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OTC benefit card, mail order, and flex wallet programs for over-the-counter benefits administration. 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. Save money with lower copays on your Tiers 1-4 medications when you use one of our 35,000 preferred pharmacies. Get recipes and nutritional tips to prep your next meal. Use of this site indicates your acceptance of our Terms of Use. Visit our. Speak with one of our Consultants today to see how our OTC Benefits Programs can promote better health for your member population. By clicking on these links, you will leave the Fidelis Care website. Monday - Friday: Enrollment in Univera Healthcare depends on contract renewal. Choose from retail, home delivery, long-term care, specialty, home infusion, or Indian/Tribal/Urban pharmacies. 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 Star Rating is based on information collected from actual members like you, clinicians, and Medicares comprehensive monitoring process. 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. Univera Healthcare is an HMO and PPO plan with a Medicare contract. Our Star Rating is a testament to how hard we work to help support your health and wellness. How Can We Help You Elevate & Streamline Your MA/MAPD, PDP, EGWP Plan Operations? View our Privacy Policy for information on how we protect your privacy. To find out how your prescriptions are covered, check our comprehensive list of covered prescription drugs (also known as the formulary). View our Privacy Policy for information on how we protect your privacy. Why Should a Plan Offer an OTC Benefit Program? Examples of what can be purchased using your OTC account are Acetaminophen (Tylenol), antacids, and topical antibiotics. Forgot Password? Convey manages member experience, compliance, and utilization, so health plans can focus on their core strategies. For out-of-network providers, we will pay 100% of the allowance or dentist charges, whichever is less. View our Privacy Policy for information on how we protect your privacy. Terms of Use | Web Privacy Policy | Accessibility Statement. Beneficiaries receive white glove customer service from our dedicated teams.. Let's get started! As a focal point of Conveys thoughtfully developed member-centric OTC services, Conveys Medicare OTC card is a solution that will do just that. Convey manages member experience, compliance, and . 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. .left-column
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. Take advantage of exclusive rewards and perks to get more from your plan. You will not receive a separate OTC card. Univera Healthcare is an HMO plan 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. Complete your enrollment during your Initial Enrollment Period. This product is not intended to diagnose, treat, cure, or prevent any disease. 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. Specifically built to manage and support the supplemental benefits program, Miramar easily exchanges member data, enforces compliance, and allows for varying benefit designs. 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. 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. 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. Put more money in your pocket. 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. You can use this account to purchase non-prescription, over . Y0028_8829_M. Forgot Username Forgot Password Sign In Frequently Asked Questions Registration Not Registered? Please contact us! You will be responsible for the balance. membership & You are covered locally and nationally with our extensive network of 65,000 pharmacies. - Thurs. 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. Univera Healthcare is an HMO plan and PPO plan with a Medicare contract. **Free shipping can only be fulfilled within the 48 contiguous United States (excludes recipients of Alaska, Hawaii, and other US territories). 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. 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. Find the best plan for you with Medicare, individual and family plan options. Submit a Comment. For the best experience on our site, be sure to turn on Javascript in your browser. Preventive dental included in your plan with NO copay. You have from 3 months before you turn 65 to 3 months after your birthday month to enroll. The expertly designed Medicare OTC card by Convey is no exception. Paying Your Monthly Premium Pay Your Bill The Univera Healthcare Advantage Our network of doctors and hospitals 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. This page last updated 10-01-2022. Links marked with an (external site) icon indicate you're leaving UniveraHealthcare.com. .left-column
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Starting in 2023, all Univera Healthcare Medicare plans include preventive and comprehensive dental coverage at no cost. Create an Account View your Summary of Benefits and Coverage Find a doctor, estimate medical cost and track your deductible and spending financial reconciliation, Compliant Debit Card & Flex Card Solutions, Specifically built to manage and support the, Personal emergency response systems (PERS). 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. 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. Answer a few questions to create a personalized timeline that shows where to get started if you're turning 65 or new to Medicare. Star Ratings are released annually and are based on member satisfaction, plan details, and overall performance. 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. 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. Please call your health plan for assistance. 100% of hospitals and 97% of doctors in your community. View our Medicare Advantage Timeline to learn more. Our D-SNP plans have a contract with the state Medicaid program. Submit a complaint about your Medicare plan at www.Medicare.gov or learn about filing a complaint by contacting the Medicare Ombudsman. *Health plan members: Rather than submitting this form, we recommend you contact your health plan directly. From Oct. 1 - March 31: 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. Take these important steps to learn about Medicare and see what you have to do now to prepare for enrollment. To see which stores participate, check withyour OTC partner. Our local experts can guide you through the Medicare basics and answer any questions you have. to keep all your important information in one place. Enrollment in Univera Healthcare depends on contract renewal. Register now ! Tv~Ln``$;@ \P $50 allowance every three months for items such as allergy medication, antacids, digestive aids, cold & flu medication, denture products, and more. JavaScript seems to be disabled in your browser. When it comes to Medicare, sometimes you need to talk to someone face-to-face. otc-catalog. 2023 Convey Health Solutions. Univera Healthcare is an HMO and PPO plan with a Medicare contract. In OTC form, these drugs are FDA approved and often equally effective as prescription drugs at 2023 Convey Health Solutions. Submit a complaint about your Medicare plan at www.Medicare.gov or learn about filing a complaint by contacting the Medicare Ombudsman. For hours and additional contact information please visit the Contact Us page. We provide everything needed to ensure the success of your supplemental OTC programs.