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 point-of-sale Medicare OTC card is supported by Convey's Miramar technology and administrative services. The expertly designed Medicare OTC card by Convey is no exception. I would like to receive emails from Univera Healthcare, such as Wellness and Health newsletters and more.
Learn About Medicare | Univera Healthcare 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. 284 0 obj
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Sign up for our e-mail for the latest news & updates. Did you know you can make a one-time switch into a 5 Star Medicare Plan. 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. Find a Univera Healthcare Medicare plan that fits your needs and budget. 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. Register now ! See how we're making maternal health a priority in our community. Specifically built to manage and support the supplemental benefits program, Miramar easily exchanges member data, enforces compliance, and allows for varying benefit designs. Call: Forgot Password? Your account can be used to purchase over-the-counter (OTC) eligible items that help treat injuries or illness. Using Your Hearing Benefit.
OTCHS Login - CVS Pharmacy Submit a complaint about your Medicare plan at www.Medicare.gov or learn about filing a complaint by contacting the Medicare Ombudsman. You will be responsible for the balance. Univera Healthcare is an HMO plan and PPO plan with a Medicare contract. Get mental health support via in-person and telehealth visits, with a participating licensed therapist (20% coinsurance) and/or psychiatrist (specialist copay applies). Review your current health care coverage to see what options you have after you turn 65. Frequently Asked Questions and Helpful Resources, You may be able to join or switch plans under special circumstances that grant a Special Election Period. The Formulary, pharmacy network, and/or provider network may change at any time. Univera Healthcare is an HMO plan and PPO plan with a Medicare contract. and check to see if your prescriptions are covered. 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. 306 0 obj
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preventive health checklist for older adults, comprehensive formulary and searchable medication database, Summary of Benefits with Multi-Language Flyer, $5/$30 Any unused dollars at the end of your benefit period are not rolled over and cannot be used in following periods. Login | Medicare Members | Univera Healthcare COVID-19: Stay informed on vaccines, testing coverage and more Medicare Login Username Password Forgot Username? We use cookies and other technologies to optimize site functionality, analyze website traffic, and share information with social media, advertising, and analytics partners. Convey's integrated, end-to-end OTC benefit administration solution for mail order, benefit card, and flex wallet programs. We are committed to providing high quality, timely service. As the market-leading provider of supplemental OTC benefit administration services, we deliver the OTC solutions that members genuinely appreciate. To see which stores participate, check withyour OTC partner. Higher copays apply for medications on Tiers 1-4 if a standard pharmacy is utilized. Our D-SNP plans have a contract with the state Medicaid program. Get recipes and nutritional tips to prep your next meal. 2023 CMS Medicare Star Rating. View our Privacy Policy for information on how we protect your privacy. Call Customer Service toll-free at 1-877-883-9577 (TTY 711) 8 a.m. to 8 p.m. Monday - Friday. Choose from retail, home delivery, long-term care, specialty, home infusion, or Indian/Tribal/Urban pharmacies. Additionally, Univera Healthcare has contracts with pharmacies that equal or exceed the CMS requirements for pharmacy access in your area. to keep all your important information in one place. And with integration into our flex wallet program, members can have simplified access to more benefits than ever before! For example, if you turn 65 on July 4, you can enroll anytime between April 1 and October 31. Learn about Medicare Advantage and ask questions about plans and benefits from a Medicare expert.
Access To Your OTC Benefit Is Fast, Easy and Secure. The information you're accessing may not be provided by Univera Healthcare. Over-the-Counter Benefit Program Administration. Optimize your business processes for operational success from a strategic and financial perspective. Forgot Password?
Login | Medicare Members | Univera Healthcare Helping a friend or family member as they navigate Medicare enrollment or switch plans can be overwhelming. 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. You may be able to join or switch plans under special circumstances that grant a Special Election Period. membership &
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. 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. Here are some resources to simplify the process and guide you along the way. 100% of hospitals and 97% of doctors in your community. With the OTC debit card, Conveys flexible card solution can aggregate and support nearly all supplemental benefits (50 purses). To find out how your prescriptions are covered, check our comprehensive list of covered prescription drugs (also known as the formulary). For most plans, you pay 1 copayment for a 30-day supply and 2 copayments for a 90-day supply.
Find your Medicare Plan to learn about the other benefits available to you, such as over-the-counter allowances and Silver&Fit. Complete your enrollment during your Initial Enrollment Period.
PDF OTC Benefit for Medicare Advantage Members Convey manages member experience, compliance, and utilization, so health plans can focus on their core strategies. Yes! Benefit Overview. Please contact us! View our Privacy Policy for information on how we protect your privacy. Starting in 2023, all Univera Healthcare Medicare plans include preventive and comprehensive dental coverage at no cost. Find a Univera Healthcare Medicare plan that fits your needs and budget. Time-saving fitness tips for real people on the go. All Rights Reserved. TTY: 711. Need information in a different format? Y0028_8829_M. 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. Members receive an OTC debit card with a pre-determined allowance for approved, health-related OTC products. Our Star Rating is a testament to how hard we work to help support your health and wellness. Enrollment in our plans depends on contract renewal. We designed the Convey OTC benefit card program to help your MA beneficiaries make the most of their OTC benefitsto achieve or maintain wellness. 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. Were here for you with helpful online tools and a support team that has your back. See our Privacy Policy for how we use information. Why Should a Plan Offer an OTC Benefit Program?
OTC Benefit Card | Convey Health Solutions %%EOF
LEADING INDUSTRY ADVISORY 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. 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 CMS-Compliant OTC Services As the market-leading provider of supplemental OTC benefit administration services, we deliver the OTC solutions that members genuinely appreciate. Plus, we've added a $1,000 annual allowance for comprehensive dental. 317 0 obj
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Beneficiaries receive white glove customer service from our dedicated teams.. Create an online account to gain access to the benefits and extras that are part of your plan, and to connect with care. Create an Account View your Summary of Benefits and Coverage Find a doctor, estimate medical cost and track your deductible and spending 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 Paying Your Monthly Premium Pay Your Bill The Univera Healthcare Advantage Our network of doctors and hospitals
Health Plan Technology & Advisory | Convey Health Solutions by Convey Team | Feb 17, 2021 | Articles, OTC, Medicare, Supplemental Benefits | They also benefit from one award-winning customer service center to coordinate it all. OUTSOURCING SOLUTIONS Our technology + service solutions meet the specific challenges that you face when trying to provide an optimal member experience. Select plans also offer a $500 flex card to use toward out-of-pocket dental, hearing, or vision expenses. Create an Account View your Summary of Benefits and Coverage Find a doctor, estimate medical costs and track your deductible and spending View and order your member card %PDF-1.6
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With over 600 name brand and generic CMS approved OTC products, including PPE, we have one of the largest product offerings of any OTC administrator out there! Login Your Account Email/Customer ID Password Forgot Your Password? hb```
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You will not receive a separate OTC card.
Every year, Medicare evaluates plans based on a 5-star rating system. Also, consider your travel habits, prescription drug needs, and calculate your annual health care budget. 1 Comment. Univera Healthcare is an HMO and PPO plan with a Medicare contract. Supported by both our Miramar technology and administrative services, we provide a proven OTC benefits program thatreduces the burden, and expense, from your team having to support the programallowing you to focus on your core competencies. We serve members in the following counties: Find a plan that works in your service area. View our. Whether your looking for a plan on your own or would like help from an expert, we've got you covered. Submit a complaint about your Medicare plan at www.Medicare.gov or learn about filing a complaint by contacting the Medicare Ombudsman. Forgot Username Forgot Password Sign In Frequently Asked Questions Registration Not Registered?
PDF THE CORNERSTONE OF MIRAMAR:BENEFITS - Convey Health Solutions 0 comments. Visit our. For hours and additional contact information please visit the Contact Us page. Take advantage of exclusive rewards and perks to get more from your plan. Tv~Ln``$;@ \P
Weve got you covered. In OTC form, these drugs are FDA approved and often equally effective as prescription drugs at 2023 Convey Health Solutions. The supplemental benefits landscape is booming, with OTC benefits as its mainstay. If you are encountering any difficulty accessing your account, please feel free to call our Customer Care Team at.
Univera Healthcare Medicare Advantage Plans otc-catalog | Convey Health Solutions Phone: Call 1-855-657-7545 (TTY 711 ), Monday - Friday, 8 a.m. to 11 p.m. Register now! Share this, If youre a caregiver for a loved one, we have resources that can support you. Understand your options and learn more about your coverage. Plus, members have access to our 24/7 Nurse Call Line. Let's get started! 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. *Health plan members: Rather than submitting this form, we recommend you contact your health plan directly. Sign up to receive your monthly Medicare milestones, showing what you should do now and next, straight to your email inbox.
Univera SeniorChoice Advanced (HMO-POS) | Univera Healthcare Terms of Use | Web Privacy Policy | Accessibility Statement. Simply implementing an OTC debit card for your member to use is not enough in this competitive market. 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) As a focal point of Conveys thoughtfully developed member-centric OTC services, Conveys Medicare OTC card is a solution that will do just that. 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. This product is not intended to diagnose, treat, cure, or prevent any disease. Submit a complaint about your Medicare plan at www.Medicare.gov or learn about filing a complaint by contacting the Medicare Ombudsman. Take these important steps to learn about Medicare and see what you have to do now to prepare for enrollment. Chat is available from Mon. Convey Health Solutions is the vendor that Univera Healthcare is using to administer 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. membership &
Wellcare ByFidelis Care offers members a pre-paid account that is automatically replenished on either a monthly or quarterly basis depending on your plan.
Home | Medicare Members | Univera Healthcare This page last updated 10-01-2022.
Connecting to Our Partner Convey - Univera Healthcare 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. Enrollment in Univera Healthcare depends on contract renewal.
We support our point-of-sale OTC benefit card with Conveys Miramar technology and administrative services. Along with urgent and emergency care when you travel. MA beneficiaries receive Conveys award-winning customer service throughout their supplemental benefits experience. We're here for you. 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. The information you're accessing may not be Medicare-specific and/or provided by Univera Healthcare. Preventive dental included in your plan with NO copay.
Monday - Friday: Enrollment in Univera Healthcare depends on contract renewal. Log in to your member account 24/7 for your member card, coverage, claims, and more.
Univera SeniorChoice Basic (HMO) | Univera Healthcare Univera Healthcare is an HMO plan and PPO plan with a Medicare contract. Copyright 2023, Univera Healthcare. Explore our mail order, benefit card, mobile, and web solution. Examples of what can be purchased using your OTC account are Acetaminophen (Tylenol), antacids, and topical antibiotics. Questions about products or company? 1-844-596-0345 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. 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. When it comes to Medicare, sometimes you need to talk to someone face-to-face. 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. ET. Contact us today to speak with our Medicare Advantage experts. The point-of-sale Medicare OTC card is supported by Conveys Miramar technology and administrative services. (By clicking on the above website links, you will leave the Fidelis Care website). Gladys Gonzalez on March 1, 2022 at 6:54 pm thank you. Choose to enroll online, by mail when you order an enrollment kit, or by phone. 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. For out-of-network providers, we will pay 100% of the allowance or dentist charges, whichever is less. Medicare Advantage Over The Counter Benefits Administered By Fieldtex, Design and create your custom 2022 OTC Benefit Catalog Program. 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. FIDELIS and FIDELIS CARE are trademarks of Centene Corporation, Non-Discrimination Notice and Language Assistance, Transparency in Coverage Machine Readable Files.
OTC Health Solution | Services | Convey Health Solutions 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. Our local experts can guide you through the Medicare basics and answer any questions you have. Log into your account, view patient information, and more. Convey manages member experience, compliance, and utilization, so you can focus on your core competencies. 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. For Plans 002, 004, and 008, you will use your Wellcare By Fidelis Care Member ID card. Our local teamof doctors, nurses, dietitians and specialistsare here to supportyour wellbeing, including healthy eating, managing prescriptions, health conditions, and more. Convey manages member experience, compliance, and . . 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. Put more money in your pocket. 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. Our extensive expertise, powerful technology, and robust data analytics deliver integrated, end-to-end healthcare solutions to achieve meaningful results. Whether your looking for a plan on your own or would like help from an expert, we've got you covered. Answer a few questions to create a personalized timeline that shows where to get started if you're turning 65 or new to Medicare. 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. Want to learn about Medicare? 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). 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. 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 .left-column
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The Star Rating is based on information collected from actual members like you, clinicians, and Medicares comprehensive monitoring process. We use cookies and other technologies to optimize site functionality, analyze website traffic, and share information with social media, advertising, and analytics partners. Preventive dental included in ALL plans with. 8 a.m. to 8 p.m. Once youre enrolled in Medicare, you can change your Medicare coverage during the Annual Election Period from October 15 to December 7. You are covered locally and nationally with our extensive network of 65,000 pharmacies.
If you enroll during AEP, your coverage will begin January 1st of the following year. $0 preventive care services, including annual wellness visit, cancer screenings, vaccines, and more. From Oct. 1 - March 31: Closed Thanksgiving Day, Christmas Eve, Christmas Day, New Years Eve, and New Years Day financial reconciliation, Compliant Debit Card & Flex Card Solutions, Specifically built to manage and support the, Personal emergency response systems (PERS).
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