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Univera Healthcare is an HMO plan and PPO plan with a Medicare contract. Convey Health Solutions is the vendor that Univera Healthcare is using to administer the Over the Counter Benefit. .left-column
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. Links marked with an (external site) icon indicate you're leaving the Medicare portion of UniveraHealthcare.com. If you are encountering any difficulty accessing your account, please feel free to call our Customer Care Team at. I would like to receive emails from Univera Healthcare, such as Wellness and Health newsletters and more. You will be responsible for the balance. Y0028_8829_M. OTC benefit card, mail order, and flex wallet programs for over-the-counter benefits administration. Medicare Advantage Over The Counter Benefits Administered By Fieldtex, Design and create your custom 2022 OTC Benefit Catalog Program. Any unused dollars at the end of your benefit period are not rolled over and cannot be used in following periods. As the market-leading provider of supplemental OTC benefit administration services, we deliver the OTC solutions that members genuinely appreciate. If you enroll during AEP, your coverage will begin January 1st of the following year. Or, see the Evidence of Coverage using the link above. endstream
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Also, consider your travel habits, prescription drug needs, and calculate your annual health care budget. 0
Please contact us! Please make sure your card is active by visiting mybenefitscenter.com if you haven't already. Closed Thanksgiving Day, Christmas Eve, Christmas Day, New Years Eve, and New Years Day Your account can be used to purchase over-the-counter (OTC) eligible items that help treat injuries or illness. 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. endstream
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<. 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) For Plans 002, 004, and 008, you will use your Wellcare By Fidelis Care Member ID card. 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. 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. Helping a friend or family member as they navigate Medicare enrollment or switch plans can be overwhelming. (By clicking on the above website links, you will leave the Fidelis Care website). Enrollment in Univera Healthcare depends on contract renewal. Learn about Medicare Advantage and ask questions about plans and benefits from a Medicare expert. We serve members in the following counties: Find a plan that works in your service area. Gladys Gonzalez on March 1, 2022 at 6:54 pm thank you. Why Should a Plan Offer an OTC Benefit Program? 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. 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! We designed the Convey OTC benefit card program to help your MA beneficiaries make the most of their OTC benefitsto achieve or maintain wellness. View our Medicare Advantage Timeline to learn more. 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. Sign up to receive your monthly Medicare milestones, showing what you should do now and next, straight to your email inbox. View our Privacy Policy for information on how we protect your privacy. Speak with one of our Consultants today to see how our OTC Benefits Programs can promote better health for your member population. Convey's integrated, end-to-end OTC benefit administration solution for mail order, benefit card, and flex wallet programs. For most plans, you pay 1 copayment for a 30-day supply and 2 copayments for a 90-day supply. And with integration into our flex wallet program, members can have simplified access to more benefits than ever before! Use of this site indicates your acceptance of our Terms of Use. Who is Convey Health Solutions? View preventive health checklist for older adults. Phone: Call 1-855-657-7545 (TTY 711 ), Monday - Friday, 8 a.m. to 11 p.m. The supplemental benefits landscape is booming, with OTC benefits as its mainstay. Along with urgent and emergency care when you travel. 317 0 obj
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Our Miramar technology enables government-sponsored health plans to operate more efficiently, elevate productivity, and ensure the highest standards for compliance. 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. LEADING INDUSTRY ADVISORY 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). The Star Rating is based on information collected from actual members like you, clinicians, and Medicares comprehensive monitoring process. 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 Find a Univera Healthcare Medicare plan that fits your needs and budget. We're here for you. Need information in a different format? Tv~Ln``$;@ \P
Copyright 2023 Univera Healthcare. All Rights Reserved. We use cookies and other technologies to optimize site functionality, analyze website traffic, and share information with social media, advertising, and analytics partners. Register now !
Once youre enrolled in Medicare, you can change your Medicare coverage during the Annual Election Period from October 15 to December 7. See how we're making maternal health a priority in our community. OTC items may only be purchased by you for your own personal use. Convey Health Solutions is a specialized Medicare technology company committed to compliant member management software and service solutions. -Select who you are-MemberMedicare Member. MA beneficiaries receive Conveys award-winning customer service throughout their supplemental benefits experience. Y0028_8829_C. 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. Save money with lower copays on your Tiers 1-4 medications when you use one of our 35,000 preferred pharmacies. Answer a few questions to create a personalized timeline that shows where to get started if you're turning 65 or new to Medicare. Our Star Rating is a testament to how hard we work to help support your health and wellness. We are committed to providing high quality, timely service. 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. Advisors are also available weekends 8 a.m. to 8 p.m. 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 COVID-19: Stay informed on vaccines, testing coverage and more Medicare Login Username Password Forgot Username? Y0028_8791b_MDate Last Updated 12/08/2022. ET. Weve got you covered. Part D Prescriptions: $100 deductible, $0 for Tier 1 preferred generic drugs and vaccines at preferred pharmacies. Conveys integrated, end-to-end OTC benefit administration solution for mail order, benefit card, and flex wallet programs. %%EOF
Specifically built to manage and support the supplemental benefits program, Miramar easily exchanges member data, enforces compliance, and allows for varying benefit designs. 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. 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. As a focal point of Conveys thoughtfully developed member-centric OTC services, Conveys Medicare OTC card is a solution that will do just that. Choose from retail, home delivery, long-term care, specialty, home infusion, or Indian/Tribal/Urban pharmacies. to keep all your important information in one place. Explore our mail order, benefit card, mobile, and web solution. Log in, register for an account, pay your bill, print ID cards, and more. 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 Create an online account to gain access to the benefits and extras that are part of your plan, and to connect with care. Put more money in your pocket. otc-catalog. Get care from the people and places you know and trust using our robust network of doctors, hospitals, and pharmacies. Enrollment in Univera Healthcare depends on contract renewal. 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. preventive health checklist for older adults, comprehensive formulary and searchable medication database, Summary of Benefits with Multi-Language Flyer, $5/$30 Chat is available from Mon. 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. Convenient ordering via mail, phone, or online makes getting products to your members easy. Monday - Friday: Review your current health care coverage to see what options you have after you turn 65. 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. The information you're accessing may not be provided by Univera Healthcare. Call: hb```
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and get answers to the most common questions we hear about Medicare. View our Privacy Policy for information on how we protect your privacy. Submit a Comment. Benefit Overview. If you obtain routine care from Out-of-Network providers neither Medicare nor Univera Healthcare will be responsible for the costs. Univera Healthcare is an HMO and PPO plan with a Medicare contract. 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. 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. See how we can develop an OTC plan for you. The point-of-sale Medicare OTC card is supported by Convey's Miramar technology and administrative services. 10+ Years Administering the OTC Benefits Program. Currently partnered with numerous Plans, weve successfully distributed over 1,000,000 packages of over-the-counter supplies to Medicare members nationwide. Univera Healthcare is an HMO and PPO plan with a Medicare contract. Members receive an OTC debit card with a pre-determined allowance for approved, health-related OTC products. This page last updated 10-01-2022. Wellcare ByFidelis Care offers members a pre-paid account that is automatically replenished on either a monthly or quarterly basis depending on your plan. Submit a complaint about your Medicare plan at www.Medicare.gov or learn about filing a complaint by contacting the Medicare Ombudsman. Over-the-Counter Benefit Program Administration. %PDF-1.6
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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. Enrollment in Univera Healthcare depends on contract renewal. Register now! To help your loved one choose the best plan for them, youll need to know the answers to a few important questions. Optimize your business processes for operational success from a strategic and financial perspective. Consulting services to health plans, health systems, specialty health organizations, and healthcare investors throughout the country, with exceptional expertise in the government-markets. TTY: 711. membership &
Paying Your Monthly Premium Pay Your Bill The Univera Healthcare Advantage Our network of doctors and hospitals 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 Contact us today to speak with our Medicare Advantage experts. For hours and additional contact information please visit the Contact Us page. A prescription drug deductible may apply, check the Evidence of Coverage (EOC) for additional details. Sign In Sign in to access your over-the-counter benefit. Let's get started! Frequently Asked Questions and Helpful Resources, You may be able to join or switch plans under special circumstances that grant a Special Election Period. To see which stores participate, check withyour OTC partner. 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 Did you know you can make a one-time switch into a 5 Star Medicare Plan. Products such as cold or allergy medications, compression socks, and sleep aids are available in store, and through our home delivery program.
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