Y0028_8829_C. In OTC form, these drugs are FDA approved and often equally effective as prescription drugs at 2023 Convey Health Solutions. Optimize your business processes for operational success from a strategic and financial perspective. I would like to receive emails from Univera Healthcare, such as Wellness and Health newsletters and more. Explore our mail order, benefit card, mobile, and web solution. Univera Healthcare is an HMO plan and PPO plan with a Medicare contract. With the OTC debit card, Conveys flexible card solution can aggregate and support nearly all supplemental benefits (50 purses). 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. Our nationwide network includes thousands of participating pharmacies. Conveys integrated, end-to-end OTC benefit administration solution for mail order, benefit card, and flex wallet programs. Yes! Save up to 33% on prescriptions when you use mail-order pharmacy. Our local teamof doctors, nurses, dietitians and specialistsare here to supportyour wellbeing, including healthy eating, managing prescriptions, health conditions, and more. Questions about products or company? 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. 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. Eating healthy is easier than you think. The Convey OTC benefit card solution is a focal point of our thoughtfully developed, member-centric OTC services. Why Should a Plan Offer an OTC Benefit Program? 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. 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. . Mail: Use the mail order form in the product catalog that was mailed to you. This page last updated 10-01-2022. 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. For most plans, you pay 1 copayment for a 30-day supply and 2 copayments for a 90-day supply. From Oct. 1 - March 31: View our. 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. Our Star Rating is a testament to how hard we work to help support your health and wellness. 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. Links marked with an (external site) icon indicate you're leaving UniveraHealthcare.com. Time-saving fitness tips for real people on the go. Over-the-Counter Benefit Program Administration. 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. Tv~Ln``$;@ \P Convey manages member experience, compliance, and utilization, so health plans can focus on their core strategies. 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. Your account can be used to purchase over-the-counter (OTC) eligible items that help treat injuries or illness. Gladys Gonzalez on March 1, 2022 at 6:54 pm thank you. $50 allowance every three months for items such as allergy medication, antacids, digestive aids, cold & flu medication, denture products, and more. endstream endobj 285 0 obj <. Y0028_8829_M. Plus, members have access to our 24/7 Nurse Call Line. 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. The information you're accessing may not be Medicare-specific and/or provided by Univera Healthcare. Need information in a different format? 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. We provide everything needed to ensure the success of your supplemental OTC programs. to learn about Medicare in the comfort of your own home. Our Miramar technology enables government-sponsored health plans to operate more efficiently, elevate productivity, and ensure the highest standards for compliance. Share this, If youre a caregiver for a loved one, we have resources that can support you. Univera Healthcare is an HMO and PPO plan with a Medicare contract. Enrollment in Univera Healthcare depends on contract renewal. 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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See how we can develop an OTC plan for you. Univera Healthcare is an HMO plan and PPO plan with a Medicare contract. Sign up to receive your monthly Medicare milestones, showing what you should do now and next, straight to your email inbox. Your members receive our award-winning customer service every step of the way. Members receive an OTC debit card with a pre-determined allowance for approved, health-related OTC products. Most over-the-counter products and medications like pain relievers, allergy medications, heartburn drugs and topical antimicrobials were once available only by prescription. We serve members in the following counties: Find a plan that works in your service area. Copyright 2023 Univera Healthcare. by Convey Team | Feb 20, 2018 | 1 comment. 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. Log into your account, view patient information, and more. 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. You will receive notice when necessary. 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). You may be able to join or switch plans under special circumstances that grant a Special Election Period. 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 Plus, we've added a $1,000 annual allowance for comprehensive dental. Log in, register for an account, pay your bill, print ID cards, and more. Our extensive expertise, powerful technology, and robust data analytics deliver integrated, end-to-end healthcare solutions to achieve meaningful results. 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. Save money with lower copays on your Tiers 1-4 medications when you use one of our 35,000 preferred pharmacies. Out-of-network/non-contracted providers are under no obligation to treat Univera Healthcare members, except in emergency situations. Prescriptions filled at non-network pharmacies are covered only in certain situations. You will not receive a separate OTC card. 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 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. by Convey Team | Feb 17, 2021 | Articles, OTC, Medicare, Supplemental Benefits | Were here for you with helpful online tools and a support team that has your back. We designed the Convey OTC benefit card program to help your MA beneficiaries make the most of their OTC benefitsto achieve or maintain wellness. Convey's integrated, end-to-end OTC benefit administration solution for mail order, benefit card, and flex wallet programs. 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. Watch our Medicare Minute Videos to learn more about initial enrollment and working past 65. Your plan benefits from one account manager, one reporting suite, one set of service level agreements, and consolidated billing. To use your OTC benefits, choose one of the following ordering methods: Online: Visit the OTC Benefits website (powered by Convey Health) - registration required. Find the best plan for you with Medicare, individual and family plan options. .left-column
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Helping a friend or family member as they navigate Medicare enrollment or switch plans can be overwhelming. Sign In Don't have an account? Contact us today to speak with our Medicare Advantage experts. Health Plans for Self-Employed Individuals, Stay informed on vaccines, testing coverage and more. Use of this site indicates your acceptance of our Terms of Use. To help your loved one choose the best plan for them, youll need to know the answers to a few important questions. Our D-SNP plans have a contract with the state Medicaid program. As the market-leading provider of supplemental OTC benefit administration services, we deliver the OTC solutions that members genuinely appreciate. 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. Enrollment in Univera Healthcare depends on contract renewal. Higher copays apply for medications on Tiers 1-4 if a standard pharmacy is utilized. If you enroll during AEP, your coverage will begin January 1st of the following year. Please make sure your card is active by visiting mybenefitscenter.com if you haven't already. 10+ Years Administering the OTC Benefits Program. Enrollment in Univera Healthcare depends on contract renewal. The Star Rating is based on information collected from actual members like you, clinicians, and Medicares comprehensive monitoring process. Questions? You can even request a 1-on-1 appointment with a Medicare expert to get your questions answered. Who is Convey Health Solutions? Preventive dental included in ALL plans with. Login | Medicare Members | Excellus BlueCross BlueShield COVID-19: Stay informed on vaccines, testing coverage and more Medicare Login Username Password Forgot Username? Answer a few questions to create a personalized timeline that shows where to get started if you're turning 65 or new to Medicare. Copyright 2023, Univera Healthcare. Login Access To Your OTC Benefit Is Fast, Easy and Secure. -Select who you are-MemberMedicare Member. Y0028_8791b_MDate Last Updated 12/08/2022. You are covered locally and nationally with our extensive network of 65,000 pharmacies. See our Privacy Policy for how we use information. 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. To find out how your prescriptions are covered, check our comprehensive list of covered prescription drugs (also known as the formulary). Visit our. Enrollment in our plans depends on contract renewal. 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. 0 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. TTY: 711. The information you're accessing may not be provided by 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. 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. membership & We're here for you. Specifically built to manage and support the supplemental benefits program, Miramar easily exchanges member data, enforces compliance, and allows for varying benefit designs. Convey manages member experience, compliance, and . - Thurs. With our expertly designed program, we track utilization accurately so that you only pay for what the members use. Starting in 2023, all Univera Healthcare Medicare plans include preventive and comprehensive dental coverage at no cost. CMS-Compliant OTC Services As the market-leading provider of supplemental OTC benefit administration services, we deliver the OTC solutions that members genuinely appreciate. Along with urgent and emergency care when you travel. Want to learn about Medicare? Forgot Password? Sign In Sign in to access your over-the-counter benefit. Yes! View our Privacy Policy for information on how we protect your privacy. 284 0 obj <> endobj Preventive dental included in your plan with NO copay. Consulting services to health plans, health systems, specialty health organizations, and healthcare investors throughout the country, with exceptional expertise in the government-markets. Take advantage of exclusive rewards and perks to get more from your plan. For hours and additional contact information please visit the Contact Us page. and check to see if your prescriptions are covered. 1-844-596-0345 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 hbbd```b``+@$S4dEddeM`7`2L^ .u@q2qD*ls D Register now ! Take these important steps to learn about Medicare and see what you have to do now to prepare for enrollment. 100% of hospitals and 97% of doctors in your community. Univera Healthcare is an HMO plan and PPO plan with a Medicare contract. Beneficiaries receive white glove customer service from our dedicated teams.. Get recipes and nutritional tips to prep your next meal. If you obtain routine care from Out-of-Network providers neither Medicare nor Univera Healthcare will be responsible for the costs. 317 0 obj <>stream Call Customer Service toll-free at 1-877-883-9577 (TTY 711) 8 a.m. to 8 p.m. Monday - Friday. Convey manages member experience, compliance, and utilization, so you can focus on your core competencies. 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. 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. How Can We Help You Elevate & Streamline Your MA/MAPD, PDP, EGWP Plan Operations? See our Privacy Policy for how we use information. Whether your looking for a plan on your own or would like help from an expert, we've got you covered. View preventive health checklist for older adults. Univera Healthcare is an HMO and PPO plan with a Medicare contract. To the extent of any discrepancy between this web site and the Evidence of Coverage, the Evidence of Coverage terms take priority. Whether your looking for a plan on your own or would like help from an expert, we've got you covered. Improve your quality of life with our support. Or, see the Evidence of Coverage using the link above. 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. Review your current health care coverage to see what options you have after you turn 65. **Free shipping can only be fulfilled within the 48 contiguous United States (excludes recipients of Alaska, Hawaii, and other US territories). Speak with one of our Consultants today to see how our OTC Benefits Programs can promote better health for your member population. 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. They also benefit from one award-winning customer service center to coordinate it all. Convenient ordering via mail, phone, or online makes getting products to your members easy. For Plans 002, 004, and 008, you will use your Wellcare By Fidelis Care Member ID card. Select Your CountySelect your County - Select Your County -AlleganyCattaraugusChautauqua CentralNorthSouth GeneseeNiagaraOrleansWyoming, Speak with one of our dedicated Medicare Sales Advisors. 2023 CMS Medicare Star Rating. Non-Discrimination Notice and Language Assistance(PDF). 2023 Convey Health Solutions. Get mental health support via in-person and telehealth visits, with a participating licensed therapist (20% coinsurance) and/or psychiatrist (specialist copay applies). 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. Also, consider your travel habits, prescription drug needs, and calculate your annual health care budget. Forgot Username Forgot Password Sign In Frequently Asked Questions Registration Not Registered? Find your Medicare Plan to learn about the other benefits available to you, such as over-the-counter allowances and Silver&Fit. 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. Frequently Asked Questions and Helpful Resources, You may be able to join or switch plans under special circumstances that grant a Special Election Period. Products such as cold or allergy medications, compression socks, and sleep aids are available in store, and through our home delivery program. Y0028_8829_C. We use cookies and other technologies to optimize site functionality, analyze website traffic, and share information with social media, advertising, and analytics partners. ET. Advisors are also available weekends 8 a.m. to 8 p.m. Simply implementing an OTC debit card for your member to use is not enough in this competitive market. Use of this site indicates your acceptance of our Terms of Use. Chat is available from Mon. This product is not intended to diagnose, treat, cure, or prevent any disease. 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. Wellcare ByFidelis Care offers members a pre-paid account that is automatically replenished on either a monthly or quarterly basis depending on your plan. You can use this account to purchase non-prescription, over . Offer an additional supplemental benefit plan for members that suffer from chronic illness or have more complex health needs. Submit a complaint about your Medicare plan at www.Medicare.gov or learn about filing a complaint by contacting the Medicare Ombudsman. Call1-800-671-6081(TTY 711) for more information. To see which stores participate, check withyour OTC partner. to keep all your important information in one place. (In-network), Outpatient Hospital Coverage (In-network), Tier 1 Preferred Generic Drugs (Includes select vaccines). OTC benefit card, mail order, and flex wallet programs for over-the-counter benefits administration. Every year, Medicare evaluates plans based on a 5-star rating system. By clicking on these links, you will leave the Fidelis Care website. 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. Here are some resources to simplify the process and guide you along the way. We are committed to providing high quality, timely service. 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. Log in to your member account 24/7 for your member card, coverage, claims, and more. Register now! Login | Medicare Members | Univera Healthcare COVID-19: Stay informed on vaccines, testing coverage and more Medicare Login Username Password Forgot Username? When it comes to Medicare, sometimes you need to talk to someone face-to-face. You have from 3 months before you turn 65 to 3 months after your birthday month to enroll. 8 a.m. to 8 p.m. **For Plans 001 and 003, Convey provides mail order service. Phone: Call 1-855-657-7545 (TTY 711 ), Monday - Friday, 8 a.m. to 11 p.m. For the best experience on our site, be sure to turn on Javascript in your browser. The point-of-sale Medicare OTC card is supported by Convey's Miramar technology and administrative services. 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. For the best experience on our site, be sure to turn on Javascript in your browser. Monday - Friday: 0 comments. 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. The intensity of competition within the MA marketplace commands health plans to consistently identify solutions that contribute to enrollment growth. 1 Comment. Our technology + service solutions meet the specific challenges that you face when trying to provide an optimal member experience. Copyright 2023, Univera Healthcare. otc-catalog. Login | Members | Univera Healthcare Member COVID-19: Stay informed on vaccines, testing coverage and more Member Login Username Password Forgot Username? See how we're making maternal health a priority in our community. Once youre enrolled in Medicare, you can change your Medicare coverage during the Annual Election Period from October 15 to December 7. The Convey OTC benefit card solution is a focal point of our thoughtfully developed, member-centric OTC services. 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. 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 Health Solutions is a specialized Medicare technology company committed to compliant member management software and service solutions. OUTSOURCING SOLUTIONS Our technology + service solutions meet the specific challenges that you face when trying to provide an optimal member experience. Y0028_8829_M.

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