FIDELIS and FIDELIS CARE are trademarks of Centene Corporation, Non-Discrimination Notice and Language Assistance, Transparency in Coverage Machine Readable Files. 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. Once youre enrolled in Medicare, you can change your Medicare coverage during the Annual Election Period from October 15 to December 7. Improve your quality of life with our support. 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. To help your loved one choose the best plan for them, youll need to know the answers to a few important questions. Y0028_8829_C. Convey manages member experience, compliance, and utilization, so you can focus on your core competencies. Submit a complaint about your Medicare plan at www.Medicare.gov or learn about filing a complaint by contacting the Medicare Ombudsman. To see which stores participate, check withyour OTC partner. Need information in a different format? **For Plans 001 and 003, Convey provides mail order service. 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 Convenient ordering via mail, phone, or online makes getting products to your members easy. Watch our Medicare Minute Videos to learn more about initial enrollment and working past 65. Forgot Password? Use of this site indicates your acceptance of our Terms of Use. View our Medicare Advantage Timeline to learn more. 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. Create an Account View your Summary of Benefits and Coverage Find a doctor, estimate medical cost and track your deductible and spending OTC benefit card, mail order, and flex wallet programs for over-the-counter benefits administration. Get recipes and nutritional tips to prep your next meal. How Can We Help You Elevate & Streamline Your MA/MAPD, PDP, EGWP Plan Operations? Enrollment in Univera Healthcare depends on contract renewal. endstream endobj startxref You may be able to join or switch plans under special circumstances that grant a Special Election Period. by Convey Team | Feb 17, 2021 | Articles, OTC, Medicare, Supplemental Benefits | Your members receive our award-winning customer service every step of the way. Get mental health support via in-person and telehealth visits, with a participating licensed therapist (20% coinsurance) and/or psychiatrist (specialist copay applies). How do I help a loved one find the right Medicare plan? We use cookies and other technologies to optimize site functionality, analyze website traffic, and share information with social media, advertising, and analytics partners. Optimize your business processes for operational success from a strategic and financial perspective. Contact us today to speak with our Medicare Advantage experts. 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. Your account can be used to purchase over-the-counter (OTC) eligible items that help treat injuries or illness. 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. Use of this site indicates your acceptance of our Terms of Use. Questions? The Formulary, pharmacy network, and/or provider network may change at any time. ET. Login | Medicare Members | Excellus BlueCross BlueShield COVID-19: Stay informed on vaccines, testing coverage and more Medicare Login Username Password Forgot Username? 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. Most over-the-counter products and medications like pain relievers, allergy medications, heartburn drugs and topical antimicrobials were once available only by prescription. 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. Sign In Don't have an account? TTY: 711. Review your current health care coverage to see what options you have after you turn 65. Who is Convey Health Solutions? * These statements have not been evaluated by the Food and Drug Administration. membership & 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. Specifically built to manage and support the supplemental benefits program, Miramar easily exchanges member data, enforces compliance, and allows for varying benefit designs. Beneficiaries receive white glove customer service from our dedicated teams.. Starting in 2023, all Univera Healthcare Medicare plans include preventive and comprehensive dental coverage at no cost. 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. OUTSOURCING SOLUTIONS Our technology + service solutions meet the specific challenges that you face when trying to provide an optimal member experience. Telehealth for care by telephone, email or chat. We designed the Convey OTC benefit card program to help your MA beneficiaries make the most of their OTC benefitsto achieve or maintain wellness. Consulting services to health plans, health systems, specialty health organizations, and healthcare investors throughout the country, with exceptional expertise in the government-markets. 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 $1,000 annual allowance. Enrollment in our plans depends on contract renewal. Select Your CountySelect your County - Select Your County -AlleganyCattaraugusChautauqua CentralNorthSouth GeneseeNiagaraOrleansWyoming, Speak with one of our dedicated Medicare Sales Advisors. endstream endobj 285 0 obj <. And with integration into our flex wallet program, members can have simplified access to more benefits than ever before! For the best experience on our site, be sure to turn on Javascript in your browser. View our Privacy Policy for information on how we protect your privacy. Eligible beneficiaries must use network pharmacies to access their prescription drug benefit, except under non-routine circumstances, and quantity limitations and restrictions may apply. Choose from retail, home delivery, long-term care, specialty, home infusion, or Indian/Tribal/Urban pharmacies. Enrollment in Univera Healthcare depends on contract renewal. Benefit Overview. Examples of what can be purchased using your OTC account are Acetaminophen (Tylenol), antacids, and topical antibiotics. Western New York Deserves More from Medicare: Dont worry; were here to help every step of the way. Did you know you can make a one-time switch into a 5 Star Medicare Plan. If you are encountering any difficulty accessing your account, please feel free to call our Customer Care Team at. Our 5 Tier comprehensive formulary and searchable medication database will help you determine if your prescription drug is covered by the Plan or if any utilization edits apply, such as prior authorization or step therapy. Additionally, Univera Healthcare has contracts with pharmacies that equal or exceed the CMS requirements for pharmacy access in your area. hbbd```b``+@$S4dEddeM`7`2L^ .u@q2qD*ls D Want to learn about Medicare? 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. Forgot Password? 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. Eating healthy is easier than you think. 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 8 a.m. to 8 p.m. All Rights Reserved. See how we're making maternal health a priority in our community. 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. This page last updated 10-01-2022. They also benefit from one award-winning customer service center to coordinate it all. preventive health checklist for older adults, comprehensive formulary and searchable medication database, Summary of Benefits with Multi-Language Flyer, $5/$30 2023 Convey Health Solutions. We're here for you. Call: Understand your options and learn more about your coverage. MA beneficiaries receive Conveys award-winning customer service throughout their supplemental benefits experience. To use your OTC benefits, choose one of the following ordering methods: Online: Visit the OTC Benefits website (powered by Convey Health) - registration required. Y0028_8791b_MDate Last Updated 12/08/2022. Tv~Ln``$;@ \P Higher copays apply for medications on Tiers 1-4 if a standard pharmacy is utilized. 10+ Years Administering the OTC Benefits Program. Univera Healthcare is an HMO and PPO plan with a Medicare contract. 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. Univera Healthcare is an HMO plan and PPO plan with a Medicare contract. Enrollment in Univera Healthcare depends on contract renewal. Also, consider your travel habits, prescription drug needs, and calculate your annual health care budget. Health Plans for Self-Employed Individuals, Stay informed on vaccines, testing coverage and more. Please call your health plan for assistance. 100% of hospitals and 97% of doctors in your community. Why Should a Plan Offer an OTC Benefit Program? 1 Comment. Explore our mail order, benefit card, mobile, and web solution. Register now ! 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. 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. Find your Medicare Plan to learn about the other benefits available to you, such as over-the-counter allowances and Silver&Fit. Non-Discrimination Notice and Language Assistance(PDF). For example, if you turn 65 on July 4, you can enroll anytime between April 1 and October 31. Preventive dental included in ALL plans with. Or, see the Evidence of Coverage using the link above. Login Your Account Email/Customer ID Password Forgot Your Password? Plus, members have access to our 24/7 Nurse Call Line. Simply implementing an OTC debit card for your member to use is not enough in this competitive market. You will not receive a separate OTC card. 2023 CMS Medicare Star Rating. Submit a complaint about your Medicare plan at www.Medicare.gov or learn about filing a complaint by contacting the Medicare Ombudsman. For most plans, you pay 1 copayment for a 30-day supply and 2 copayments for a 90-day supply. Phone: Call 1-855-657-7545 (TTY 711 ), Monday - Friday, 8 a.m. to 11 p.m. 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. 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. 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. (By clicking on the above website links, you will leave the Fidelis Care website). Using Your Hearing Benefit. Register now! Login | Medicare Members | Univera Healthcare COVID-19: Stay informed on vaccines, testing coverage and more Medicare Login Username Password Forgot Username? Star Ratings are released annually and are based on member satisfaction, plan details, and overall performance. Speak with one of our Consultants today to see how our OTC Benefits Programs can promote better health for your member population. by Convey Team | Feb 20, 2018 | 1 comment. 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. Closed Thanksgiving Day, Christmas Eve, Christmas Day, New Years Eve, and New Years Day Our Miramar technology enables government-sponsored health plans to operate more efficiently, elevate productivity, and ensure the highest standards for compliance. otc-catalog. Whether your looking for a plan on your own or would like help from an expert, we've got you covered. 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. Y0028_8829_M. The supplemental benefits landscape is booming, with OTC benefits as its mainstay. 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. We serve members in the following counties: Find a plan that works in your service area. Time-saving fitness tips for real people on the go. The Convey OTC benefit card solution is a focal point of our thoughtfully developed, member-centric OTC services. Frequently Asked Questions and Helpful Resources, You may be able to join or switch plans under special circumstances that grant a Special Election Period. Preventive dental included in your plan with NO copay. 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. When it comes to Medicare, sometimes you need to talk to someone face-to-face. 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. Through our experience serving 3.5+ million plan members, we have the expertise needed to provide comprehensive, member-centric OTC services. 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. Along with urgent and emergency care when you travel. financial reconciliation, Compliant Debit Card & Flex Card Solutions, Specifically built to manage and support the, Personal emergency response systems (PERS). Gladys Gonzalez on March 1, 2022 at 6:54 pm thank you. This product is not intended to diagnose, treat, cure, or prevent any disease. Call Customer Service toll-free at 1-877-883-9577 (TTY 711) 8 a.m. to 8 p.m. Monday - Friday. The expertly designed Medicare OTC card by Convey is no exception. 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! Terms of Use | Web Privacy Policy | Accessibility Statement. View preventive health checklist for older adults. 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. Enrollment in Univera Healthcare depends on contract renewal. To find out how your prescriptions are covered, check our comprehensive list of covered prescription drugs (also known as the formulary). Conveys integrated, end-to-end OTC benefit administration solution for mail order, benefit card, and flex wallet programs. Whether your looking for a plan on your own or would like help from an expert, we've got you covered. 284 0 obj <> endobj 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.

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