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 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. Our extensive expertise, powerful technology, and robust data analytics deliver integrated, end-to-end healthcare solutions to achieve meaningful results. Consulting services to health plans, health systems, specialty health organizations, and healthcare investors throughout the country, with exceptional expertise in the government-markets. 10+ Years Administering the OTC Benefits Program. 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. Preventive dental included in your plan with NO copay. Convenient ordering via mail, phone, or online makes getting products to your members easy. Along with urgent and emergency care when you travel. We are committed to providing high quality, timely service. Understand your options and learn more about your coverage. Y0028_8829_C. See how we can develop an OTC plan for you. Here are some resources to simplify the process and guide you along the way. Yes! **Free shipping can only be fulfilled within the 48 contiguous United States (excludes recipients of Alaska, Hawaii, and other US territories). Submit a Comment. Beneficiaries receive white glove customer service from our dedicated teams.. 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. CMS-Compliant OTC Services As the market-leading provider of supplemental OTC benefit administration services, we deliver the OTC solutions that members genuinely appreciate. Please contact us! Eligible beneficiaries must use network pharmacies to access their prescription drug benefit, except under non-routine circumstances, and quantity limitations and restrictions may apply. Save money with lower copays on your Tiers 1-4 medications when you use one of our 35,000 preferred pharmacies. The information you're accessing may not be Medicare-specific and/or provided by Univera Healthcare. Your plan benefits from one account manager, one reporting suite, one set of service level agreements, and consolidated billing. Were here for you with helpful online tools and a support team that has your back. Y0028_8791b_MDate Last Updated 12/08/2022. Get care from the people and places you know and trust using our robust network of doctors, hospitals, and pharmacies. 317 0 obj <>stream Enrollment in our plans depends on contract renewal. membership & Advisors are also available weekends 8 a.m. to 8 p.m. The intensity of competition within the MA marketplace commands health plans to consistently identify solutions that contribute to enrollment growth. 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. Yes! View preventive health checklist for older adults. *Health plan members: Rather than submitting this form, we recommend you contact your health plan directly. Wellcare ByFidelis Care offers members a pre-paid account that is automatically replenished on either a monthly or quarterly basis depending on your plan. Who is Convey Health Solutions? For Plans 002, 004, and 008, you will use your Wellcare By Fidelis Care Member ID card. Conveys integrated, end-to-end OTC benefit administration solution for mail order, benefit card, and flex wallet programs. Examples of what can be purchased using your OTC account are Acetaminophen (Tylenol), antacids, and topical antibiotics. otc-catalog. Your account can be used to purchase over-the-counter (OTC) eligible items that help treat injuries or illness. -Select who you are-MemberMedicare Member. - Thurs. * These statements have not been evaluated by the Food and Drug Administration. As the market-leading provider of supplemental OTC benefit administration services, we deliver the OTC solutions that members genuinely appreciate. Monday - Friday: 2023 Convey Health Solutions. 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. 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. Chat is available from Mon. Find a Univera Healthcare Medicare plan that fits your needs and budget. Login | Members | Univera Healthcare Member COVID-19: Stay informed on vaccines, testing coverage and more Member Login Username Password Forgot Username? Convey's integrated, end-to-end OTC benefit administration solution for mail order, benefit card, and flex wallet programs. Also, consider your travel habits, prescription drug needs, and calculate your annual health care budget. Our Miramar technology enables government-sponsored health plans to operate more efficiently, elevate productivity, and ensure the highest standards for compliance. %%EOF How do I help a loved one find the right Medicare plan? Submit a complaint about your Medicare plan at www.Medicare.gov or learn about filing a complaint by contacting the Medicare Ombudsman. Univera Healthcare is an HMO and PPO plan with a Medicare contract. 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. 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. 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. Login Your Account Email/Customer ID Password Forgot Your Password? 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 hours and additional contact information please visit the Contact Us page. Login | Medicare Members | Univera Healthcare COVID-19: Stay informed on vaccines, testing coverage and more Medicare Login Username Password Forgot Username? Benefit Overview. You will be responsible for the balance. Get recipes and nutritional tips to prep your next meal. 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. Univera Healthcare is an HMO and PPO plan with a Medicare contract. Or, see the Evidence of Coverage using the link above. We use cookies and other technologies to optimize site functionality, analyze website traffic, and share information with social media, advertising, and analytics partners. Forgot Password? Answer a few questions to create a personalized timeline that shows where to get started if you're turning 65 or new to Medicare. Log in to your member account 24/7 for your member card, coverage, claims, and more. When it comes to Medicare, sometimes you need to talk to someone face-to-face. Additionally, Univera Healthcare has contracts with pharmacies that equal or exceed the CMS requirements for pharmacy access in your area. 0 comments. 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 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. Whether your looking for a plan on your own or would like help from an expert, we've got you covered. Take these important steps to learn about Medicare and see what you have to do now to prepare for enrollment. If you enroll during AEP, your coverage will begin January 1st of the following year. 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. Enrollment in Univera Healthcare depends on contract renewal. Medicare Advantage Over The Counter Benefits Administered By Fieldtex, Design and create your custom 2022 OTC Benefit Catalog Program. Our nationwide network includes thousands of participating pharmacies. Find the best plan for you with Medicare, individual and family plan options. Forgot Password? They also benefit from one award-winning customer service center to coordinate it all. $0 preventive care services, including annual wellness visit, cancer screenings, vaccines, and more. 100% of hospitals and 97% of doctors in your community. .left-column
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And with integration into our flex wallet program, members can have simplified access to more benefits than ever before! Complete your enrollment during your Initial Enrollment Period. Non-Discrimination Notice and Language Assistance(PDF). Take advantage of exclusive rewards and perks to get more from your plan. preventive health checklist for older adults, comprehensive formulary and searchable medication database, Summary of Benefits with Multi-Language Flyer, $5/$30 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. 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 Whether your looking for a plan on your own or would like help from an expert, we've got you covered. 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. 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. Closed Thanksgiving Day, Christmas Eve, Christmas Day, New Years Eve, and New Years Day .left-column
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By clicking on these links, you will leave the Fidelis Care website. Call Customer Service toll-free at 1-877-883-9577 (TTY 711) 8 a.m. to 8 p.m. Monday - Friday. 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. Want to learn about Medicare? The point-of-sale Medicare OTC card is supported by Convey's Miramar technology and administrative services. This information is not a complete description of benefits. Links marked with an (external site) icon indicate you're leaving UniveraHealthcare.com. Enrollment in Univera Healthcare depends on contract renewal. View our Privacy Policy for information on how we protect your privacy. JavaScript seems to be disabled in your browser. Univera Healthcare is an HMO plan and PPO plan with a Medicare contract. Offer an additional supplemental benefit plan for members that suffer from chronic illness or have more complex health needs. View our. 1 Comment. and check to see if your prescriptions are covered. Copyright 2023, Univera Healthcare. You dont have to manage health conditions alone. Get mental health support via in-person and telehealth visits, with a participating licensed therapist (20% coinsurance) and/or psychiatrist (specialist copay applies). For most plans, you pay 1 copayment for a 30-day supply and 2 copayments for a 90-day supply. Convey manages member experience, compliance, and . For out-of-network providers, we will pay 100% of the allowance or dentist charges, whichever is less. 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. Did you know you can make a one-time switch into a 5 Star Medicare Plan. 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. All Rights Reserved. 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. 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. Put more money in your pocket. Using Your Hearing Benefit. Our local teamof doctors, nurses, dietitians and specialistsare here to supportyour wellbeing, including healthy eating, managing prescriptions, health conditions, and more. Y0028_8829_M. 284 0 obj <> endobj 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. Any unused dollars at the end of your benefit period are not rolled over and cannot be used in following periods. In OTC form, these drugs are FDA approved and often equally effective as prescription drugs at 2023 Convey Health Solutions. This product is not intended to diagnose, treat, cure, or prevent any disease. 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. View our Privacy Policy for information on how we protect your privacy. View our Privacy Policy for information on how we protect your privacy. Questions about products or company? Submit a complaint about your Medicare plan at www.Medicare.gov or learn about filing a complaint by contacting the Medicare Ombudsman. You have from 3 months before you turn 65 to 3 months after your birthday month to enroll. 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. Optimize your business processes for operational success from a strategic and financial perspective. 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. We provide everything needed to ensure the success of your supplemental OTC programs. As a focal point of Conveys thoughtfully developed member-centric OTC services, Conveys Medicare OTC card is a solution that will do just that. Sign In Sign in to access your over-the-counter benefit. We designed the Convey OTC benefit card program to help your MA beneficiaries make the most of their OTC benefitsto achieve or maintain wellness. Choose to enroll online, by mail when you order an enrollment kit, or by phone. Review your current health care coverage to see what options you have after you turn 65. Higher copays apply for medications on Tiers 1-4 if a standard pharmacy is utilized. Enrollment in Univera Healthcare depends on contract renewal. Enrollment in Univera Healthcare depends on contract renewal. 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. Call1-800-671-6081(TTY 711) for more 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. 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. To use your OTC benefits, choose one of the following ordering methods: Online: Visit the OTC Benefits website (powered by Convey Health) - registration required. hb``` eapI]u/AR_GPJ[~AGF$i+biH #; L,1a^2dyf8~u|snDHlD@nb``3`pH20b0 2P To find out how your prescriptions are covered, check our comprehensive list of covered prescription drugs (also known as the formulary). Through our experience serving 3.5+ million plan members, we have the expertise needed to provide comprehensive, member-centric OTC services. Western New York Deserves More from Medicare: Dont worry; were here to help every step of the way. Select Your CountySelect your County - Select Your County -AlleganyCattaraugusChautauqua CentralNorthSouth GeneseeNiagaraOrleansWyoming, Speak with one of our dedicated Medicare Sales Advisors. Sign up to receive your monthly Medicare milestones, showing what you should do now and next, straight to your email inbox. 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. We support our point-of-sale OTC benefit card with Conveys Miramar technology and administrative services. .left-column
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. 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 Univera Healthcare is an HMO plan and PPO plan with a Medicare contract. Telehealth for care by telephone, email or chat. Submit a complaint about your Medicare plan at www.Medicare.gov or learn about filing a complaint by contacting the Medicare Ombudsman. Register now ! Let's get started! Convey manages member experience, compliance, and utilization, so you can focus on your core competencies. See our Privacy Policy for how we use information. Once youre enrolled in Medicare, you can change your Medicare coverage during the Annual Election Period from October 15 to December 7. You may be able to join or switch plans under special circumstances that grant a Special Election Period. The supplemental benefits landscape is booming, with OTC benefits as its mainstay. Weve got you covered. MA beneficiaries receive Conveys award-winning customer service throughout their supplemental benefits experience. Use of this site indicates your acceptance of our Terms of Use. 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. Forgot Password? 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. Our Star Rating is a testament to how hard we work to help support your health and wellness. TTY: 711. Submit a complaint about your Medicare plan at www.Medicare.gov or learn about filing a complaint by contacting the Medicare Ombudsman. Use of this site indicates your acceptance of our Terms of Use. 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. Sign In Don't have an account? Need information in a different format? by Convey Team | Feb 20, 2018 | 1 comment. Eating healthy is easier than you think.

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