If you are encountering any difficulty accessing your account, please feel free to call our Customer Care Team at. If you obtain routine care from Out-of-Network providers neither Medicare nor Univera Healthcare will be responsible for the costs. 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. See how we're making maternal health a priority in our community. Higher copays apply for medications on Tiers 1-4 if a standard pharmacy is utilized. The point-of-sale Medicare OTC card is supported by Conveys Miramar technology and administrative services. 0 comments. Get recipes and nutritional tips to prep your next meal. Please contact us! $50 allowance every three months for items such as allergy medication, antacids, digestive aids, cold & flu medication, denture products, and more. Non-Discrimination Notice and Language Assistance(PDF). We use cookies and other technologies to optimize site functionality, analyze website traffic, and share information with social media, advertising, and analytics partners. Enrollment in Univera Healthcare depends on contract renewal. 0 Our preventive health screenings, dedicated Medicare-only customer service department, and numerous health and wellness programs are just some ways in which we go above and beyond. %%EOF Y0028_8829_C. Enrollment in Univera Healthcare depends on contract renewal. Health Plans for Self-Employed Individuals, Stay informed on vaccines, testing coverage and more. The Convey OTC benefit card solution is a focal point of our thoughtfully developed, member-centric OTC services. www.conveyhealthsolutions.com 855-219-2578 BusinessSolutions@conveyhs.com THE CORNERSTONE OF MIRAMAR:BENEFITS CONVEY'S OVER-THE-COUNTER SOLUTION Convey Health Solutions ACCOMPLISH STRATEGIC SALES, CLINICAL, & MEMBER SATISFACTION GOALS WITH OTC CONVEY'S CMS-COMPLIANT OTC SOLUTION >Fully integrated mail, mobile, web & retail options available Sign up for our e-mail for the latest news & updates. As the market-leading provider of supplemental OTC benefit administration services, we deliver the OTC solutions that members genuinely appreciate. hb``` eapI]u/AR_GPJ[~AGF$i+biH #; L,1a^2dyf8~u|snDHlD@nb``3`pH20b0 2P Login Access To Your OTC Benefit Is Fast, Easy and Secure. Y0028_8791b_MDate Last Updated 12/08/2022. You are covered locally and nationally with our extensive network of 65,000 pharmacies. Western New York Deserves More from Medicare: Dont worry; were here to help every step of the way. 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 Take these important steps to learn about Medicare and see what you have to do now to prepare for enrollment. You will not receive a separate OTC card. Gladys Gonzalez on March 1, 2022 at 6:54 pm thank you. Enrollment in Univera Healthcare depends on contract renewal. Univera Healthcare is an HMO and PPO plan with a Medicare contract. Call Customer Service toll-free at 1-877-883-9577 (TTY 711) 8 a.m. to 8 p.m. Monday - Friday. Yes! Use of this site indicates your acceptance of our Terms of Use. Choose to enroll online, by mail when you order an enrollment kit, or by phone. 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. 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. Medicare Advantage Over The Counter Benefits Administered By Fieldtex, Design and create your custom 2022 OTC Benefit Catalog Program. Create an Account View your Summary of Benefits and Coverage Find a doctor, estimate medical cost and track your deductible and spending .left-column
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You will receive notice when necessary. and check to see if your prescriptions are covered. For Plans 002, 004, and 008, you will use your Wellcare By Fidelis Care Member ID card. 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. The supplemental benefits landscape is booming, with OTC benefits as its mainstay. Log in, register for an account, pay your bill, print ID cards, and more. Closed Thanksgiving Day, Christmas Eve, Christmas Day, New Years Eve, and New Years Day We designed the Convey OTC benefit card program to help your MA beneficiaries make the most of their OTC benefitsto achieve or maintain wellness. Convenient ordering via mail, phone, or online makes getting products to your members easy. Optimize your business processes for operational success from a strategic and financial perspective. 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. Links marked with an (external site) icon indicate you're leaving the Medicare portion of UniveraHealthcare.com. 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. .left-column
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MA beneficiaries receive Conveys award-winning customer service throughout their supplemental benefits experience. Submit a Comment. Monday - Friday: 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. Once youre enrolled in Medicare, you can change your Medicare coverage during the Annual Election Period from October 15 to December 7. and get answers to the most common questions we hear about Medicare. Connecting to Our Partner Convey | Medicare Members | Univera Healthcare Skip to Main Content Area Medicare Member Search Get Help Login/Register Prescriptions Find a Doctor Health and Wellness Resources Medicare Member Utility Convey SSO Connecting to Our Partner Convey Single Sign-On Error We're sorry, this feature is currently unavailable. To find out how your prescriptions are covered, check our comprehensive list of covered prescription drugs (also known as the formulary). Enrollment in Univera Healthcare depends on contract renewal. All Rights Reserved. For out-of-network providers, we will pay 100% of the allowance or dentist charges, whichever is less. Additionally, Univera Healthcare has contracts with pharmacies that equal or exceed the CMS requirements for pharmacy access in your area. Questions? Telehealth for care by telephone, email or chat. 100% of hospitals and 97% of doctors in your community. 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. 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). Improve your quality of life with our support. Our extensive expertise, powerful technology, and robust data analytics deliver integrated, end-to-end healthcare solutions to achieve meaningful results. Enrollment in Univera Healthcare depends on contract renewal. Simply implementing an OTC debit card for your member to use is not enough in this competitive market. *Health plan members: Rather than submitting this form, we recommend you contact your health plan directly. 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. preventive health checklist for older adults, comprehensive formulary and searchable medication database, Summary of Benefits with Multi-Language Flyer, $5/$30 You may be able to join or switch plans under special circumstances that grant a Special Election Period. 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. This page last updated 10-01-2022. Most over-the-counter products and medications like pain relievers, allergy medications, heartburn drugs and topical antimicrobials were once available only by prescription. Our local experts can guide you through the Medicare basics and answer any questions you have. 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. **Free shipping can only be fulfilled within the 48 contiguous United States (excludes recipients of Alaska, Hawaii, and other US territories). Also, consider your travel habits, prescription drug needs, and calculate your annual health care budget. View preventive health checklist for older adults. $0 preventive care services, including annual wellness visit, cancer screenings, vaccines, and more. To the extent of any discrepancy between this web site and the Evidence of Coverage, the Evidence of Coverage terms take priority. 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. Convey manages member experience, compliance, and utilization, so health plans can focus on their core strategies. For hours and additional contact information please visit the Contact Us page. You can use this account to purchase non-prescription, over . Put more money in your pocket. JavaScript seems to be disabled in your browser. Get care from the people and places you know and trust using our robust network of doctors, hospitals, and pharmacies. 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. Star Ratings are released annually and are based on member satisfaction, plan details, and overall performance. Your account can be used to purchase over-the-counter (OTC) eligible items that help treat injuries or illness. Find a Univera Healthcare Medicare plan that fits your needs and budget. 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. Preventive dental included in your plan with NO copay. 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. Our technology + service solutions meet the specific challenges that you face when trying to provide an optimal member experience. Or, see the Evidence of Coverage using the link above. 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. 10+ Years Administering the OTC Benefits Program. Offer an additional supplemental benefit plan for members that suffer from chronic illness or have more complex health needs. OUTSOURCING SOLUTIONS Our technology + service solutions meet the specific challenges that you face when trying to provide an optimal member experience. 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 use your OTC benefits, choose one of the following ordering methods: Online: Visit the OTC Benefits website (powered by Convey Health) - registration required. The Star Rating is based on information collected from actual members like you, clinicians, and Medicares comprehensive monitoring process. Out-of-network/non-contracted providers are under no obligation to treat Univera Healthcare members, except in emergency situations. To help your loved one choose the best plan for them, youll need to know the answers to a few important questions. For most plans, you pay 1 copayment for a 30-day supply and 2 copayments for a 90-day supply. 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 Find the best plan for you with Medicare, individual and family plan options. 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 Prescriptions filled at non-network pharmacies are covered only in certain situations. Advisors are also available weekends 8 a.m. to 8 p.m. Your plan benefits from one account manager, one reporting suite, one set of service level agreements, and consolidated billing. If you're turning 65, you can enroll in Medicare from the period that extends 3 months before to 3 months after the month of your 65th birthday. to keep all your important information in one place. Learn about Medicare Advantage and ask questions about plans and benefits from a Medicare expert. 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. Weve got you covered. A prescription drug deductible may apply, check the Evidence of Coverage (EOC) for additional details. 8 a.m. to 8 p.m. Any unused dollars at the end of your benefit period are not rolled over and cannot be used in following periods. And with integration into our flex wallet program, members can have simplified access to more benefits than ever before! Convey's integrated, end-to-end OTC benefit administration solution for mail order, benefit card, and flex wallet programs. 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. 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. Use of this site indicates your acceptance of our Terms of Use. By clicking on these links, you will leave the Fidelis Care website. OTC items may only be purchased by you for your own personal use. Forgot Password? Univera Healthcare is an HMO plan and PPO plan with a Medicare contract. 1-844-596-0345 Consulting services to health plans, health systems, specialty health organizations, and healthcare investors throughout the country, with exceptional expertise in the government-markets. Answer a few questions to create a personalized timeline that shows where to get started if you're turning 65 or new to Medicare. Big data analytics and technology solutions to achieve complete and accurate revenue, communicate critical patient information, activate clinical and claims data, understand the impact of social determinants of health, and more. Get mental health support via in-person and telehealth visits, with a participating licensed therapist (20% coinsurance) and/or psychiatrist (specialist copay applies). 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. Univera Healthcare is an HMO plan and PPO plan with a Medicare contract. Your members receive our award-winning customer service every step of the way. Whether your looking for a plan on your own or would like help from an expert, we've got you covered. by Convey Team | Feb 20, 2018 | 1 comment. Our Star Rating is a testament to how hard we work to help support your health and wellness. Forgot Password? Enrollment in Univera Healthcare depends on contract renewal. With the OTC debit card, Conveys flexible card solution can aggregate and support nearly all supplemental benefits (50 purses). Your account can be used to purchase over-the-counter (OTC) eligible items that help treat injuries or illness. Every year, Medicare evaluates plans based on a 5-star rating system. Were here for you with helpful online tools and a support team that has your back. OTC benefit card, mail order, and flex wallet programs for over-the-counter benefits administration. 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. Links marked with an (external site) icon indicate you're leaving UniveraHealthcare.com. Using Your Hearing Benefit. 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. Specifically built to manage and support the supplemental benefits program, Miramar easily exchanges member data, enforces compliance, and allows for varying benefit designs. Forgot Password? 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. 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. CMS-Compliant OTC Services As the market-leading provider of supplemental OTC benefit administration services, we deliver the OTC solutions that members genuinely appreciate. Phone: Call 1-855-657-7545 (TTY 711 ), Monday - Friday, 8 a.m. to 11 p.m. Yes! 306 0 obj <>/Filter/FlateDecode/ID[<06C8BB1311511A489E77D6F97AA2FE51>]/Index[284 34]/Info 283 0 R/Length 110/Prev 229651/Root 285 0 R/Size 318/Type/XRef/W[1 3 1]>>stream I would like to receive emails from Univera Healthcare, such as Wellness and Health newsletters and more. Register now! Save money with lower copays on your Tiers 1-4 medications when you use one of our 35,000 preferred pharmacies. We use cookies and other technologies to optimize site functionality, analyze website traffic, and share information with social media, advertising, and analytics partners. Tv~Ln``$;@ \P Currently partnered with numerous Plans, weve successfully distributed over 1,000,000 packages of over-the-counter supplies to Medicare members nationwide. We're here for you. 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. Mail: Use the mail order form in the product catalog that was mailed to you. The expertly designed Medicare OTC card by Convey is no exception. Y0028_8829_M. Eligible beneficiaries must use network pharmacies to access their prescription drug benefit, except under non-routine circumstances, and quantity limitations and restrictions may apply. membership & 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. - Thurs. 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. financial reconciliation, Compliant Debit Card & Flex Card Solutions, Specifically built to manage and support the, Personal emergency response systems (PERS). .left-column
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You have from 3 months before you turn 65 to 3 months after your birthday month to enroll. How do I help a loved one find the right Medicare plan? They also benefit from one award-winning customer service center to coordinate it all. Did you know you can make a one-time switch into a 5 Star Medicare Plan. 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. 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. This page last updated 10-01-2022. If you enroll during AEP, your coverage will begin January 1st of the following year. Call: Through our experience serving 3.5+ million plan members, we have the expertise needed to provide comprehensive, member-centric OTC services. 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. Time-saving fitness tips for real people on the go. This information is not a complete description of benefits. Part D Prescriptions: $100 deductible, $0 for Tier 1 preferred generic drugs and vaccines at preferred pharmacies. From October 1 to March 31, you can call us 7 days a week from 8 a.m. to 8 p.m. From April 1 to September 30, you can call us Monday through Friday from 8 a.m. to 8 p.m. A messaging system is used after hours, weekends and on federal holidays. Benefit Overview. Whether your looking for a plan on your own or would like help from an expert, we've got you covered. Select Your CountySelect your County - Select Your County -AlleganyCattaraugusChautauqua CentralNorthSouth GeneseeNiagaraOrleansWyoming, Speak with one of our dedicated Medicare Sales Advisors. Each year, Medicare plans earn ratings on a one-to-five scale, with one star representing poor performance and five stars representing the highest quality rating a health plan can earn. To see which stores participate, check withyour OTC partner. Login | Medicare Members | Excellus BlueCross BlueShield COVID-19: Stay informed on vaccines, testing coverage and more Medicare Login Username Password Forgot Username? Log in to your member account 24/7 for your member card, coverage, claims, and more. Please make sure your card is active by visiting mybenefitscenter.com if you haven't already. hbbd```b``+@$S4dEddeM`7`2L^ .u@q2qD*ls D See our Privacy Policy for how we use information. 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. Login Your Account Email/Customer ID Password Forgot Your Password? We support our point-of-sale OTC benefit card with Conveys Miramar technology and administrative services. View our. Products such as cold or allergy medications, compression socks, and sleep aids are available in store, and through our home delivery program. Convey Health Solutions is a specialized Medicare technology company committed to compliant member management software and service solutions. Find a Univera Healthcare Medicare plan that fits your needs and budget. endstream endobj 285 0 obj <. Y0028_8829_M. Forgot Username Forgot Password Sign In Frequently Asked Questions Registration Not Registered? Sign In Sign in to access your over-the-counter benefit. Our Miramar technology enables government-sponsored health plans to operate more efficiently, elevate productivity, and ensure the highest standards for compliance. Conveys integrated, end-to-end OTC benefit administration solution for mail order, benefit card, and flex wallet programs. Y0028_8829_C. **For Plans 001 and 003, Convey provides mail order service. Our nationwide network includes thousands of participating pharmacies. View our Privacy Policy for information on how we protect your privacy. Beneficiaries receive white glove customer service from our dedicated teams.. Visit our. Complete your enrollment during your Initial Enrollment Period. We provide everything needed to ensure the success of your supplemental OTC programs. 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. Save up to 33% on prescriptions when you use mail-order pharmacy. Review your current health care coverage to see what options you have after you turn 65. You can even request a 1-on-1 appointment with a Medicare expert to get your questions answered. Chat is available from Mon. Univera Healthcare is an HMO plan and PPO plan with a Medicare contract. Let's get started! 2023 CMS Medicare Star Rating. Here are some resources to simplify the process and guide you along the way. Want to learn about Medicare? Enrollment in our plans depends on contract renewal. Understand your options and learn more about your coverage. See how we can develop an OTC plan for you. The Formulary, pharmacy network, and/or provider network may change at any time. 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. 317 0 obj <>stream Submit a complaint about your Medicare plan at www.Medicare.gov or learn about filing a complaint by contacting the Medicare Ombudsman. (By clicking on the above website links, you will leave the Fidelis Care website). For the best experience on our site, be sure to turn on Javascript in your browser. View our Privacy Policy for information on how we protect your privacy. * These statements have not been evaluated by the Food and Drug Administration. Speak with one of our Consultants today to see how our OTC Benefits Programs can promote better health for your member population. For example, if you turn 65 on July 4, you can enroll anytime between April 1 and October 31. Preventive dental included in ALL plans with. We serve members in the following counties: Find a plan that works in your service area. 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.
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