Choose from retail, home delivery, long-term care, specialty, home infusion, or Indian/Tribal/Urban pharmacies. 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 Questions about products or company? Need information in a different format? If you are encountering any difficulty accessing your account, please feel free to call our Customer Care Team at. Weve got you covered. otc-catalog | Convey Health Solutions Convey manages member experience, compliance, and utilization, so you can focus on your core competencies. Your plan benefits from one account manager, one reporting suite, one set of service level agreements, and consolidated billing. endstream endobj startxref 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. Get recipes and nutritional tips to prep your next meal. Your account can be used to purchase over-the-counter (OTC) eligible items that help treat injuries or illness. OTC Health Solution | Services | Convey Health Solutions Or, see the Evidence of Coverage using the link above. We serve members in the following counties: Find a plan that works in your service area. Put more money in your pocket. Submit a complaint about your Medicare plan at www.Medicare.gov or learn about filing a complaint by contacting the Medicare Ombudsman. Our D-SNP plans have a contract with the state Medicaid program. LEADING INDUSTRY ADVISORY As the market-leading provider of supplemental OTC benefit administration services, we deliver the OTC solutions that members genuinely appreciate. **Free shipping can only be fulfilled within the 48 contiguous United States (excludes recipients of Alaska, Hawaii, and other US territories). 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. Select Your CountySelect your County - Select Your County -AlleganyCattaraugusChautauqua CentralNorthSouth GeneseeNiagaraOrleansWyoming, Speak with one of our dedicated Medicare Sales Advisors. Please make sure your card is active by visiting mybenefitscenter.com if you haven't already. 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. 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 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. Log in, register for an account, pay your bill, print ID cards, and more. Find a Univera Healthcare Medicare plan that fits your needs and budget. We provide everything needed to ensure the success of your supplemental OTC programs. 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. 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. See how we're making maternal health a priority in our community. Helping a friend or family member as they navigate Medicare enrollment or switch plans can be overwhelming. 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! 8 a.m. to 8 p.m. $50 allowance every three months for items such as allergy medication, antacids, digestive aids, cold & flu medication, denture products, and more. Complete your enrollment during your Initial Enrollment Period. We use cookies and other technologies to optimize site functionality, analyze website traffic, and share information with social media, advertising, and analytics partners. 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. Login | Medicare Members | Univera Healthcare COVID-19: Stay informed on vaccines, testing coverage and more Medicare Login Username Password Forgot Username? 1-844-596-0345 To find out how your prescriptions are covered, check our comprehensive list of covered prescription drugs (also known as the formulary). Univera SeniorChoice Advanced (HMO-POS) provides comprehensive coverage for the health care services you need, including: $360 copay (per day) for days 1-5, days 6+ are covered in full. From Oct. 1 to Dec. 31, representatives also are available weekends from 8 a.m. to 8 p.m. Join us for a Medicare Seminar to learn more and let us help you choose the right plan. Create an Account View your Summary of Benefits and Coverage Find a doctor, estimate medical cost and track your deductible and spending hbbd```b``+@$S4dEddeM`7`2L^ .u@q2qD*ls D See our Privacy Policy for how we use information. 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. We are committed to providing high quality, timely service. 2023 Convey Health Solutions. 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. - Thurs. Call Customer Service toll-free at 1-877-883-9577 (TTY 711) 8 a.m. to 8 p.m. Monday - Friday. You will receive notice when necessary. Higher copays apply for medications on Tiers 1-4 if a standard pharmacy is utilized. Any unused dollars at the end of your benefit period are not rolled over and cannot be used in following periods. %%EOF I would like to receive emails from Univera Healthcare, such as Wellness and Health newsletters and more. By clicking on these links, you will leave the Fidelis Care website. You dont have to manage health conditions alone. All Rights Reserved. %PDF-1.6 % 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 enroll during AEP, your coverage will begin January 1st of the following year. Health Plans for Self-Employed Individuals, Stay informed on vaccines, testing coverage and more. If you obtain routine care from Out-of-Network providers neither Medicare nor Univera Healthcare will be responsible for the costs. .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;
}
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. All Rights Reserved. We designed the Convey OTC benefit card program to help your MA beneficiaries make the most of their OTC benefitsto achieve or maintain wellness. Optimize your business processes for operational success from a strategic and financial perspective. Enrollment in Univera Healthcare depends on contract renewal. 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. Home | Medicare Members | Univera Healthcare 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 For out-of-network providers, we will pay 100% of the allowance or dentist charges, whichever is less. Univera Healthcare is an HMO plan and PPO plan with a Medicare contract. When it comes to Medicare, sometimes you need to talk to someone face-to-face. Our local experts can guide you through the Medicare basics and answer any questions you have. The point-of-sale Medicare OTC card is supported by Convey's Miramar technology and administrative services. Please call your health plan for assistance. MA beneficiaries receive Conveys award-winning customer service throughout their supplemental benefits experience. Create an online account to gain access to the benefits and extras that are part of your plan, and to connect with care. Enrollment in Univera Healthcare depends on contract renewal. Enrollment in Univera Healthcare depends on contract renewal. Our technology + service solutions meet the specific challenges that you face when trying to provide an optimal member experience. Yes! Enrollment in Univera Healthcare depends on contract renewal. 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). See how we can develop an OTC plan for you. .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;
}
Login | Medicare Members | Excellus BlueCross BlueShield COVID-19: Stay informed on vaccines, testing coverage and more Medicare Login Username Password Forgot Username? The Formulary, pharmacy network, and/or provider network may change at any time. Your members receive our award-winning customer service every step of the way. Y0028_8829_M. financial reconciliation, Compliant Debit Card & Flex Card Solutions, Specifically built to manage and support the, Personal emergency response systems (PERS). The point-of-sale Medicare OTC card is supported by Conveys Miramar technology and administrative services. Enrollment in Univera Healthcare depends on contract renewal. Convey manages member experience, compliance, and . 2023 CMS Medicare Star Rating. We're here for you. Y0028_8829_C. Login | Members | Univera Healthcare Univera SeniorChoice Basic (HMO) | Univera Healthcare Once youre enrolled in Medicare, you can change your Medicare coverage during the Annual Election Period from October 15 to December 7. 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. Find the best plan for you with Medicare, individual and family plan options. Please contact us! ET. Customer Login - Univera 1 Comment. 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. 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. Terms of Use | Web Privacy Policy | Accessibility Statement. 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. 317 0 obj <>stream Our nationwide network includes thousands of participating pharmacies. To the extent of any discrepancy between this web site and the Evidence of Coverage, the Evidence of Coverage terms take priority. OTC Benefit Solutions: Supplemental Over The Counter Programs Out-of-network/non-contracted providers are under no obligation to treat Univera Healthcare members, except in emergency situations. membership & Take these important steps to learn about Medicare and see what you have to do now to prepare for enrollment. Univera Healthcare is an HMO plan and PPO plan with a Medicare contract. Access To Your OTC Benefit Is Fast, Easy and Secure. You can use this account to purchase non-prescription, over . Share this, If youre a caregiver for a loved one, we have resources that can support you. The information you're accessing may not be Medicare-specific and/or provided by Univera Healthcare. * These statements have not been evaluated by the Food and Drug Administration. Links marked with an (external site) icon indicate you're leaving the Medicare portion of UniveraHealthcare.com. Understand your options and learn more about your coverage. 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. Eligible beneficiaries must use network pharmacies to access their prescription drug benefit, except under non-routine circumstances, and quantity limitations and restrictions may apply. Login | Medicare Members | Univera Healthcare Health Plan Technology & Advisory | Convey Health Solutions Mail: Use the mail order form in the product catalog that was mailed to you. To see which stores participate, check withyour OTC partner. Univera Healthcare is an HMO plan and PPO plan with a Medicare contract. With our expertly designed program, we track utilization accurately so that you only pay for what the members use. Get care from the people and places you know and trust using our robust network of doctors, hospitals, and pharmacies. 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. Closed Thanksgiving Day, Christmas Eve, Christmas Day, New Years Eve, and New Years Day preventive health checklist for older adults, comprehensive formulary and searchable medication database, Summary of Benefits with Multi-Language Flyer, $5/$30
Directional Terms Quizlet With Pictures, Articles U