Your account can be used to purchase over-the-counter (OTC) eligible items that help treat injuries or illness. The Convey OTC benefit card solution is a focal point of our thoughtfully developed, member-centric OTC services. The supplemental benefits landscape is booming, with OTC benefits as its mainstay. You will not receive a separate OTC card. Currently partnered with numerous Plans, weve successfully distributed over 1,000,000 packages of over-the-counter supplies to Medicare members nationwide. Links marked with an (external site) icon indicate you're leaving UniveraHealthcare.com. This collaboration should allow you as the payer to have a say in the OTC benefit card program design: the product selection that is available to your membership, the variety of benefit configurations you would like to implement, any disease-states that your organization would like to target and tailor to, and more. Advisors are also available weekends 8 a.m. to 8 p.m. To help your loved one choose the best plan for them, youll need to know the answers to a few important questions. Weve got you covered. Your members receive our award-winning customer service every step of the way. 284 0 obj <> endobj PDF OTC Benefit for Medicare Advantage Members Examples of what can be purchased using your OTC account are Acetaminophen (Tylenol), antacids, and topical antibiotics. Or, see the Evidence of Coverage using the link above. 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 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. 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. Simply implementing an OTC debit card for your member to use is not enough in this competitive market. Univera Healthcare is an HMO plan and PPO plan with a Medicare contract. . 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. Benefit Overview. Links marked with an (external site) icon indicate you're leaving the Medicare portion of UniveraHealthcare.com. View our Privacy Policy for information on how we protect your privacy. $0 preventive care services, including annual wellness visit, cancer screenings, vaccines, and more. Review your current health care coverage to see what options you have after you turn 65. Forgot Username Forgot Password Sign In Frequently Asked Questions Registration Not Registered? Monday - Friday: Additionally, Univera Healthcare has contracts with pharmacies that equal or exceed the CMS requirements for pharmacy access in your area. Every year, Medicare evaluates plans based on a 5-star rating system. We serve members in the following counties: Find a plan that works in your service area. Learn about Medicare Advantage and ask questions about plans and benefits from a Medicare expert. View preventive health checklist for older adults. Call: Take advantage of exclusive rewards and perks to get more from your plan. Prescriptions filled at non-network pharmacies are covered only in certain situations. Answer a few questions to create a personalized timeline that shows where to get started if you're turning 65 or new to Medicare. Whether your looking for a plan on your own or would like help from an expert, we've got you covered. Over-the-Counter Benefits - Fidelis Care endstream endobj 285 0 obj <. .left-column
{
float:left;
width:30%;
background-color:fff;
}
.right-column
{
float:right;
width:30%;
background-color:fff;
}
.center-column
{
margin:auto;
width:30%;
background-color:fff;
}
(By clicking on the above website links, you will leave the Fidelis Care website). The point-of-sale Medicare OTC card is supported by Conveys Miramar technology and administrative services. All Rights Reserved. financial reconciliation, Compliant Debit Card & Flex Card Solutions, Specifically built to manage and support the, Personal emergency response systems (PERS). -Select who you are-MemberMedicare Member. Y0028_8791b_MDate Last Updated 12/08/2022. 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. Access To Your OTC Benefit Is Fast, Easy and Secure. And with integration into our flex wallet program, members can have simplified access to more benefits than ever before! Once youre enrolled in Medicare, you can change your Medicare coverage during the Annual Election Period from October 15 to December 7. Please call your health plan for assistance. 2023 CMS Medicare Star Rating. hbbd```b``+@$S4dEddeM`7`2L^ .u@q2qD*ls D Enrollment in our plans depends on contract renewal. Use of this site indicates your acceptance of our Terms of Use. 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. Implement a Valuable Medicare OTC Card Program - Convey Health Solutions 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. We are committed to providing high quality, timely service. Watch our Medicare Minute Videos to learn more about initial enrollment and working past 65. Submit a complaint about your Medicare plan at www.Medicare.gov or learn about filing a complaint by contacting the Medicare Ombudsman. Log into your account, view patient information, and more. Y0028_8829_M. %%EOF Home | Medicare Members | Univera Healthcare Beneficiaries receive white glove customer service from our dedicated teams.. Also, consider your travel habits, prescription drug needs, and calculate your annual health care budget. Share this, If youre a caregiver for a loved one, we have resources that can support you. .left-column
{
float:left;
width:30%;
background-color:fff;
}
.right-column
{
float:right;
width:30%;
background-color:fff;
}
.center-column
{
margin:auto;
width:30%;
background-color:fff;
}

Charles Spurgeon Descendants, Articles U