univera convey otc solutions login

You will not receive a separate OTC card. Choose to enroll online, by mail when you order an enrollment kit, or by phone. To see which stores participate, check withyour OTC partner. 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 keep all your important information in one place. The point-of-sale Medicare OTC card is supported by Convey's Miramar technology and administrative services. Copyright 2023, Univera Healthcare. Part D Prescriptions: $100 deductible, $0 for Tier 1 preferred generic drugs and vaccines at preferred pharmacies. The information you're accessing may not be provided by Univera Healthcare. to learn about Medicare in the comfort of your own home. 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. Improve your quality of life with our support. Convey Health Solutions is the vendor that Univera Healthcare is using to administer the Over the Counter Benefit. * These statements have not been evaluated by the Food and Drug Administration. 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. .left-column
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. For most plans, you pay 1 copayment for a 30-day supply and 2 copayments for a 90-day supply. Find a Univera Healthcare Medicare plan that fits your needs and budget. View our. 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. 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. Find the best plan for you with Medicare, individual and family plan options. See our Privacy Policy for how we use information. Univera Healthcare is an HMO plan and PPO plan with a Medicare contract. We use cookies and other technologies to optimize site functionality, analyze website traffic, and share information with social media, advertising, and analytics partners. Please make sure your card is active by visiting mybenefitscenter.com if you haven't already. You may be able to join or switch plans under special circumstances that grant a Special Election Period. Convey manages member experience, compliance, and utilization, so health plans can focus on their core strategies. Let's get started! Login | Medicare Members | Univera Healthcare COVID-19: Stay informed on vaccines, testing coverage and more Medicare Login Username Password Forgot Username? See how we can develop an OTC plan for you. Your plan benefits from one account manager, one reporting suite, one set of service level agreements, and consolidated billing. Submit a complaint about your Medicare plan at www.Medicare.gov or learn about filing a complaint by contacting the Medicare Ombudsman. 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. $0 preventive care services, including annual wellness visit, cancer screenings, vaccines, and more. Learn about Medicare Advantage and ask questions about plans and benefits from a Medicare expert. Prescriptions filled at non-network pharmacies are covered only in certain situations. Over-the-Counter Benefit Program Administration. We use cookies and other technologies to optimize site functionality, analyze website traffic, and share information with social media, advertising, and analytics partners. Use of this site indicates your acceptance of our Terms of Use. Benefit Overview. Your members receive our award-winning customer service every step of the way. Find a Univera Healthcare Medicare plan that fits your needs and budget. 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. 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. Enrollment in Univera Healthcare depends on contract renewal. 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. **Free shipping can only be fulfilled within the 48 contiguous United States (excludes recipients of Alaska, Hawaii, and other US territories). Here are some resources to simplify the process and guide you along the way. Y0028_8829_C. With the OTC debit card, Conveys flexible card solution can aggregate and support nearly all supplemental benefits (50 purses). Offer an additional supplemental benefit plan for members that suffer from chronic illness or have more complex health needs. If you enroll during AEP, your coverage will begin January 1st of the following year. Who is Convey Health Solutions? This page last updated 10-01-2022. Plus, members have access to our 24/7 Nurse Call Line. Login | Medicare Members | Excellus BlueCross BlueShield COVID-19: Stay informed on vaccines, testing coverage and more Medicare Login Username Password Forgot Username? 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. -Select who you are-MemberMedicare Member. Using Your Hearing Benefit. 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. They also benefit from one award-winning customer service center to coordinate it all. Explore our mail order, benefit card, mobile, and web solution. Login Your Account Email/Customer ID Password Forgot Your Password? You can use this account to purchase non-prescription, over . We're here for you. Our extensive expertise, powerful technology, and robust data analytics deliver integrated, end-to-end healthcare solutions to achieve meaningful results. Univera Healthcare is an HMO plan and PPO plan with a Medicare contract. 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. Use of this site indicates your acceptance of our Terms of Use. Convey Health Solutions is a specialized Medicare technology company committed to compliant member management software and service solutions. Our Miramar technology enables government-sponsored health plans to operate more efficiently, elevate productivity, and ensure the highest standards for compliance. You can even request a 1-on-1 appointment with a Medicare expert to get your questions answered. Western New York Deserves More from Medicare: Dont worry; were here to help every step of the way. Additionally, Univera Healthcare has contracts with pharmacies that equal or exceed the CMS requirements for pharmacy access in your area. Beneficiaries receive white glove customer service from our dedicated teams.. %%EOF A prescription drug deductible may apply, check the Evidence of Coverage (EOC) for additional details. Did you know you can make a one-time switch into a 5 Star Medicare Plan. To help your loved one choose the best plan for them, youll need to know the answers to a few important questions. (In-network), Outpatient Hospital Coverage (In-network), Tier 1 Preferred Generic Drugs (Includes select vaccines). View our Privacy Policy for information on how we protect your privacy. 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 In OTC form, these drugs are FDA approved and often equally effective as prescription drugs at 2023 Convey Health Solutions. 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. 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. Non-Discrimination Notice and Language Assistance(PDF). 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. For hours and additional contact information please visit the Contact Us page. We serve members in the following counties: Find a plan that works in your service area. You will be responsible for the balance. Members receive an OTC debit card with a pre-determined allowance for approved, health-related OTC products. For out-of-network providers, we will pay 100% of the allowance or dentist charges, whichever is less. 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 costs and track your deductible and spending View and order your member card 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. Login | Members | Univera Healthcare Member COVID-19: Stay informed on vaccines, testing coverage and more Member Login Username Password Forgot Username? Preventive dental included in your plan with NO copay. 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. Take these important steps to learn about Medicare and see what you have to do now to prepare for enrollment. Sign up for our e-mail for the latest news & updates. We are committed to providing high quality, timely service. Enrollment in our plans depends on contract renewal. financial reconciliation, Compliant Debit Card & Flex Card Solutions, Specifically built to manage and support the, Personal emergency response systems (PERS). Find your Medicare Plan to learn about the other benefits available to you, such as over-the-counter allowances and Silver&Fit. by Convey Team | Feb 17, 2021 | Articles, OTC, Medicare, Supplemental Benefits | . preventive health checklist for older adults, comprehensive formulary and searchable medication database, Summary of Benefits with Multi-Language Flyer, $5/$30 Login Access To Your OTC Benefit Is Fast, Easy and Secure. Convenient ordering via mail, phone, or online makes getting products to your members easy. Our nationwide network includes thousands of participating pharmacies. 317 0 obj <>stream hbbd```b``+@$S4dEddeM`7`2L^ .u@q2qD*ls D 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. hb``` eapI]u/AR_GPJ[~AGF$i+biH #; L,1a^2dyf8~u|snDHlD@nb``3`pH20b0 2P Log in to your member account 24/7 for your member card, coverage, claims, and more. This information is not a complete description of benefits. View preventive health checklist for older adults. 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. The Convey OTC benefit card solution is a focal point of our thoughtfully developed, member-centric OTC services. Visit our. View our Privacy Policy for information on how we protect your privacy. MA beneficiaries receive Conveys award-winning customer service throughout their supplemental benefits experience. $50 allowance every three months for items such as allergy medication, antacids, digestive aids, cold & flu medication, denture products, and more. Y0028_8829_C. Our local experts can guide you through the Medicare basics and answer any questions you have. 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. Get care from the people and places you know and trust using our robust network of doctors, hospitals, and pharmacies. Questions? This product is not intended to diagnose, treat, cure, or prevent any disease. The expertly designed Medicare OTC card by Convey is no exception. Please contact us! membership & You are covered locally and nationally with our extensive network of 65,000 pharmacies. Y0028_8791b_MDate Last Updated 12/08/2022. Why Should a Plan Offer an OTC Benefit Program? 1 Comment. TTY: 711. OUTSOURCING SOLUTIONS Our technology + service solutions meet the specific challenges that you face when trying to provide an optimal member experience. From Oct. 1 - March 31: Copyright 2023, Univera Healthcare. Y0028_8829_M. Take advantage of exclusive rewards and perks to get more from your plan. Links marked with an (external site) icon indicate you're leaving the Medicare portion of UniveraHealthcare.com. Log into your account, view patient information, and more. Time-saving fitness tips for real people on the go. Every year, Medicare evaluates plans based on a 5-star rating system. ET. View our Privacy Policy for information on how we protect your privacy. JavaScript seems to be disabled in your browser. Our local teamof doctors, nurses, dietitians and specialistsare here to supportyour wellbeing, including healthy eating, managing prescriptions, health conditions, and more. Along with urgent and emergency care when you travel. Get recipes and nutritional tips to prep your next meal. Specifically built to manage and support the supplemental benefits program, Miramar easily exchanges member data, enforces compliance, and allows for varying benefit designs. Sign In Don't have an account? 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. Your account can be used to purchase over-the-counter (OTC) eligible items that help treat injuries or illness. View our Medicare Advantage Timeline to learn more. Put more money in your pocket. 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 Weve got you covered. You will receive notice when necessary. Conveys integrated, end-to-end OTC benefit administration solution for mail order, benefit card, and flex wallet programs. Phone: Call 1-855-657-7545 (TTY 711 ), Monday - Friday, 8 a.m. to 11 p.m. 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. 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! Submit a complaint about your Medicare plan at www.Medicare.gov or learn about filing a complaint by contacting the Medicare Ombudsman. 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. See our Privacy Policy for how we use information. To the extent of any discrepancy between this web site and the Evidence of Coverage, the Evidence of Coverage terms take priority. Sign In Sign in to access your over-the-counter benefit. Our D-SNP plans have a contract with the state Medicaid program. Speak with one of our Consultants today to see how our OTC Benefits Programs can promote better health for your member population. Telehealth for care by telephone, email or chat. Chat is available from Mon. Out-of-network/non-contracted providers are under no obligation to treat Univera Healthcare members, except in emergency situations. The point-of-sale Medicare OTC card is supported by Conveys Miramar technology and administrative services. 284 0 obj <> endobj Examples of what can be purchased using your OTC account are Acetaminophen (Tylenol), antacids, and topical antibiotics. Enrollment in Univera Healthcare depends on contract renewal. And with integration into our flex wallet program, members can have simplified access to more benefits than ever before! See how we're making maternal health a priority in our community. Our Star Rating is a testament to how hard we work to help support your health and wellness. Or, see the Evidence of Coverage using the link above. Your account can be used to purchase over-the-counter (OTC) eligible items that help treat injuries or illness. Copyright 2023 Univera Healthcare. %PDF-1.6 % Advisors are also available weekends 8 a.m. to 8 p.m. Review your current health care coverage to see what options you have after you turn 65. Enrollment in Univera Healthcare depends on contract renewal. **For Plans 001 and 003, Convey provides mail order service. Call: Call Customer Service toll-free at 1-877-883-9577 (TTY 711) 8 a.m. to 8 p.m. Monday - Friday. 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. 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. All Rights Reserved. Univera Healthcare is an HMO and PPO plan with a Medicare contract. Once youre enrolled in Medicare, you can change your Medicare coverage during the Annual Election Period from October 15 to December 7. 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. 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. I would like to receive emails from Univera Healthcare, such as Wellness and Health newsletters and more. OTC items may only be purchased by you for your own personal use. Complete your enrollment during your Initial Enrollment Period. Products such as cold or allergy medications, compression socks, and sleep aids are available in store, and through our home delivery program. .left-column
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By clicking on these links, you will leave the Fidelis Care website. Convey's integrated, end-to-end OTC benefit administration solution for mail order, benefit card, and flex wallet programs. Eligible beneficiaries must use network pharmacies to access their prescription drug benefit, except under non-routine circumstances, and quantity limitations and restrictions may apply. The Convey OTC benefit card solution is a focal point of our thoughtfully developed, member-centric OTC services. *Health plan members: Rather than submitting this form, we recommend you contact your health plan directly. Watch our Medicare Minute Videos to learn more about initial enrollment and working past 65. Select plans also offer a $500 flex card to use toward out-of-pocket dental, hearing, or vision expenses. 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. 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 For Plans 002, 004, and 008, you will use your Wellcare By Fidelis Care Member ID card. Choose from retail, home delivery, long-term care, specialty, home infusion, or Indian/Tribal/Urban pharmacies. 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. The Formulary, pharmacy network, and/or provider network may change at any time. 8 a.m. to 8 p.m. Create an Account View your Summary of Benefits and Coverage Find a doctor, estimate medical cost and track your deductible and spending The intensity of competition within the MA marketplace commands health plans to consistently identify solutions that contribute to enrollment growth. Enrollment in Univera Healthcare depends on contract renewal. endstream endobj 285 0 obj <. Submit a Comment. 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. Sign up to receive your monthly Medicare milestones, showing what you should do now and next, straight to your email inbox. 0 Medicare Advantage Over The Counter Benefits Administered By Fieldtex, Design and create your custom 2022 OTC Benefit Catalog Program. Call1-800-671-6081(TTY 711) for more information. Please call your health plan for assistance. .left-column
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The supplemental benefits landscape is booming, with OTC benefits as its mainstay. 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. Links marked with an (external site) icon indicate you're leaving UniveraHealthcare.com. You have from 3 months before you turn 65 to 3 months after your birthday month to enroll. 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. Convey manages member experience, compliance, and utilization, so you can focus on your core competencies. Univera Healthcare is an HMO plan and PPO plan with a Medicare contract. You dont have to manage health conditions alone. Forgot Password? 10+ Years Administering the OTC Benefits Program. otc-catalog. (By clicking on the above website links, you will leave the Fidelis Care website). Starting in 2023, all Univera Healthcare Medicare plans include preventive and comprehensive dental coverage at no cost. 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) Were here for you with helpful online tools and a support team that has your back. Eating healthy is easier than you think. Most over-the-counter products and medications like pain relievers, allergy medications, heartburn drugs and topical antimicrobials were once available only by prescription. Register now ! Through our experience serving 3.5+ million plan members, we have the expertise needed to provide comprehensive, member-centric OTC services. If you obtain routine care from Out-of-Network providers neither Medicare nor Univera Healthcare will be responsible for the costs. Our technology + service solutions meet the specific challenges that you face when trying to provide an optimal member experience. If you are encountering any difficulty accessing your account, please feel free to call our Customer Care Team at. Consulting services to health plans, health systems, specialty health organizations, and healthcare investors throughout the country, with exceptional expertise in the government-markets. Simply implementing an OTC debit card for your member to use is not enough in this competitive market. Currently partnered with numerous Plans, weve successfully distributed over 1,000,000 packages of over-the-counter supplies to Medicare members nationwide. LEADING INDUSTRY ADVISORY Get mental health support via in-person and telehealth visits, with a participating licensed therapist (20% coinsurance) and/or psychiatrist (specialist copay applies). 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. Select Your CountySelect your County - Select Your County -AlleganyCattaraugusChautauqua CentralNorthSouth GeneseeNiagaraOrleansWyoming, Speak with one of our dedicated Medicare Sales Advisors. Whether your looking for a plan on your own or would like help from an expert, we've got you covered. 0 comments. 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.

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