univera convey otc solutions login

Copyright 2023 Univera Healthcare. Were here for you with helpful online tools and a support team that has your back. 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. 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 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. 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. You will be responsible for the balance. $0 preventive care services, including annual wellness visit, cancer screenings, vaccines, and more. 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. Univera Healthcare is an HMO and PPO plan with a Medicare contract. Members receive an OTC debit card with a pre-determined allowance for approved, health-related OTC products. OUTSOURCING SOLUTIONS Our technology + service solutions meet the specific challenges that you face when trying to provide an optimal member experience. Use of this site indicates your acceptance of our Terms of Use. Optimize your business processes for operational success from a strategic and financial perspective. As the market-leading provider of supplemental OTC benefit administration services, we deliver the OTC solutions that members genuinely appreciate. 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. Yes! Select plans also offer a $500 flex card to use toward out-of-pocket dental, hearing, or vision expenses. Find a Univera Healthcare Medicare plan that fits your needs and budget. by Convey Team | Feb 20, 2018 | 1 comment. 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. The information you're accessing may not be provided by Univera Healthcare. 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. View our Medicare Advantage Timeline to learn more. .left-column
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Convey manages member experience, compliance, and utilization, so you can focus on your core competencies. Visit our. Y0028_8829_C. We serve members in the following counties: Find a plan that works in your service area. Enrollment in our plans depends on contract renewal. In OTC form, these drugs are FDA approved and often equally effective as prescription drugs at 2023 Convey Health Solutions. Enrollment in Univera Healthcare depends on contract renewal. You will not receive a separate OTC card. Starting in 2023, all Univera Healthcare Medicare plans include preventive and comprehensive dental coverage at no cost. 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. Advisors are also available weekends 8 a.m. to 8 p.m. 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. Any unused dollars at the end of your benefit period are not rolled over and cannot be used in following periods. Log in to your member account 24/7 for your member card, coverage, claims, and more. financial reconciliation, Compliant Debit Card & Flex Card Solutions, Specifically built to manage and support the, Personal emergency response systems (PERS). Take these important steps to learn about Medicare and see what you have to do now to prepare for enrollment. Out-of-network/non-contracted providers are under no obligation to treat Univera Healthcare members, except in emergency situations. Submit a complaint about your Medicare plan at www.Medicare.gov or learn about filing a complaint by contacting the Medicare Ombudsman. Call: Create an online account to gain access to the benefits and extras that are part of your plan, and to connect with care. Y0028_8791b_MDate Last Updated 12/08/2022. Improve your quality of life with our support. 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. Or, see the Evidence of Coverage using the link above. 0 comments. A prescription drug deductible may apply, check the Evidence of Coverage (EOC) for additional details. Links marked with an (external site) icon indicate you're leaving the Medicare portion of UniveraHealthcare.com. 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 For Plans 002, 004, and 008, you will use your Wellcare By Fidelis Care Member ID card. Login Your Account Email/Customer ID Password Forgot Your Password? Our local experts can guide you through the Medicare basics and answer any questions you have. Why Should a Plan Offer an OTC Benefit Program? Enrollment in Univera Healthcare depends on contract renewal. Please call your health plan for assistance. 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 out-of-network providers, we will pay 100% of the allowance or dentist charges, whichever is less. Submit a complaint about your Medicare plan at www.Medicare.gov or learn about filing a complaint by contacting the Medicare Ombudsman. Use of this site indicates your acceptance of our Terms of Use. How do I help a loved one find the right Medicare plan? All Rights Reserved. Find your Medicare Plan to learn about the other benefits available to you, such as over-the-counter allowances and Silver&Fit. With the OTC debit card, Conveys flexible card solution can aggregate and support nearly all supplemental benefits (50 purses). 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. OTC items may only be purchased by you for your own personal use. You dont have to manage health conditions alone. We use cookies and other technologies to optimize site functionality, analyze website traffic, and share information with social media, advertising, and analytics partners. To the extent of any discrepancy between this web site and the Evidence of Coverage, the Evidence of Coverage terms take priority. Copyright 2023, Univera Healthcare. LEADING INDUSTRY ADVISORY Convey manages member experience, compliance, and utilization, so health plans can focus on their core strategies. Using Your Hearing Benefit. Our extensive expertise, powerful technology, and robust data analytics deliver integrated, end-to-end healthcare solutions to achieve meaningful results. 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 Sign up to receive your monthly Medicare milestones, showing what you should do now and next, straight to your email inbox. Weve got you covered. 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. (By clicking on the above website links, you will leave the Fidelis Care website). otc-catalog. Beneficiaries receive white glove customer service from our dedicated teams.. Your account can be used to purchase over-the-counter (OTC) eligible items that help treat injuries or illness. Save up to 33% on prescriptions when you use mail-order pharmacy. Convey manages member experience, compliance, and . I would like to receive emails from Univera Healthcare, such as Wellness and Health newsletters and more. You can use this account to purchase non-prescription, over . Plus, members have access to our 24/7 Nurse Call Line. 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. Mail: Use the mail order form in the product catalog that was mailed to you. The point-of-sale Medicare OTC card is supported by Conveys Miramar technology and administrative services. By clicking on these links, you will leave the Fidelis Care website. You are covered locally and nationally with our extensive network of 65,000 pharmacies. Optimize your business processes for operational success from a strategic and financial perspective. Take advantage of exclusive rewards and perks to get more from your plan. For the best experience on our site, be sure to turn on Javascript in your browser. (In-network), Outpatient Hospital Coverage (In-network), Tier 1 Preferred Generic Drugs (Includes select vaccines). Over-the-Counter Benefit Program Administration. Also, consider your travel habits, prescription drug needs, and calculate your annual health care budget. Univera Healthcare is an HMO plan and PPO plan with a Medicare contract. Use of this site indicates your acceptance of our Terms of Use. Products such as cold or allergy medications, compression socks, and sleep aids are available in store, and through our home delivery program. - Thurs. JavaScript seems to be disabled in your browser. From Oct. 1 - March 31: Speak with one of our Consultants today to see how our OTC Benefits Programs can promote better health for your member population. The information you're accessing may not be Medicare-specific and/or provided by Univera Healthcare. 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). Specifically built to manage and support the supplemental benefits program, Miramar easily exchanges member data, enforces compliance, and allows for varying benefit designs. With our expertly designed program, we track utilization accurately so that you only pay for what the members use. Monday - Friday: Sign In Don't have an account? Currently partnered with numerous Plans, weve successfully distributed over 1,000,000 packages of over-the-counter supplies to Medicare members nationwide. We use cookies and other technologies to optimize site functionality, analyze website traffic, and share information with social media, advertising, and analytics partners. To help your loved one choose the best plan for them, youll need to know the answers to a few important questions. Review your current health care coverage to see what options you have after you turn 65. Convenient ordering via mail, phone, or online makes getting products to your members easy. Y0028_8829_M. Offer an additional supplemental benefit plan for members that suffer from chronic illness or have more complex health needs. Call Customer Service toll-free at 1-877-883-9577 (TTY 711) 8 a.m. to 8 p.m. Monday - Friday. Univera Healthcare is an HMO plan and PPO plan with a Medicare contract. 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 Did you know you can make a one-time switch into a 5 Star Medicare Plan. 10+ Years Administering the OTC Benefits Program. We support our point-of-sale OTC benefit card with Conveys Miramar technology and administrative services. View our Privacy Policy for information on how we protect your privacy. Let's get started! 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. Our D-SNP plans have a contract with the state Medicaid program. 2023 CMS Medicare Star Rating. Please contact us! See how we can develop an OTC plan for you. 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. Enrollment in Univera Healthcare depends on contract renewal. To use your OTC benefits, choose one of the following ordering methods: Online: Visit the OTC Benefits website (powered by Convey Health) - registration required. Yes! This page last updated 10-01-2022. 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. **For Plans 001 and 003, Convey provides mail order service. Want to learn about Medicare? Share this, If youre a caregiver for a loved one, we have resources that can support you. Please make sure your card is active by visiting mybenefitscenter.com if you haven't already. and check to see if your prescriptions are covered. 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. Log into your account, view patient information, and more. Find the best plan for you with Medicare, individual and family plan options. Enrollment in Univera Healthcare depends on contract renewal. 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. Forgot Password? All Rights Reserved. If you obtain routine care from Out-of-Network providers neither Medicare nor Univera Healthcare will be responsible for the costs. -Select who you are-MemberMedicare Member. Login | Medicare Members | Univera Healthcare COVID-19: Stay informed on vaccines, testing coverage and more Medicare Login Username Password Forgot Username? 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. hb``` eapI]u/AR_GPJ[~AGF$i+biH #; L,1a^2dyf8~u|snDHlD@nb``3`pH20b0 2P 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. Enrollment in Univera Healthcare depends on contract renewal. See our Privacy Policy for how we use information. 284 0 obj <> endobj 0 Prescriptions filled at non-network pharmacies are covered only in certain situations. If you are encountering any difficulty accessing your account, please feel free to call our Customer Care Team at. Who is Convey Health Solutions? Helping a friend or family member as they navigate Medicare enrollment or switch plans can be overwhelming. We're here for you. ET. Get care from the people and places you know and trust using our robust network of doctors, hospitals, and pharmacies. 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. membership & To find out how your prescriptions are covered, check our comprehensive list of covered prescription drugs (also known as the formulary). 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. 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. 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. and get answers to the most common questions we hear about Medicare. Univera Healthcare is an HMO plan and PPO plan with a Medicare contract. Forgot Username Forgot Password Sign In Frequently Asked Questions Registration Not Registered? MA beneficiaries receive Conveys award-winning customer service throughout their supplemental benefits experience. Y0028_8829_C. For example, if you turn 65 on July 4, you can enroll anytime between April 1 and October 31. .left-column
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. Enrollment in Univera Healthcare depends on contract renewal. Chat is available from Mon. Save money with lower copays on your Tiers 1-4 medications when you use one of our 35,000 preferred pharmacies. View our Privacy Policy for information on how we protect your privacy. 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. We are committed to providing high quality, timely service. Phone: Call 1-855-657-7545 (TTY 711 ), Monday - Friday, 8 a.m. to 11 p.m. Select Your CountySelect your County - Select Your County -AlleganyCattaraugusChautauqua CentralNorthSouth GeneseeNiagaraOrleansWyoming, Speak with one of our dedicated Medicare Sales Advisors. 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. To see which stores participate, check withyour OTC partner. Part D Prescriptions: $100 deductible, $0 for Tier 1 preferred generic drugs and vaccines at preferred pharmacies. Forgot Password? Forgot Password? 317 0 obj <>stream . When it comes to Medicare, sometimes you need to talk to someone face-to-face. to learn about Medicare in the comfort of your own home. 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. The Convey OTC benefit card solution is a focal point of our thoughtfully developed, member-centric OTC services. Preventive dental included in your plan with NO copay. Western New York Deserves More from Medicare: Dont worry; were here to help every step of the way. The point-of-sale Medicare OTC card is supported by Convey's Miramar technology and administrative services. Your members receive our award-winning customer service every step of the way. Gladys Gonzalez on March 1, 2022 at 6:54 pm thank you. Get mental health support via in-person and telehealth visits, with a participating licensed therapist (20% coinsurance) and/or psychiatrist (specialist copay applies). Sign In Sign in to access your over-the-counter benefit. Paying Your Monthly Premium Pay Your Bill The Univera Healthcare Advantage Our network of doctors and hospitals If you enroll during AEP, your coverage will begin January 1st of the following year. Health Plans for Self-Employed Individuals, Stay informed on vaccines, testing coverage and more. Non-Discrimination Notice and Language Assistance(PDF). This information is not a complete description of benefits. And with integration into our flex wallet program, members can have simplified access to more benefits than ever before! Y0028_8829_M. **Free shipping can only be fulfilled within the 48 contiguous United States (excludes recipients of Alaska, Hawaii, and other US territories). 1 Comment. For most plans, you pay 1 copayment for a 30-day supply and 2 copayments for a 90-day supply. You will receive notice when necessary. Choose from retail, home delivery, long-term care, specialty, home infusion, or Indian/Tribal/Urban pharmacies. Contact us today to speak with our Medicare Advantage experts. 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. The Formulary, pharmacy network, and/or provider network may change at any time. Copyright 2023, Univera Healthcare. 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. 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. They also benefit from one award-winning customer service center to coordinate it all. 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. endstream endobj 285 0 obj <. 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. 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. to keep all your important information in one place. .left-column
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FIDELIS and FIDELIS CARE are trademarks of Centene Corporation, Non-Discrimination Notice and Language Assistance, Transparency in Coverage Machine Readable Files. Terms of Use | Web Privacy Policy | Accessibility Statement. Understand your options and learn more about your coverage. preventive health checklist for older adults, comprehensive formulary and searchable medication database, Summary of Benefits with Multi-Language Flyer, $5/$30 The Importance of Offering an OTC Benefit during the COVID-19 Crisis, CMS Implements Supplemental Benefits for Chronically Ill Medicare Advantage Enrollees, The Importance of Utilization Reporting in the Over-the-Counter Benefit. Submit a Comment. Tv~Ln``$;@ \P Time-saving fitness tips for real people on the go. 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. Your plan benefits from one account manager, one reporting suite, one set of service level agreements, and consolidated billing. Most over-the-counter products and medications like pain relievers, allergy medications, heartburn drugs and topical antimicrobials were once available only by prescription. by Convey Team | Feb 17, 2021 | Articles, OTC, Medicare, Supplemental Benefits | Call1-800-671-6081(TTY 711) for more information. The supplemental benefits landscape is booming, with OTC benefits as its mainstay. Higher copays apply for medications on Tiers 1-4 if a standard pharmacy is utilized. Whether your looking for a plan on your own or would like help from an expert, we've got you covered. Wellcare ByFidelis Care offers members a pre-paid account that is automatically replenished on either a monthly or quarterly basis depending on your plan. Answer a few questions to create a personalized timeline that shows where to get started if you're turning 65 or new to Medicare. 8 a.m. to 8 p.m. Complete your enrollment during your Initial Enrollment Period. 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.

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