News Archive
All News
Title | Issued Date |
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ANSI Submission DeadlineAs we prepare for the upcoming Open Enrollment season, we want to ensure a smooth experience for your organization and employees. To help us manage volume and maintain service quality, we ask that all ANSI file implementation requests be submitted no later than September... |
September 29, 2025 |
Legislative Updates – September 2025With Federal officials back from their summer recess, we’re closely monitoring upcoming budget and policy negotiations and awaiting further guidance on recently enacted legislation. Attached are some key highlights we believe you’ll find relevant and informative. As... |
September 29, 2025 |
Formulary Changes - EmployerIn light of the rising costs of health care, we are committed more than ever to identifying opportunities for group savings. We also know we must balance quality and cost of care while offering access to the treatments our members need to get and stay healthy. Local and... |
September 29, 2025 |
ACTION REQUIRED: How To Prepare For Multi-factor AuthenticationAs previously communicated, multi-factor authentication (MFA) will soon be required to access your Univera Healthcare employer web account. This added layer of security helps protect your data and ensures safe access. MFA is scheduled to launch for employers in October... |
September 25, 2025 |
Virtual Teledermatology – Telemedicine Powered By MDLIVE®We are proud to partner with MDLIVE to offer convenient telemedicine services for Acute Medical and Behavioral Health needs. Starting January 1, 2026, we’re expanding this partnership to include Teledermatology services—bringing even more care options to our members,... |
September 25, 2025 |
Request For Missing Social Security NumbersUnder the Affordable Care Act, the Internal Revenue Service requires health insurers to request missing subscriber and dependent Social Security numbers from their members. In September, we will send Social Security number request letters to individuals who had health... |
September 25, 2025 |
REMINDER For Small Groups: Upcoming Member Webinar – Making The Most Of Your Health Plan!Many Small Group members are not aware of the programs, resources, and tools available through their Univera Healthcare membership. We are right here, for you and want to help close that gap. That’s why we are hosting a live Making the Most of Your Health Plan webinar for... |
September 25, 2025 |
Understanding Your Wellbeing: September - Join Us For Our Upcoming Wellbeing WebinarsDiscover new ways to support a healthier lifestyle through our upcoming wellbeing webinars. Each month, we’ll explore a different topic designed to inspire and empower members on their wellbeing journey. Promotional flyers are available below so that you can easily share... |
September 25, 2025 |
Univera Healthcare Provides 22 Scholarships For Students To Attend Jim Kelly Football CampUnivera Healthcare proudly awarded full scholarships to 22 Western New York students for the 2025 Jim Kelly Football Camp! Selected at random from entries, each student received a custom jersey signed by Pro Football Hall of Famer Jim Kelly and a special send-off to camp.... |
September 25, 2025 |
A Message From Medical Governance And Healthcare EngagementAs we progress through 2025 and into 2026, we’re pleased to share our collective efforts to engage members, enhance outcomes, and expand services for all stakeholders. As we navigate a fast-changing health care landscape, our commitment remains rooted in serving our... |
September 25, 2025 |
The Power Of Communication: The Role Of Communication In Workplace Wellbeing ProgramsYou have 2.7 seconds to catch someone’s attention with your message. So, if you want your employees engaged in your workplace wellbeing program, it is critical to have an effective communication strategy. Clear, consistent, and engaging messaging helps build awareness,... |
September 25, 2025 |
October Wellbeing Tip: Menopause & Midlife WellnessMost women experience menopause between ages 45 and 55. Whether you’re approaching menopause, currently experiencing it, or have already gone through it, this stage of life often aligns with other significant life transitions. You may be expecting or raising a new child,... |
September 25, 2025 |
Small Group Rates And Plans For 2026 Are Now AvailableSmall businesses are the heart of our Western New York community—and at Univera Healthcare, we understand the challenges they’re facing. Rising healthcare costs, coverage changes, and provider shortages can feel overwhelming. But they don’t have to face it alone. We’re... |
September 15, 2025 |
REMINDER: Multi-factor Authentication Coming Soon For Employer Web PortalStarting in September, we will be enabling multi-factor authentication (MFA) for our employer portal. Implementing MFA will not only prevent cyber threats and weaknesses for our company, but it will also protect your information and data within the web portal. It is also... |
August 20, 2025 |
Legislative Updates - One Big Beautiful Bill ActOn July 4th, 2025, following months of Congressional negotiations, President Trump signed the “One Big Beautiful Bill Act” into law. Included in the wide range of domestic policy priorities are sweeping changes to the overall healthcare landscape. The attached PDF... |
August 20, 2025 |
Rx Update - REMINDER: Join Our August Pharmacy Webinar Featuring Our Oncology Management PartnerTopic: Rx Market Insights: Leveraging the power of partnership with OncoHealth Date: August 28, 2025 Time: 2:00 – 2:40 p.m. ET This is your opportunity to explore how a strategic partnership is transforming oncology management and delivering real your business and... |
August 20, 2025 |
New Community Rated Subgroup ApplicationSmall group underwriting has a new community rated subgroup application available for groups looking to combine related businesses under one plan. This should allow for greater ease in capturing the required information for each related business. The new form is available... |
August 20, 2025 |
Understanding Your Wellbeing: August - Join Us For Our Upcoming Wellbeing WebinarsWe are excited to host the following upcoming wellbeing webinar, geared towards helping our members learn about various health topics that can support and improve their wellbeing. Please share the following webinar flyer and registration link with your employees. ... |
August 20, 2025 |
Attention Small Groups, Upcoming Member Webinar – Making The Most Of Your Health Plan!Looking to educate your Small Group employees on the benefits, tools and resources available through Univera Healthcare?* Encourage employees to register and attend this upcoming live webinar* to: Explore the Univera Healthcare website and mobile application features ... |
August 20, 2025 |
September Wellbeing Tip: Mental Health And Substance Use DisordersA substance use disorder (SUD) is a medical condition (not a character flaw) that affects both the brain and behavior. It can impact people of all ages and walks of life. Individuals with a SUD may struggle with work and relationships, lose interest in activities they... |
August 20, 2025 |
2025 - August - Pharmacy Updates From Mona ChitreA Message from Mona Chitre As we continue through 2025, I’d like to pause and acknowledge the important work we’re doing together. Whether it’s expanding access to care, improving health outcomes, or honoring the trust you place in us, your partnership makes it possible.... |
August 6, 2025 |
MDLIVE 6/1/2025 IncreasesUnivera Healthcare is excited to announce that we have renewed our partnership with our telemedicine partner, MDLIVE, for Medical and Behavioral Health telemedicine services through 12/31/2028. As part of our multi-year renewal, the following fee schedule/allowable... |
July 23, 2025 |
Medicare Supplement Rate Requests Filed with NYSOn June 13, 2025, an application was submitted requesting 2026 premium rate changes in accordance with New York state prior approval law. This rate application applies to Medicare Supplement products. Employer Group Communication Initial notification letters will be... |
July 23, 2025 |
Multi-factor Authentication Coming Soon For Employer Web PortalsStarting in mid-September, we will be enabling multi-factor authentication for our employer portal. Multi-factor authentication is a way for us to ensure that the person attempting to log into to the web portal is truly them. Implementing multi-factor authentication will... |
July 23, 2025 |
Rx Update - Join Our August Pharmacy Webinar Featuring Our Oncology Management PartnerTopic: Rx Market Insights: Leveraging the power of partnership with OncoHealth Date: August 28, 2025 Time: 2:00 – 2:40 p.m. ET We recognize that providing businesses and employees with the highest-quality pharmacy care is a team effort. Sometimes that means bringing in a... |
July 23, 2025 |
Showcasing How We Are Right Here For Western New YorkOn July 7, we began a campaign that focuses on being right here, in real life. It’s about showing up in the moments that matter, offering support, reassurance and a helping hand. This campaign brings real-life experiences to the forefront, highlighting the ways we stand... |
July 23, 2025 |
Understanding Your Wellbeing: July - Join Us For Our Upcoming Wellbeing WebinarsWe’re excited to host a series of upcoming wellbeing webinars designed to help our members explore a variety of health topics that support a healthier lifestyle. Promotional flyers will be available for each month’s upcoming webinar that you can share with your employees.... |
July 23, 2025 |
Using Incentives To Engage Employees In A Wellbeing ProgramIncentives are a powerful tool for your wellbeing program as they can motivate or encourage a desired behavior. Incentives can be anything from inexpensive raffle prizes to extra days off to reduced health care premiums or HSA contributions. When used appropriately, they... |
July 23, 2025 |
August Wellbeing Tip: ImmunizationsVaccines have saved millions of lives and continue to save lives every day! Vaccines are remarkable scientific achievements that greatly reduce the rates of death and disease across the world. Vaccines are vital to protecting yourself, your family, and your community... |
July 23, 2025 |
2026 Large Group Product Updates And RemindersTake a look at what’s new for 2026, along with helpful reminders about current benefits. Wellbeing And Incentive Programs Univera Healthcare gives you access to a wide variety of reward and incentive programs, including perks that help members save on healthy products... |
July 1, 2025 |
Current Injectable GLP-1 Mail Order Prescriptions From Express Scripts® Pharmacy Transitioning To EnGuide PharmacyExpress Scripts® is launching EnGuide Pharmacy, a new home delivery pharmacy that will exclusively dispense injectable GLP-1 medications. It replaces Express Scripts® Pharmacy as the mail order fulfillment source for injectable GLP-1 medications used for any indication,... |
June 23, 2025 |
Updated Fully Insured And Minimum Premium Documentation For 2025 CAA Gag Clause AttestationFor 2025, Univera Healthcare will continue to attest on behalf of our fully insured and minimum premium groups for the Consolidated Appropriations Act (CAA) gag clause attestation, unless directed otherwise by the group. For self-funded groups, we will continue to send... |
June 23, 2025 |
Prescription Drug Collection (RxDC) Report SubmittedOn May 28, 2025, we submitted the Prescription Drug Data Collection (RxDC) report as required under The Consolidated Appropriations Act. The submission included information for fully insured policies issued and for self-funded group health plans administered by Excellus... |
June 23, 2025 |
Rite Aid Pharmacy ClosuresRite Aid has announced the closure of all 178 store locations in New York state. Our pharmacy team is working to understand the impacts of the closures on our members and our pharmacy network. We have mailed letters to members who currently use Rite Aid as their primary... |
June 23, 2025 |
We Want To Hear From You!At some point throughout the year, you should receive a satisfaction survey from us. The second quarter survey is being sent to some of our employer groups this month. Your feedback and experience are valuable, and we want to learn from you. If you have not yet received... |
June 23, 2025 |
Understanding Your Wellbeing: July - Join Us For Our Upcoming Wellbeing WebinarsWe are excited to host the following upcoming wellbeing webinars, geared toward helping our members learn about various topics that can support and improve their health and wellbeing. Please share the following webinar flyers and registration links with your employees. ... |
June 23, 2025 |
July Wellbeing Tip: Physical ActivityPhysical activity is one of the best things you can do to improve your health and wellbeing. For adults, the Centers for Disease Control and Prevention recommends 150 minutes a week of moderate-intensity aerobic activity and two days a week of activities that strengthen... |
June 23, 2025 |
Rx Update - Smart Ways To Reduce Pharmacy Costs—Without Cutting BenefitsRising prescription drug costs don’t have to mean tough choices. Our core pharmacy suite offers five proven strategies that help lower pharmacy spend without reducing employee benefits. With smart formulary management, waste reduction, and better specialty drug and... |
June 23, 2025 |
Individual And Small Group Rate Requests Filed With NYSOn May 15, 2025, an application was submitted requesting 2026 premium rate changes in accordance with New York state prior approval law. This rate application applies to Community Rated Individual and Small Group products. The following products are included in this 2026... |
June 3, 2025 |
What’s Driving The Rising Costs Of Health Care, How This Influences Premiums, And What Univera Healthcare Is Doing, Right Here, For YouWe know any increase in costs these days is difficult to absorb. At Univera Healthcare, we’re working to ensure rising costs don’t get in the way of better health and access to care. Breaking Down What’s Driving Costs Costs are increasing in all areas of our lives. We... |
June 3, 2025 |
2025 Exclusive Pharmacy Update From Mona ChitreA Message from Mona Chitre As your partner in managing pharmacy benefits, we routinely share the latest news impacting health care in our communities. By now, you have likely heard about the recent presidential executive order on drug pricing. We are closely monitoring... |
May 22, 2025 |
Upcoming Webinar For Fully Insured, Large Groups – Making The Most Of Your Health Plan!*Date: Tuesday, June 24, Noon - 12:45 p.m. ET Many of your employees may not be aware of the wellbeing programs, tools and resources included in their health plan. That’s why we’re hosting a live, “Making the Most of Your Health Plan,” webinar to highlight the various... |
May 19, 2025 |
Rx Update - Time’s Almost Up: Join Our Pharmacy Cost Savings WebinarWebinar Topic: Rx Market Insights: Introducing Our Core Pharmacy Suite Date: May 20, 1:00 p.m. - 1:30 p.m. ET Every dollar saved on health care makes a difference. In just 30 minutes, learn how Univera Healthcare’s core pharmacy suite delivers $27.77 PMPM in savings.... |
May 19, 2025 |
Understanding Your Wellbeing: May & June - Join Us For Our Upcoming Wellbeing WebinarsWe are excited to host the following upcoming wellbeing webinars, geared toward helping our members learn about various topics that can support and improve their health and wellbeing. Please share the following webinar flyers and registration links with your employees. ... |
May 19, 2025 |
June Employer Wellbeing Tip: Musculoskeletal HealthIf you have ever had back, joint, or muscle pain, you know how much it can affect your quality of life and ability to do your job. Musculoskeletal (MSK) pain is very common and virtually everyone experiences it at some point in their lives. Preventing MSK injuries at work... |
May 19, 2025 |
Right Here, For You With New Comprehensive Care And Disease Management MaterialsWe’re proud to provide Western New York with a coordinated, caring, personalized and holistic health insurance experience. In 2024, we launched our commercial value story highlighting our approach to health care surrounding three pillars: Putting people first Making... |
April 11, 2025 |
Rx Update - Learn What $27.77 PMPM Savings Means For Your BusinessWebinar Topic: Rx Market Insights: Introducing Our Core Pharmacy Suite Date: May 20, 1:00 p.m. - 1:30 p.m. ET At Univera Healthcare, we know that rising pharmacy costs can be challenging and that's why we’re right here, for you. Join us for our upcoming webinar to dive... |
April 11, 2025 |
Understanding Your Wellbeing: Join Us For Our Upcoming Wellbeing WebinarsWe are excited to host the following upcoming wellbeing webinars, geared towards helping our members learn about various health topics that can support and improve their wellbeing. Please share the following webinar flyers and registration links with your employees. ... |
April 11, 2025 |
Univera Healthcare Serves As The Presenting Sponsor Of The Buffalo Business First Best Places To Work AwardsUnivera Healthcare is proud to have been the presenting sponsor of the 2025 Buffalo Business First Best Places to Work Awards. The Best Places to Work Awards recognize local employers that have gone above and beyond to create an outstanding culture. As a 2024 recipient of... |
April 11, 2025 |
Community Spotlight: Addressing Gaps In Care In Western New YorkPatients in Western New York who face gaps in medical care will soon have access to essential support and guidance, thanks to funding support that we provided to Evergreen Health. This initiative aims to assist individuals with complex health and behavioral health... |
April 11, 2025 |