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. Plus, we've added a $1,000 annual allowance for comprehensive dental. Our technology + service solutions meet the specific challenges that you face when trying to provide an optimal member experience. Our extensive expertise, powerful technology, and robust data analytics deliver integrated, end-to-end healthcare solutions to achieve meaningful results. by Convey Team | Feb 20, 2018 | 1 comment. For Plans 002, 004, and 008, you will use your Wellcare By Fidelis Care Member ID card. 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. The Convey OTC benefit card solution is a focal point of our thoughtfully developed, member-centric OTC services. Closed Thanksgiving Day, Christmas Eve, Christmas Day, New Years Eve, and New Years Day to keep all your important information in one place. Choose from retail, home delivery, long-term care, specialty, home infusion, or Indian/Tribal/Urban pharmacies. 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. Submit a complaint about your Medicare plan at www.Medicare.gov or learn about filing a complaint by contacting the Medicare Ombudsman. Through our experience serving 3.5+ million plan members, we have the expertise needed to provide comprehensive, member-centric OTC services. Members receive an OTC debit card with a pre-determined allowance for approved, health-related OTC products. 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. Were here for you with helpful online tools and a support team that has your back. This information is not a complete description of benefits. Or, see the Evidence of Coverage using the link above. Univera Healthcare is an HMO plan and PPO plan with a Medicare contract. 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 intensity of competition within the MA marketplace commands health plans to consistently identify solutions that contribute to enrollment growth. 1 Comment. 10+ Years Administering the OTC Benefits Program. When it comes to Medicare, sometimes you need to talk to someone face-to-face. The Convey OTC benefit card solution is a focal point of our thoughtfully developed, member-centric OTC services. Conveys integrated, end-to-end OTC benefit administration solution for mail order, benefit card, and flex wallet programs. CMS-Compliant OTC Services As the market-leading provider of supplemental OTC benefit administration services, we deliver the OTC solutions that members genuinely appreciate. 2023 CMS Medicare Star Rating. Additionally, Univera Healthcare has contracts with pharmacies that equal or exceed the CMS requirements for pharmacy access in your area. 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 Share this, If youre a caregiver for a loved one, we have resources that can support you. 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). 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. 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. 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. Network Coverage Information- With our Medicare Advantage Health Maintenance Organization (HMO) plans you must use plan providers except in emergency or urgent care situations or for out-of-area renal dialysis or other services. 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. Here are some resources to simplify the process and guide you along the way. Login Access To Your OTC Benefit Is Fast, Easy and Secure. For most plans, you pay 1 copayment for a 30-day supply and 2 copayments for a 90-day supply. We use cookies and other technologies to optimize site functionality, analyze website traffic, and share information with social media, advertising, and analytics partners. 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 Call: .left-column
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. Convey's integrated, end-to-end OTC benefit administration solution for mail order, benefit card, and flex wallet programs. Sign In Sign in to access your over-the-counter benefit. A prescription drug deductible may apply, check the Evidence of Coverage (EOC) for additional details. Convey manages member experience, compliance, and . Create an Account View your Summary of Benefits and Coverage Find a doctor, estimate medical costs and track your deductible and spending View and order your member card Save money with lower copays on your Tiers 1-4 medications when you use one of our 35,000 preferred pharmacies. The point-of-sale Medicare OTC card is supported by Convey's Miramar technology and administrative services. Specifically built to manage and support the supplemental benefits program, Miramar easily exchanges member data, enforces compliance, and allows for varying benefit designs. .left-column
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Gladys Gonzalez on March 1, 2022 at 6:54 pm thank you. Register now! See how we're making maternal health a priority in our community. We support our point-of-sale OTC benefit card with Conveys Miramar technology and administrative services. 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. View our Privacy Policy for information on how we protect your privacy. 100% of hospitals and 97% of doctors in your community. You can use this account to purchase non-prescription, over . LEADING INDUSTRY ADVISORY By clicking on these links, you will leave the Fidelis Care website. 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. Take these important steps to learn about Medicare and see what you have to do now to prepare for enrollment. Call1-800-671-6081(TTY 711) for more information. How Can We Help You Elevate & Streamline Your MA/MAPD, PDP, EGWP Plan Operations? %%EOF We serve members in the following counties: Find a plan that works in your service area. Also, consider your travel habits, prescription drug needs, and calculate your annual health care budget. * These statements have not been evaluated by the Food and Drug Administration. Need information in a different format? Login | Medicare Members | Excellus BlueCross BlueShield COVID-19: Stay informed on vaccines, testing coverage and more Medicare Login Username Password Forgot Username? Wellcare ByFidelis Care offers members a pre-paid account that is automatically replenished on either a monthly or quarterly basis depending on your plan. 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. 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. Copyright 2023, Univera Healthcare. Benefit Overview. 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. Univera Healthcare is an HMO plan and PPO plan with a Medicare contract. We provide everything needed to ensure the success of your supplemental OTC programs. to learn about Medicare in the comfort of your own home. The information you're accessing may not be Medicare-specific and/or provided by Univera Healthcare. 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. 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. Submit a complaint about your Medicare plan at www.Medicare.gov or learn about filing a complaint by contacting the Medicare Ombudsman. membership & The Star Rating is based on information collected from actual members like you, clinicians, and Medicares comprehensive monitoring process. 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. Your plan benefits from one account manager, one reporting suite, one set of service level agreements, and consolidated billing. Over-the-Counter Benefit Program Administration. This product is not intended to diagnose, treat, cure, or prevent any disease. Get recipes and nutritional tips to prep your next meal. Every year, Medicare evaluates plans based on a 5-star rating system. Enrollment in Univera Healthcare depends on contract renewal. We're here for you. Find a Univera Healthcare Medicare plan that fits your needs and budget. %PDF-1.6 % Currently partnered with numerous Plans, weve successfully distributed over 1,000,000 packages of over-the-counter supplies to Medicare members nationwide. 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. To help your loved one choose the best plan for them, youll need to know the answers to a few important questions. Starting in 2023, all Univera Healthcare Medicare plans include preventive and comprehensive dental coverage at no cost. Login | Members | Univera Healthcare Member COVID-19: Stay informed on vaccines, testing coverage and more Member Login Username Password Forgot Username? JavaScript seems to be disabled in your browser. You will not receive a separate OTC card. Forgot Password? Any unused dollars at the end of your benefit period are not rolled over and cannot be used in following periods. This page last updated 10-01-2022. .left-column
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Your account can be used to purchase over-the-counter (OTC) eligible items that help treat injuries or illness. Y0028_8829_C. -Select who you are-MemberMedicare Member. 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. 284 0 obj <> endobj Enrollment in Univera Healthcare depends on contract renewal. Star Ratings are released annually and are based on member satisfaction, plan details, and overall performance. $50 allowance every three months for items such as allergy medication, antacids, digestive aids, cold & flu medication, denture products, and more. Our D-SNP plans have a contract with the state Medicaid program. 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 Eating healthy is easier than you think. Simply implementing an OTC debit card for your member to use is not enough in this competitive market. 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. Most over-the-counter products and medications like pain relievers, allergy medications, heartburn drugs and topical antimicrobials were once available only by prescription. Terms of Use | Web Privacy Policy | Accessibility Statement. 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. How do I help a loved one find the right Medicare 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. Copyright 2023 Univera Healthcare. 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. Optimize your business processes for operational success from a strategic and financial perspective. Offer an additional supplemental benefit plan for members that suffer from chronic illness or have more complex health needs. In OTC form, these drugs are FDA approved and often equally effective as prescription drugs at 2023 Convey Health Solutions. View our Medicare Advantage Timeline to learn more. OUTSOURCING SOLUTIONS Our technology + service solutions meet the specific challenges that you face when trying to provide an optimal member experience. Sign up to receive your monthly Medicare milestones, showing what you should do now and next, straight to your email inbox. Enrollment in Univera Healthcare depends on contract renewal. Chat is available from Mon. This page last updated 10-01-2022. View our Privacy Policy for information on how we protect your privacy. Select Your CountySelect your County - Select Your County -AlleganyCattaraugusChautauqua CentralNorthSouth GeneseeNiagaraOrleansWyoming, Speak with one of our dedicated Medicare Sales Advisors. 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. View our Privacy Policy for information on how we protect your privacy. Y0028_8829_M. Telehealth for care by telephone, email or chat. Speak with one of our Consultants today to see how our OTC Benefits Programs can promote better health for your member population. 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. 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. Submit a complaint about your Medicare plan at www.Medicare.gov or learn about filing a complaint by contacting the Medicare Ombudsman. Choose to enroll online, by mail when you order an enrollment kit, or by phone. For out-of-network providers, we will pay 100% of the allowance or dentist charges, whichever is less. Improve your quality of life with our support. 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. Tv~Ln``$;@ \P 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. Visit our. Login Your Account Email/Customer ID Password Forgot Your Password? **For Plans 001 and 003, Convey provides mail order service. Your members receive our award-winning customer service every step of the way. Links marked with an (external site) icon indicate you're leaving UniveraHealthcare.com. $0 preventive care services, including annual wellness visit, cancer screenings, vaccines, and more. 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. All Rights Reserved. Plus, members have access to our 24/7 Nurse Call Line. For the best experience on our site, be sure to turn on Javascript in your browser. We are committed to providing high quality, timely service. Univera Healthcare is an HMO and PPO plan with a Medicare contract. Watch our Medicare Minute Videos to learn more about initial enrollment and working past 65. Submit a Comment. You are covered locally and nationally with our extensive network of 65,000 pharmacies. Examples of what can be purchased using your OTC account are Acetaminophen (Tylenol), antacids, and topical antibiotics. Convey Health Solutions is a specialized Medicare technology company committed to compliant member management software and service solutions. 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 With the OTC debit card, Conveys flexible card solution can aggregate and support nearly all supplemental benefits (50 purses). Out-of-network/non-contracted providers are under no obligation to treat Univera Healthcare members, except in emergency situations. Paying Your Monthly Premium Pay Your Bill The Univera Healthcare Advantage Our network of doctors and hospitals Y0028_8829_M. 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. We designed the Convey OTC benefit card program to help your MA beneficiaries make the most of their OTC benefitsto achieve or maintain wellness. Use of this site indicates your acceptance of our Terms of Use. hbbd```b``+@$S4dEddeM`7`2L^ .u@q2qD*ls D Part D Prescriptions: $100 deductible, $0 for Tier 1 preferred generic drugs and vaccines at preferred pharmacies. Call Customer Service toll-free at 1-877-883-9577 (TTY 711) 8 a.m. to 8 p.m. Monday - Friday. You will be responsible for the balance. Your account can be used to purchase over-the-counter (OTC) eligible items that help treat injuries or illness. Whether your looking for a plan on your own or would like help from an expert, we've got you covered. Who is Convey Health Solutions? Did you know you can make a one-time switch into a 5 Star Medicare Plan. Mail: Use the mail order form in the product catalog that was mailed to you. 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. Univera Healthcare is an HMO and PPO plan with a Medicare contract. View preventive health checklist for older adults. Find a Univera Healthcare Medicare plan that fits your needs and budget. Enrollment in Univera Healthcare depends on contract renewal. preventive health checklist for older adults, comprehensive formulary and searchable medication database, Summary of Benefits with Multi-Language Flyer, $5/$30 OTC items may only be purchased by you for your own personal use. Monday - Friday: **Free shipping can only be fulfilled within the 48 contiguous United States (excludes recipients of Alaska, Hawaii, and other US territories).

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