor that Univera Healthcare is using to administer the Over the Counter Benefit. Supported by both our Miramar technology and administrative services, we provide a proven OTC benefits program thatreduces the burden, and expense, from your team having to support the programallowing you to focus on your core competencies. Understand your options and learn more about your coverage. View our Privacy Policy for information on how we protect your privacy. For the best experience on our site, be sure to turn on Javascript in your browser. 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. Find a Univera Healthcare Medicare plan that fits your needs and budget. Univera Healthcare is an HMO plan and PPO plan with a Medicare contract. endstream
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<. If you enroll during AEP, your coverage will begin January 1st of the following year. 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. The information you're accessing may not be provided by Univera Healthcare. 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 Star Ratings are released annually and are based on member satisfaction, plan details, and overall performance. Choose from retail, home delivery, long-term care, specialty, home infusion, or Indian/Tribal/Urban pharmacies. The intensity of competition within the MA marketplace commands health plans to consistently identify solutions that contribute to enrollment growth. For most plans, you pay 1 copayment for a 30-day supply and 2 copayments for a 90-day supply. 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. Whether your looking for a plan on your own or would like help from an expert, we've got you covered. 8 a.m. to 8 p.m. This page last updated 10-01-2022. $50 allowance every three months for items such as allergy medication, antacids, digestive aids, cold & flu medication, denture products, and more. Univera SeniorChoice Advanced (HMO-POS) | Univera Healthcare Implement a Valuable Medicare OTC Card Program - Convey Health Solutions Enrollment in Univera Healthcare depends on contract renewal. OTCHS Login - CVS Pharmacy This product is not intended to diagnose, treat, cure, or prevent any disease. The Formulary, pharmacy network, and/or provider network may change at any time. Univera SeniorChoice Basic (HMO) | Univera Healthcare We designed the Convey OTC benefit card program to help your MA beneficiaries make the most of their OTC benefitsto achieve or maintain wellness. -Select who you are-MemberMedicare Member. How do I help a loved one find the right Medicare plan? OTC benefit card, mail order, and flex wallet programs for over-the-counter benefits administration. Yes! You will receive notice when necessary. We use cookies and other technologies to optimize site functionality, analyze website traffic, and share information with social media, advertising, and analytics partners. The information you're accessing may not be Medicare-specific and/or provided by Univera Healthcare.