For the best experience on our site, be sure to turn on Javascript in your browser. 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. See how we can develop an OTC plan for you. Your account can be used to purchase over-the-counter (OTC) eligible items that help treat injuries or illness. For hours and additional contact information please visit the Contact Us page. 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. 0
Currently partnered with numerous Plans, weve successfully distributed over 1,000,000 packages of over-the-counter supplies to Medicare members nationwide. Yes! Find a Univera Healthcare Medicare plan that fits your needs and budget. Did you know you can make a one-time switch into a 5 Star Medicare Plan. 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 Convey's integrated, end-to-end OTC benefit administration solution for mail order, benefit card, and flex wallet programs. Preventive dental included in ALL plans with. Enrollment in Univera Healthcare depends on contract renewal. Members receive an OTC debit card with a pre-determined allowance for approved, health-related OTC products. View our Privacy Policy for information on how we protect your privacy. Preventive dental included in your plan with NO copay. Frequently Asked Questions and Helpful Resources, You may be able to join or switch plans under special circumstances that grant a Special Election Period. Improve your quality of life with our support. Eligible beneficiaries must use network pharmacies to access their prescription drug benefit, except under non-routine circumstances, and quantity limitations and restrictions may apply. They also benefit from one award-winning customer service center to coordinate it all. 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. .left-column
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This page last updated 10-01-2022. 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 Save up to 33% on prescriptions when you use mail-order pharmacy. membership &
Copyright 2023, Univera Healthcare. For the best experience on our site, be sure to turn on Javascript in your browser. How Can We Help You Elevate & Streamline Your MA/MAPD, PDP, EGWP Plan Operations? Enrollment in Univera Healthcare depends on contract renewal. Use of this site indicates your acceptance of our Terms of Use. Sign up to receive your monthly Medicare milestones, showing what you should do now and next, straight to your email inbox. You can use this account to purchase non-prescription, over . Whether your looking for a plan on your own or would like help from an expert, we've got you covered. 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. *Health plan members: Rather than submitting this form, we recommend you contact your health plan directly. Answer a few questions to create a personalized timeline that shows where to get started if you're turning 65 or new to Medicare. We designed the Convey OTC benefit card program to help your MA beneficiaries make the most of their OTC benefitsto achieve or maintain wellness. Your members receive our award-winning customer service every step of the way. to keep all your important information in one place. The information you're accessing may not be Medicare-specific and/or provided by Univera Healthcare. Offer an additional supplemental benefit plan for members that suffer from chronic illness or have more complex health needs. The Convey OTC benefit card solution is a focal point of our thoughtfully developed, member-centric OTC services. The supplemental benefits landscape is booming, with OTC benefits as its mainstay. This information is not a complete description of benefits. 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. 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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10+ Years Administering the OTC Benefits Program. Univera SeniorChoice Advanced (HMO-POS) | Univera Healthcare Please contact us! See our Privacy Policy for how we use information. Copyright 2023 Univera Healthcare. Our technology + service solutions meet the specific challenges that you face when trying to provide an optimal member experience. 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. Once youre enrolled in Medicare, you can change your Medicare coverage during the Annual Election Period from October 15 to December 7. 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. Customer Login - Univera 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. Select plans also offer a $500 flex card to use toward out-of-pocket dental, hearing, or vision expenses. Log in, register for an account, pay your bill, print ID cards, and more. Optimize your business processes for operational success from a strategic and financial perspective. OTC Health Solution | Services | Convey Health Solutions 2023 CMS Medicare Star Rating. You will receive notice when necessary. Connecting to Our Partner Convey - Univera Healthcare Convey Health Solutions is the vendor that Univera Healthcare is using to administer the Over the Counter Benefit. Whether your looking for a plan on your own or would like help from an expert, we've got you covered. Enrollment in Univera Healthcare depends on contract renewal. Forgot Password? Login | Medicare Members | Univera Healthcare COVID-19: Stay informed on vaccines, testing coverage and more Medicare Login Username Password Forgot Username? OTC Benefit Solutions: Supplemental Over The Counter Programs ET. endstream
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Login | Medicare Members | Excellus BlueCross BlueShield COVID-19: Stay informed on vaccines, testing coverage and more Medicare Login Username Password Forgot Username? Y0028_8791b_MDate Last Updated 12/08/2022. We're here for you. 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. 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. and check to see if your prescriptions are covered. LEADING INDUSTRY ADVISORY MA beneficiaries receive Conveys award-winning customer service throughout their supplemental benefits experience. Specifically built to manage and support the supplemental benefits program, Miramar easily exchanges member data, enforces compliance, and allows for varying benefit designs. **Free shipping can only be fulfilled within the 48 contiguous United States (excludes recipients of Alaska, Hawaii, and other US territories). Y0028_8829_M. Simply implementing an OTC debit card for your member to use is not enough in this competitive market. Implement a Valuable Medicare OTC Card Program - Convey Health Solutions You are covered locally and nationally with our extensive network of 65,000 pharmacies. Take these important steps to learn about Medicare and see what you have to do now to prepare for enrollment. 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. to learn about Medicare in the comfort of your own home. Convenient ordering via mail, phone, or online makes getting products to your members easy. 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). Univera Healthcare is an HMO plan and PPO plan with a Medicare contract. You may be able to join or switch plans under special circumstances that grant a Special Election Period. 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. Part D Prescriptions: $100 deductible, $0 for Tier 1 preferred generic drugs and vaccines at preferred pharmacies. Convey manages member experience, compliance, and utilization, so you can focus on your core competencies. Health Plans for Self-Employed Individuals, Stay informed on vaccines, testing coverage and more. 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. Find your Medicare Plan to learn about the other benefits available to you, such as over-the-counter allowances and Silver&Fit. 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. If you are encountering any difficulty accessing your account, please feel free to call our Customer Care Team at. 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. If you obtain routine care from Out-of-Network providers neither Medicare nor Univera Healthcare will be responsible for the costs. As a focal point of Conveys thoughtfully developed member-centric OTC services, Conveys Medicare OTC card is a solution that will do just that. **For Plans 001 and 003, Convey provides mail order service. Visit our. You can even request a 1-on-1 appointment with a Medicare expert to get your questions answered. The Convey OTC benefit card solution is a focal point of our thoughtfully developed, member-centric OTC services. Your account can be used to purchase over-the-counter (OTC) eligible items that help treat injuries or illness. Helping a friend or family member as they navigate Medicare enrollment or switch plans can be overwhelming. Login | Members | Univera Healthcare Member COVID-19: Stay informed on vaccines, testing coverage and more Member Login Username Password Forgot Username? Univera Healthcare is an HMO and PPO plan with a Medicare contract. 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. For most plans, you pay 1 copayment for a 30-day supply and 2 copayments for a 90-day supply. Star Ratings are released annually and are based on member satisfaction, plan details, and overall performance. 8 a.m. to 8 p.m. Paying Your Monthly Premium Pay Your Bill The Univera Healthcare Advantage Our network of doctors and hospitals Medicare Advantage Over The Counter Benefits Administered By Fieldtex, Design and create your custom 2022 OTC Benefit Catalog Program. View our Privacy Policy for information on how we protect your privacy. The point-of-sale Medicare OTC card is supported by Convey's Miramar technology and administrative services. 0 comments. Choose to enroll online, by mail when you order an enrollment kit, or by phone. Find a Univera Healthcare Medicare plan that fits your needs and budget. A prescription drug deductible may apply, check the Evidence of Coverage (EOC) for additional details. Benefit Overview. Our D-SNP plans have a contract with the state Medicaid program. Who is Convey Health Solutions? Register now! hb```
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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. 284 0 obj
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Welcome | Medicare Members | Univera Healthcare Along with urgent and emergency care when you travel. 2023 Convey Health Solutions. You will not receive a separate OTC card. Call1-800-671-6081(TTY 711) for more information. Links marked with an (external site) icon indicate you're leaving UniveraHealthcare.com. Higher copays apply for medications on Tiers 1-4 if a standard pharmacy is utilized. For out-of-network providers, we will pay 100% of the allowance or dentist charges, whichever is less. Why Should a Plan Offer an OTC Benefit Program? All Rights Reserved. From Oct. 1 - March 31: To see which stores participate, check withyour OTC partner. otc-catalog. and get answers to the most common questions we hear about Medicare. Any unused dollars at the end of your benefit period are not rolled over and cannot be used in following periods. All Rights Reserved. Non-Discrimination Notice and Language Assistance(PDF). Learn About Medicare | Univera Healthcare financial reconciliation, Compliant Debit Card & Flex Card Solutions, Specifically built to manage and support the, Personal emergency response systems (PERS). . Questions? Tv~Ln``$;@ \P
Wellcare ByFidelis Care offers members a pre-paid account that is automatically replenished on either a monthly or quarterly basis depending on your plan. For Plans 002, 004, and 008, you will use your Wellcare By Fidelis Care Member ID card. Create an online account to gain access to the benefits and extras that are part of your plan, and to connect with care. Your plan benefits from one account manager, one reporting suite, one set of service level agreements, and consolidated billing. With our expertly designed program, we track utilization accurately so that you only pay for what the members use. Call: by Convey Team | Feb 20, 2018 | 1 comment. Share this, If youre a caregiver for a loved one, we have resources that can support you. 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. FIDELIS and FIDELIS CARE are trademarks of Centene Corporation, Non-Discrimination Notice and Language Assistance, Transparency in Coverage Machine Readable Files. Sign In Sign in to access your over-the-counter benefit. Advisors are also available weekends 8 a.m. to 8 p.m. 100% of hospitals and 97% of doctors in your community. Forgot Password? 317 0 obj
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Chat is available from Mon. Using Your Hearing Benefit. We support our point-of-sale OTC benefit card with Conveys Miramar technology and administrative services. Speak with one of our Consultants today to see how our OTC Benefits Programs can promote better health for your member population. Select Your CountySelect your County - Select Your County -AlleganyCattaraugusChautauqua CentralNorthSouth GeneseeNiagaraOrleansWyoming, Speak with one of our dedicated Medicare Sales Advisors. 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. JavaScript seems to be disabled in your browser. PDF THE CORNERSTONE OF MIRAMAR:BENEFITS - Convey Health Solutions For example, if you turn 65 on July 4, you can enroll anytime between April 1 and October 31. View our. - Thurs. Also, consider your travel habits, prescription drug needs, and calculate your annual health care budget. We use cookies and other technologies to optimize site functionality, analyze website traffic, and share information with social media, advertising, and analytics partners. Plus, we've added a $1,000 annual allowance for comprehensive dental. Or, see the Evidence of Coverage using the link above. 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. Telehealth for care by telephone, email or chat. To help your loved one choose the best plan for them, youll need to know the answers to a few important questions. Login | Members | Univera Healthcare 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. Use of this site indicates your acceptance of our Terms of Use. Get mental health support via in-person and telehealth visits, with a participating licensed therapist (20% coinsurance) and/or psychiatrist (specialist copay applies). Examples of what can be purchased using your OTC account are Acetaminophen (Tylenol), antacids, and topical antibiotics. membership &
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Our Star Rating is a testament to how hard we work to help support your health and wellness. 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. Login Access To Your OTC Benefit Is Fast, Easy and Secure. * These statements have not been evaluated by the Food and Drug Administration. $50 allowance every three months for items such as allergy medication, antacids, digestive aids, cold & flu medication, denture products, and more. 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. Enrollment in our plans depends on contract renewal. 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 1-844-596-0345 You have from 3 months before you turn 65 to 3 months after your birthday month to enroll. Please make sure your card is active by visiting mybenefitscenter.com if you haven't already. Yes! Take advantage of exclusive rewards and perks to get more from your plan. Over-the-Counter Benefit Program Administration. Create an Account View your Summary of Benefits and Coverage Find a doctor, estimate medical cost and track your deductible and spending Univera Healthcare is an HMO plan and PPO plan with a Medicare contract. This product is not intended to diagnose, treat, cure, or prevent any disease. Sign In Don't have an account? This page last updated 10-01-2022. Our local experts can guide you through the Medicare basics and answer any questions you have. Submit a complaint about your Medicare plan at www.Medicare.gov or learn about filing a complaint by contacting the Medicare Ombudsman. .left-column
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Understand your options and learn more about your coverage. Weve got you covered. OTC benefit card, mail order, and flex wallet programs for over-the-counter benefits administration. The Star Rating is based on information collected from actual members like you, clinicians, and Medicares comprehensive monitoring process. Complete your enrollment during your Initial Enrollment Period. Monday - Friday: When it comes to Medicare, sometimes you need to talk to someone face-to-face. The point-of-sale Medicare OTC card is supported by Conveys Miramar technology and administrative services. Login | Medicare Members | Excellus BlueCross BlueShield I would like to receive emails from Univera Healthcare, such as Wellness and Health newsletters and more. Review your current health care coverage to see what options you have after you turn 65. .left-column
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Starting in 2023, all Univera Healthcare Medicare plans include preventive and comprehensive dental coverage at no cost. Most over-the-counter products and medications like pain relievers, allergy medications, heartburn drugs and topical antimicrobials were once available only by prescription. 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. 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
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