You will not receive a separate OTC card. Log into your account, view patient information, and more. You dont have to manage health conditions alone. Our technology + service solutions meet the specific challenges that you face when trying to provide an optimal member experience. The information you're accessing may not be Medicare-specific and/or provided by Univera Healthcare. Who is Convey Health Solutions? To help your loved one choose the best plan for them, youll need to know the answers to a few important questions. Use of this site indicates your acceptance of our Terms of Use. 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 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. See how we're making maternal health a priority in our community. Medicare Advantage Over The Counter Benefits Administered By Fieldtex, Design and create your custom 2022 OTC Benefit Catalog Program. Your account can be used to purchase over-the-counter (OTC) eligible items that help treat injuries or illness. Convey Health Solutions is a specialized Medicare technology company committed to compliant member management software and service solutions. Submit a complaint about your Medicare plan at www.Medicare.gov or learn about filing a complaint by contacting the Medicare Ombudsman. The information you're accessing may not be provided by Univera Healthcare. Convey Health Solutions is the vendor that Univera Healthcare is using to administer the Over the Counter Benefit. 10+ Years Administering the OTC Benefits Program. You are covered locally and nationally with our extensive network of 65,000 pharmacies. Univera Healthcare is an HMO plan and PPO plan with a Medicare contract. For information on how to request reimbursement for Out-of-Network claims from emergency, urgent or other services, or Coverage Determinations and Appeals call Customer Care at 1-877-883-9577 (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. Consulting services to health plans, health systems, specialty health organizations, and healthcare investors throughout the country, with exceptional expertise in the government-markets. and check to see if your prescriptions are covered. 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. Convey manages member experience, compliance, and utilization, so health plans can focus on their core strategies. Watch our Medicare Minute Videos to learn more about initial enrollment and working past 65. Were here for you with helpful online tools and a support team that has your back. For Coverage January 1, 2023 to December 31, 2023, $0 Routine Eye Exam and $150Annual Eyewear Allowance, Annual Routine Hearing Exam $0 copay, Hearing Aids $499 & $799 per unit. Enrollment in Univera Healthcare depends on contract renewal. 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. Convenient ordering via mail, phone, or online makes getting products to your members easy. $0 preventive care services, including annual wellness visit, cancer screenings, vaccines, and more. Univera Healthcare Medicare Advantage Plans Monday - Friday: .left-column
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Specifically built to manage and support the supplemental benefits program, Miramar easily exchanges member data, enforces compliance, and allows for varying benefit designs. Phone: Call 1-855-657-7545 (TTY 711 ), Monday - Friday, 8 a.m. to 11 p.m. Any unused dollars at the end of your benefit period are not rolled over and cannot be used in following periods. 8 a.m. to 8 p.m. The Formulary, pharmacy network, and/or provider network may change at any time. Forgot Username Forgot Password Sign In Frequently Asked Questions Registration Not Registered? We are committed to providing high quality, timely service. Sign In Sign in to access your over-the-counter benefit. Part D Prescriptions: $100 deductible, $0 for Tier 1 preferred generic drugs and vaccines at preferred pharmacies. Save up to 33% on prescriptions when you use mail-order pharmacy. OTC Benefit Card | Convey Health Solutions Our extensive expertise, powerful technology, and robust data analytics deliver integrated, end-to-end healthcare solutions to achieve meaningful results. Use of this site indicates your acceptance of our Terms of Use. Yes! TTY: 711. 0 comments. Enrollment in Univera Healthcare depends on contract renewal.Submit a complaint about your Medicare plan atwww.Medicare.govor learn about filing a complaint by contacting the Medicare Ombudsman. Benefit Overview. 317 0 obj
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PDF OTC Benefit for Medicare Advantage Members Explore our mail order, benefit card, mobile, and web solution. Univera Healthcare is an HMO and PPO plan with a Medicare contract. Eligible beneficiaries must use network pharmacies to access their prescription drug benefit, except under non-routine circumstances, and quantity limitations and restrictions may apply. Tv~Ln``$;@ \P
Enrollment in Univera Healthcare depends on contract renewal. Register now! 100% of hospitals and 97% of doctors in your community. You may be able to join or switch plans under special circumstances that grant a Special Election Period. 284 0 obj
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<. 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. 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. .left-column
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Save money with lower copays on your Tiers 1-4 medications when you use one of our 35,000 preferred pharmacies. Enrollment in our plans depends on contract renewal. For out-of-network providers, we will pay 100% of the allowance or dentist charges, whichever is less. OTCHS Login - CVS Pharmacy Copyright 2023 Univera Healthcare. Login Access To Your OTC Benefit Is Fast, Easy and Secure. to learn about Medicare in the comfort of your own home. 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 View preventive health checklist for older adults. Complete your enrollment during your Initial Enrollment Period. For example, if you turn 65 on July 4, you can enroll anytime between April 1 and October 31. %%EOF
Simply implementing an OTC debit card for your member to use is not enough in this competitive market. Select Your CountySelect your County - Select Your County -AlleganyCattaraugusChautauqua CentralNorthSouth GeneseeNiagaraOrleansWyoming, Speak with one of our dedicated Medicare Sales Advisors. You can even request a 1-on-1 appointment with a Medicare expert to get your questions answered. Language AssistanceandNon-Discrimination Notice, English|Espaol||P|Kreyl Ayisyen||Italiano|||Polski||Franais||Tagalog||shqiptar, *From April 1 to September 30, representatives are available Monday-Friday from 8 a.m. - 8 p.m.* (TTY: 711). 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. Telehealth for care by telephone, email or chat. Univera SeniorChoice Basic (HMO) | Univera Healthcare 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. Submit a complaint about your Medicare plan at www.Medicare.gov or learn about filing a complaint by contacting the Medicare Ombudsman. Access To Your OTC Benefit Is Fast, Easy and Secure. Univera Healthcare is an HMO plan and PPO plan with a Medicare contract. Products such as cold or allergy medications, compression socks, and sleep aids are available in store, and through our home delivery program. As a focal point of Conveys thoughtfully developed member-centric OTC services, Conveys Medicare OTC card is a solution that will do just that. Star Ratings are released annually and are based on member satisfaction, plan details, and overall performance. **Free shipping can only be fulfilled within the 48 contiguous United States (excludes recipients of Alaska, Hawaii, and other US territories). Links marked with an (external site) icon indicate you're leaving UniveraHealthcare.com. from 8 a.m. 8 p.m., and Fri. 9 a.m. - 8 p.m. $0 Tier 1 generic drugs are available on most Univera Healthcare plans, including more than 50 frequently prescribed medications. .left-column
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. Select plans also offer a $500 flex card to use toward out-of-pocket dental, hearing, or vision expenses. You have from 3 months before you turn 65 to 3 months after your birthday month to enroll. Y0028_8829_M. 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. Our Star Rating is a testament to how hard we work to help support your health and wellness. Y0028_8791b_MDate Last Updated 12/08/2022. 306 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. . Optimize your business processes for operational success from a strategic and financial perspective. Sign up for our e-mail for the latest news & updates. Did you know you can make a one-time switch into a 5 Star Medicare Plan. Take advantage of exclusive rewards and perks to get more from your plan. Preventive dental included in your plan with NO copay. For most plans, you pay 1 copayment for a 30-day supply and 2 copayments for a 90-day supply. Over-the-Counter Benefit Program Administration. Weve got you covered. FIDELIS and FIDELIS CARE are trademarks of Centene Corporation, Non-Discrimination Notice and Language Assistance, Transparency in Coverage Machine Readable Files. Questions about products or company? This page last updated 10-01-2022. 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. Convey manages member experience, compliance, and . You will be responsible for the balance. Use of this site indicates your acceptance of our Terms of Use. All Rights Reserved. This information is not a complete description of benefits. We designed the Convey OTC benefit card program to help your MA beneficiaries make the most of their OTC benefitsto achieve or maintain wellness. OTC benefit card, mail order, and flex wallet programs for over-the-counter benefits administration. Forgot Password? Choose to enroll online, by mail when you order an enrollment kit, or by phone. 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. 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. membership &
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Improve your quality of life with our support. Univera Healthcare is an HMO plan and PPO plan with a Medicare contract. 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. Copyright 2023, Univera Healthcare. 1-844-596-0345 To see which stores participate, check withyour OTC partner. 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. Learn about Medicare Advantage and ask questions about plans and benefits from a Medicare expert. 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. Find a Univera Healthcare Medicare plan that fits your needs and budget. For the best experience on our site, be sure to turn on Javascript in your browser. $50 allowance every three months for items such as allergy medication, antacids, digestive aids, cold & flu medication, denture products, and more. View our Privacy Policy for information on how we protect your privacy. Create an online account to gain access to the benefits and extras that are part of your plan, and to connect with care. The point-of-sale Medicare OTC card is supported by Convey's Miramar technology and administrative services. OTC Benefit Solutions: Supplemental Over The Counter Programs 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. Western New York Deserves More from Medicare: Dont worry; were here to help every step of the way. Plus, we've added a $1,000 annual allowance for comprehensive dental. Your account can be used to purchase over-the-counter (OTC) eligible items that help treat injuries or illness. Our preventive health screenings, dedicated Medicare-only customer service department, and numerous health and wellness programs are just some ways in which we go above and beyond.
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