View our. Submit a complaint about your Medicare plan at www.Medicare.gov or learn about filing a complaint by contacting the Medicare Ombudsman. 8 a.m. to 8 p.m. Y0028_8829_C. ET. Call1-800-671-6081(TTY 711) for more information. 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. 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. $0 preventive care services, including annual wellness visit, cancer screenings, vaccines, and more. To see which stores participate, check withyour OTC partner. With over 600 name brand and generic CMS approved OTC products, including PPE, we have one of the largest product offerings of any OTC administrator out there! Tv~Ln``$;@ \P
hb```
eapI]u/AR_GPJ[~AGF$i+biH #;
L,1a^2dyf8~u|snDHlD@nb``3`pH20b0 2P
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. 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. Here are some resources to simplify the process and guide you along the way. *Health plan members: Rather than submitting this form, we recommend you contact your health plan directly. Put more money in your pocket. Convey manages member experience, compliance, and utilization, so health plans can focus on their core strategies. 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. Medicare Advantage Over The Counter Benefits Administered By Fieldtex, Design and create your custom 2022 OTC Benefit Catalog Program. Optimize your business processes for operational success from a strategic and financial perspective. Your members receive our award-winning customer service every step of the way. Enrollment in Univera Healthcare depends on contract renewal. Forgot Username Forgot Password Sign In Frequently Asked Questions Registration Not Registered? $50 allowance every three months for items such as allergy medication, antacids, digestive aids, cold & flu medication, denture products, and more. Submit a Comment. 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. Need information in a different format? 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. otc-catalog. **For Plans 001 and 003, Convey provides mail order service. Log in to your member account 24/7 for your member card, coverage, claims, and more. Explore our mail order, benefit card, mobile, and web solution. Products such as cold or allergy medications, compression socks, and sleep aids are available in store, and through our home delivery program. Choose to enroll online, by mail when you order an enrollment kit, or by phone. Copyright 2023, Univera Healthcare. Use of this site indicates your acceptance of our Terms of Use. MA beneficiaries receive Conveys award-winning customer service throughout their supplemental benefits experience. 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 preventive health checklist for older adults. Enrollment in Univera Healthcare depends on contract renewal. A prescription drug deductible may apply, check the Evidence of Coverage (EOC) for additional details. 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 In OTC form, these drugs are FDA approved and often equally effective as prescription drugs at 2023 Convey Health Solutions. OTC items may only be purchased by you for your own personal use. Univera Healthcare is an HMO plan and PPO plan with a Medicare contract. Login Your Account Email/Customer ID Password Forgot Your Password? You will not receive a separate OTC card. We're here for you. Copyright 2023, Univera Healthcare. 2023 CMS Medicare Star Rating. If you obtain routine care from Out-of-Network providers neither Medicare nor Univera Healthcare will be responsible for the costs. Questions about products or company? Our extensive expertise, powerful technology, and robust data analytics deliver integrated, end-to-end healthcare solutions to achieve meaningful results. View our Privacy Policy for information on how we protect your privacy. (By clicking on the above website links, you will leave the Fidelis Care website). Copyright 2023 Univera Healthcare. Please call your health plan for assistance. 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. endstream
endobj
285 0 obj
<. Plus, we've added a $1,000 annual allowance for comprehensive dental. Beneficiaries receive white glove customer service from our dedicated teams.. .left-column
{
float:left;
width:30%;
background-color:fff;
}
.right-column
{
float:right;
width:30%;
background-color:fff;
}
.center-column
{
margin:auto;
width:30%;
background-color:fff;
}
Wellcare ByFidelis Care offers members a pre-paid account that is automatically replenished on either a monthly or quarterly basis depending on your plan. Western New York Deserves More from Medicare: Dont worry; were here to help every step of the way. by Convey Team | Feb 20, 2018 | 1 comment. 0 comments. 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. 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. Your account can be used to purchase over-the-counter (OTC) eligible items that help treat injuries or illness. For the best experience on our site, be sure to turn on Javascript in your browser. 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. Benefit Overview. Were here for you with helpful online tools and a support team that has your back. 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. Save up to 33% on prescriptions when you use mail-order pharmacy. Gladys Gonzalez on March 1, 2022 at 6:54 pm thank you. Univera Healthcare is an HMO and PPO plan with a Medicare contract. This product is not intended to diagnose, treat, cure, or prevent any disease. Our D-SNP plans have a contract with the state Medicaid program. Understand your options and learn more about your coverage. by Convey Team | Feb 17, 2021 | Articles, OTC, Medicare, Supplemental Benefits | 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. Eligible beneficiaries must use network pharmacies to access their prescription drug benefit, except under non-routine circumstances, and quantity limitations and restrictions may apply. Frequently Asked Questions and Helpful Resources, You may be able to join or switch plans under special circumstances that grant a Special Election Period. 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. If you are encountering any difficulty accessing your account, please feel free to call our Customer Care Team at. The information you're accessing may not be Medicare-specific and/or provided by Univera Healthcare. Enrollment in Univera Healthcare depends on contract renewal. 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) Forgot Password? 284 0 obj
<>
endobj
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.
All Rights Reserved. Forgot Password? %PDF-1.6
%
Who is Convey Health Solutions? Offer an additional supplemental benefit plan for members that suffer from chronic illness or have more complex health needs. Use of this site indicates your acceptance of our Terms of Use. Helping a friend or family member as they navigate Medicare enrollment or switch plans can be overwhelming. Prescriptions filled at non-network pharmacies are covered only in certain situations. The expertly designed Medicare OTC card by Convey is no exception. 100% of hospitals and 97% of doctors in your community. Terms of Use | Web Privacy Policy | Accessibility Statement. 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). To the extent of any discrepancy between this web site and the Evidence of Coverage, the Evidence of Coverage terms take priority. 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. Get care from the people and places you know and trust using our robust network of doctors, hospitals, and pharmacies. and get answers to the most common questions we hear about Medicare. 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. Sign In Sign in to access your over-the-counter benefit. Login | Members | Univera Healthcare Member COVID-19: Stay informed on vaccines, testing coverage and more Member Login Username Password Forgot Username? 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. Speak with one of our Consultants today to see how our OTC Benefits Programs can promote better health for your member population. Call Customer Service toll-free at 1-877-883-9577 (TTY 711) 8 a.m. to 8 p.m. Monday - Friday. Consulting services to health plans, health systems, specialty health organizations, and healthcare investors throughout the country, with exceptional expertise in the government-markets. Yes! By clicking on these links, you will leave the Fidelis Care website. 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. Convey Health Solutions is the vendor that Univera Healthcare is using to administer the Over the Counter Benefit. Create an online account to gain access to the benefits and extras that are part of your plan, and to connect with care. financial reconciliation, Compliant Debit Card & Flex Card Solutions, Specifically built to manage and support the, Personal emergency response systems (PERS). Find a Univera Healthcare Medicare plan that fits your needs and budget. .left-column
{
float:left;
width:30%;
background-color:fff;
}
.right-column
{
float:right;
width:30%;
background-color:fff;
}
.center-column
{
margin:auto;
width:30%;
background-color:fff;
}
1 Comment. Call: Our local experts can guide you through the Medicare basics and answer any questions you have. Advisors are also available weekends 8 a.m. to 8 p.m. Y0028_8791b_MDate Last Updated 12/08/2022. The Convey OTC benefit card solution is a focal point of our thoughtfully developed, member-centric OTC services. -Select who you are-MemberMedicare Member. You can use this account to purchase non-prescription, over . 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. Get recipes and nutritional tips to prep your next meal. Y0028_8829_C. Contact us today to speak with our Medicare Advantage experts. 1-844-596-0345 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. As the market-leading provider of supplemental OTC benefit administration services, we deliver the OTC solutions that members genuinely appreciate. membership &
See our Privacy Policy for how we use information. For hours and additional contact information please visit the Contact Us page. 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 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. With our expertly designed program, we track utilization accurately so that you only pay for what the members use. Also, consider your travel habits, prescription drug needs, and calculate your annual health care budget. 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. Login | Medicare Members | Excellus BlueCross BlueShield COVID-19: Stay informed on vaccines, testing coverage and more Medicare Login Username Password Forgot Username? 10+ Years Administering the OTC Benefits Program. The Convey OTC benefit card solution is a focal point of our thoughtfully developed, member-centric OTC services. Mail: Use the mail order form in the product catalog that was mailed to you. Improve your quality of life with our support. Time-saving fitness tips for real people on the go. Log in, register for an account, pay your bill, print ID cards, and more. 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. 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. As a focal point of Conveys thoughtfully developed member-centric OTC services, Conveys Medicare OTC card is a solution that will do just that. and check to see if your prescriptions are covered. All Rights Reserved. Use of this site indicates your acceptance of our Terms of Use. Y0028_8829_M. Please make sure your card is active by visiting mybenefitscenter.com if you haven't already. View our Privacy Policy for information on how we protect your privacy. Or, see the Evidence of Coverage using the link above. Watch our Medicare Minute Videos to learn more about initial enrollment and working past 65. Monday - Friday: (In-network), Outpatient Hospital Coverage (In-network), Tier 1 Preferred Generic Drugs (Includes select vaccines). Sign In Don't have an account? Save money with lower copays on your Tiers 1-4 medications when you use one of our 35,000 preferred pharmacies. 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. I would like to receive emails from Univera Healthcare, such as Wellness and Health newsletters and more. Convenient ordering via mail, phone, or online makes getting products to your members easy. We are committed to providing high quality, timely service. Sign up for our e-mail for the latest news & updates. We serve members in the following counties: Find a plan that works in your service area. 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 Currently partnered with numerous Plans, weve successfully distributed over 1,000,000 packages of over-the-counter supplies to Medicare members nationwide. Register now ! Simply implementing an OTC debit card for your member to use is not enough in this competitive market. Our nationwide network includes thousands of participating pharmacies. 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. Convey manages member experience, compliance, and utilization, so you can focus on your core competencies. This page last updated 10-01-2022. **Free shipping can only be fulfilled within the 48 contiguous United States (excludes recipients of Alaska, Hawaii, and other US territories). to learn about Medicare in the comfort of your own home. Review your current health care coverage to see what options you have after you turn 65. Telehealth for care by telephone, email or chat. Our local teamof doctors, nurses, dietitians and specialistsare here to supportyour wellbeing, including healthy eating, managing prescriptions, health conditions, and more. Visit our. Enrollment in our plans depends on contract renewal. We use cookies and other technologies to optimize site functionality, analyze website traffic, and share information with social media, advertising, and analytics partners. Y0028_8829_M. 0
Sign up to receive your monthly Medicare milestones, showing what you should do now and next, straight to your email inbox. 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. Optimize your business processes for operational success from a strategic and financial perspective. Higher copays apply for medications on Tiers 1-4 if a standard pharmacy is utilized. How Can We Help You Elevate & Streamline Your MA/MAPD, PDP, EGWP Plan Operations? To use your OTC benefits, choose one of the following ordering methods: Online: Visit the OTC Benefits website (powered by Convey Health) - registration required. 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 Did you know you can make a one-time switch into a 5 Star Medicare Plan. 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. The point-of-sale Medicare OTC card is supported by Convey's Miramar technology and administrative services. 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. 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. This information is not a complete description of benefits. Along with urgent and emergency care when you travel. Over-the-Counter Benefit Program Administration. Part D Prescriptions: $100 deductible, $0 for Tier 1 preferred generic drugs and vaccines at preferred pharmacies. 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. Whether your looking for a plan on your own or would like help from an expert, we've got you covered. .left-column
{
float:left;
width:30%;
background-color:fff;
}
.right-column
{
float:right;
width:30%;
background-color:fff;
}
.center-column
{
margin:auto;
width:30%;
background-color:fff;
}
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. Closed Thanksgiving Day, Christmas Eve, Christmas Day, New Years Eve, and New Years Day For example, if you turn 65 on July 4, you can enroll anytime between April 1 and October 31. 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. To find out how your prescriptions are covered, check our comprehensive list of covered prescription drugs (also known as the formulary). 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. To help your loved one choose the best plan for them, youll need to know the answers to a few important questions. Links marked with an (external site) icon indicate you're leaving UniveraHealthcare.com. For the best experience on our site, be sure to turn on Javascript in your browser. How do I help a loved one find the right Medicare plan? Create an Account View your Summary of Benefits and Coverage Find a doctor, estimate medical cost and track your deductible and spending We provide everything needed to ensure the success of your supplemental OTC programs. With the OTC debit card, Conveys flexible card solution can aggregate and support nearly all supplemental benefits (50 purses). See how we're making maternal health a priority in our community. 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. endstream
endobj
startxref
You will receive notice when necessary. Why Should a Plan Offer an OTC Benefit Program? Using Your Hearing Benefit. Enrollment in Univera Healthcare depends on contract renewal. Weve got you covered. The Star Rating is based on information collected from actual members like you, clinicians, and Medicares comprehensive monitoring process. Login | Medicare Members | Univera Healthcare COVID-19: Stay informed on vaccines, testing coverage and more Medicare Login Username Password Forgot Username? Select Your CountySelect your County - Select Your County -AlleganyCattaraugusChautauqua CentralNorthSouth GeneseeNiagaraOrleansWyoming, Speak with one of our dedicated Medicare Sales Advisors. You will be responsible for the balance. Star Ratings are released annually and are based on member satisfaction, plan details, and overall performance. CMS-Compliant OTC Services As the market-leading provider of supplemental OTC benefit administration services, we deliver the OTC solutions that members genuinely appreciate. View our Privacy Policy for information on how we protect your privacy. Our technology + service solutions meet the specific challenges that you face when trying to provide an optimal member experience.
Graal Era Head Male Gfx,
Osteomyelitis After Wisdom Tooth Extraction Symptoms,
Ultra Music Festival Melbourne 2022 Lineup,
Does Fedex Require Covid Vaccine For Employees,
The Robertson Family Tree,
Articles U