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Tax Form 1095-B

Health insurers—including Univera Healthcare—are no longer mailing tax form 1095-B to members. Because taxpayers are not required to include the form when filing their taxes, the IRS no longer requires us to mail the form. Members can still download the form or request it...

Gag Clause Confirmation Of Attestations Completed

On December 31, 2023, Univera Healthcare completed the gag clause attestations on behalf of our fully insured and minimum premium groups who have our Rx. A gag clause Certificate of Attestation is available to groups, upon request. Reach out to your account manager or...

NEW For 2024: Virtual Physical Therapy Through Vori Health

Every business wants to help their employees live their best. That’s why we are providing another option for physical therapy, so employees can have more accessibility when it comes to the care they need. Univera Healthcare is now partnering with Vori Health to offer...

Watch: Making The Most Of Your Health Plan

The Making the Most of Your Health Plan videos for 2024 are ready! These member-level videos provide a navigation of our member online account and mobile app, while highlighting important benefits, tools, and resources available to members. There are three videos based...

Annual Group Information Form (AGIF) – Mailbox Update For Small Groups

Over the past several months there have been some AGIFs emailed to Univera (AnnualGroupInformationUnivera@UniveraHealthcare.com) that were not received through our email system. While most of the emails were received, we realize this could create a situation where a small...

Univera On Demand Website Enhancements For Small Groups

To help create a better user experience for our Small Groups, we’ve updated Univera on Demand with the following enhancements: Medical Updates You can now compare the previous Q4 year rating period selected (Ex: 2022 to 2023) Added a new banner to link to dental and...

February Is American Heart Month

According to the Centers for Disease Control and Preventive (CDC), heart disease is the leading cause of death for men, women, people aged 45 and over, and most races and Hispanic-origin groups, accounting for 1 in every 5 deaths in the US. The term “heart disease”...

Real Life Savings With Pharmacy Concierge

Starting this month, we will begin sharing a new series of videos highlighting some of the real-life savings realized through Pharmacy Concierge, our innovative prescription savings solution. Watch the first video in the series and make sure to follow us on all our...

This Holiday Season We're Grateful To Be Right Here. For You.

Thank you for your valued business and for making our days merry and bright all year round. Wishing you and your employees peace, joy and even more success in 2024! Have a safe and happy holiday season!    

Our Next Step Toward Health Equity

We want everyone to have the chance to be as healthy as possible. Health equity is about removing any barriers that get in the way of health. We notified you earlier this fall that we would begin contacting your employees and asking them to share more about themselves so...

Univera Healthcare Earns 85 Percent In Human Rights Campaign Foundation’s 2023-24 Corporate Equality Index

Univera Healthcare has received a score of 85 percent out of 100 on the Human Rights Campaign Foundation’s 2023-2024 Corporate Equality Index, the nation’s foremost benchmarking survey and report measuring corporate policies and practices related to LGBTQ+ workplace...

January Wellbeing Tip: The Importance Of Preventive Care

“An ounce of prevention is worth a pound of cure.” This is as true now as it was when Benjamin Franklin said it in 1735. While healthy behaviors such as exercise, sleep and good nutrition can significantly impact wellbeing, getting routine preventive care is an important...

Gag Clause Prohibition Attestation Under The Consolidated Appropriation Act

The gag clause prohibition under the Consolidate Appropriations Act (CAA) prohibits health plans from entering into contracts that restrict specific data and information that a plan can make available to another party. Plans must annually submit an attestation that they...

Sunsetting Wellbeing Programs & How Members Can Claim Their Rewards

With the much-anticipated transition to our new digital, wellbeing engagement program, VitalizeSM, we will be sunsetting several of our wellbeing programs. The following programs* will be discontinued the last day of a groups’ benefit year (*program participation varies...

Tell Us What You Think!

In the coming weeks, you will receive an email inviting you to take an Univera Healthcare satisfaction survey. This survey is an opportunity to provide feedback on your interactions and experiences with the health plan. Your feedback is confidential, and your...

Fully Insured Large Groups To Move To Preferred Value Formulary

Please be advised that all Commercial Fully Insured Large Groups will move from the current 3 Tier Open Formulary to our Preferred Value Formulary (PVF) based on their plan year. This change excludes Minimum Premium groups, who will continue to have the option to choose...

Updated Annual Group Information Form And Web Tool Available

An updated version of the Annual Group Information Form (AGIF) is available for Large and Small Groups. The only change in this version is that a question has been added to the AGIF and online AGIF Web Tool which requires employers who offer a dental plan through the...

Updated Brochures Now Available

We’ve updated the brochures below with our new Univera Healthcare branding.  Questions? Contact your account manager. Out-of-Pocket Protection Program Brochure (PDF) Rx Home Delivery Brochure (PDF)  

December Wellbeing Tip: Where To Go For Care

Understanding where to go for medical care before you need it can help you and your employees minimize frustration, time, and cost. Your primary care provider should be your first choice for routine medical care or minor illnesses or injuries that are not an emergency. A...

Kicking Off A New Social Media Campaign

We launched a new campaign on our social media channels that will feature some of the positive feedback we receive from our health plan members. Topics will vary monthly so be sure to bookmark our various social media sites and check back often. This month we’re...

The Right Meds At The Best Value

A Univera Healthcare program is focusing on medication safety while saving millions of dollars in prescription drug costs. The program, Pharmacy Concierge, is available to most midsize and large employers through the health plan. “Improving care is the primary goal of...

Medicare Recognizes Univera Healthcare For Quality

The Centers for Medicare and Medicaid Services (CMS) announced its 2024 quality ratings, and again this year recognized Univera Healthcare for its Medicare Advantage plans. This is the eleventh consecutive year the health plan has ranked above average or higher for its...

2024 Individual Market Plans

If you have an employee who is not eligible for an Employer Group Plan, Medicare, or COBRA, we’re here to help connect them with NY State sponsored Safety Net coverage, Qualified Health Plans (metal level plans) and stand-alone dental plans. If you would like to review...

Annual Rate Notices Being Mailed

Groups will receive their Annual Rate Notices (ARNs) at the end of October. This includes the following products: Small Group Individual Medicare Supplement Medicare Advantage, Simply Prescription, Dental prospective pooled and dental/vision standalone group...

November Is Diabetes Awareness Month

Diabetes is a chronic disease that affects how your body turns food into blood sugar to use for energy. According to the CDC, one in three people have prediabetes and more than 37 million Americans (11.3% of the population) have diabetes. Because blood sugar in the body...

Leading The Industry In Our Pursuit Of Biosimilars

At Univera Healthcare, we are proud to lead the insurance industry in pursuing biosimilars for our health plan members. Biosimilars are safe and effective treatment options and can be provided at a lower cost. Univera Healthcare was the first stand-alone health plan to...

Right Here. For You. Univera Healthcare Of Western New York.

You may have noticed that Univera Healthcare’s brand looks different this month. With the direction of our leadership team and several months of planning and research, we’ve developed a new position for the brand, a new tagline and a new campaign. This new brand position...

Coming Soon: Annual Notice Of Change Letters

This month, group benefit administrators with Senior Choice (HMO-POS) or Univera Healthcare Medicare (PPO) plans will be mailed an Annual Notice of Change (ANOC). The ANOC provides details on 2024 benefit changes. Group members will receive their 2024 ANOC, along with...

2024 Community Rated, Small Group Medicare Advantage Rates And Plans Are Now Available On Univera On Demand

You can now view 2024 Community Rated, Small Group Medicare Advantage Plans on Univera on Demand. Univera On Demand allows you to compare plans and access your group's 2023 benefit summaries and rate sheets. Please contact your Group Medicare account manager with any...

Small Group Materials Now Available For Vitalize℠

Western New Yorkers work hard. That’s why accessing the resources needed for all aspects of health should be easy. We’re here to provide technology that empowers your teams to take control of their health. Vitalize, powered by Virgin Pulse, is a new digital tool we’re...

Together We Can Move Towards Health Equity

Health care should meet the needs of everyone – no matter who you are, where you live or who you love. This is something we are taking very seriously at Univera Healthcare. Health equity is when everyone has the chance to be as healthy as possible. To improve health...

October Is Breast Cancer Awareness Month

Breast cancer is the second most common cancer in the United States among people who were born female, after skin cancers. About one in eight women will have breast cancer at some point in their lifetime. While white women are more likely to develop breast cancer, Black...

Univera Healthcare Launches Innovative Program To Reduce Costs

The Medication Assurance Program is a new initiative of Univera Healthcare aimed at reducing self-funded employer group overall spend. This program is designed to reduce spend on medications by holding manufacturers accountable for drugs that were approved through the...

Small Group Rates And Plans For 2024 Are Now Available!

2024* Plan Highlights: We know that health and wellbeing have taken on new meaning and significance over the past few years. We’ve got exciting changes planned that will help groups and their employees enjoy even better health and wellbeing in 2024. Let’s look at what’s...

Coming Soon! Enrollment Inquiry & Support Updates

We’re excited to announce that updates to our Enrollment Inquiry & Support tool are coming soon. You’ll access an enhanced submission form that better supports the enrollment process from start to finish with features like: An option allowing the form to be...

We Want To Hear From You!

In the coming weeks, you’ll receive an email inviting you to complete a brief Univera Healthcare satisfaction survey. This survey is an opportunity to provide feedback on your interactions and experiences with the health plan. Your responses are confidential, and your...

Request For Missing Social Security Numbers

Under the Affordable Care Act, the Internal Revenue Service requires health insurers to request missing subscriber and dependent Social Security numbers from their members. In August, we will send Social Security number request letters to individuals who had health...

The Importance Of Taking Medications As Directed

Did you know that not taking medications the way they were prescribed leads to 125,000 deaths in the US every year? In addition to death, not taking medications as directed costs nearly $300 billion per year in additional doctors’ visits, trips to the emergency room, and...

Accurate Effective Dates Help Ensure Employees Are Covered

Any employer who use the online Enroll & Update tool on the Univera Healthcare website to enroll a new employee in medical or dental plans must select the correct effective date in the online tool — a date that is in alignment with the new employee’s waiting period...

Making It Easier To Reinstate & Update

With the click of a button, we’re making it easier for you to track and view requests to reinstate health plan policies for your members. Today on UniveraHealthcare.com, employers can go to the View/Update Policy tool to view or reinstate their members’ cancelled...

Wellbeing For All Is Now Within Reach

New for 2024: Introducing Vitalize℠ Powered by Virgin Pulse We’re excited to announce our new digital home base dedicated to engaging teams in health and wellbeing, called Vitalize! This tool will be embedded for our fully insured group plans and will be available as a...

Looking For Something?

Ever found yourself looking for a certain employer news article or announcement? You know you read it and filed it away but now can’t locate it! Don’t worry, we’ve got you covered. We archive all our employer news articles and announcements chronologically on the...

Preparing A Child For Peak Asthma Season

If you have a child with asthma, now is the time to revisit their asthma action plan so you are prepared for the annual increase in asthma attacks that occurs each year as kids return to the classroom. A dramatic rise in the number of asthma flare-ups occurs each year...

Vaccines Are Important For Adults, Too

Vaccinations are not just for children – adults need vaccinations, too. Immunity from some childhood vaccines can wear off over time and adults are at risk for different diseases (shingles, for example) than children. Vaccines are important during pregnancy too. According...

2024 Large Group Product Updates

We’ve got exciting changes planned that will help groups and their employees enjoy even better health and wellbeing in 2024. Let’s look at what’s in store. Here’s What’s New for 2024*: Vitalize℠ ** Introducing Vitalize, a digital homebase dedicated to engaging teams...

Prescription Drug Data Collection (RxDC) Report Submitted

On June 1, 2023, we submitted the Prescription Drug Data Collection (RxDC) report as required under Section 204 of Division BB, Title II of the Consolidated Appropriations Act (CAA), 2021. The submission included information for fully insured policies issued and for...

Creating A Clearer Path To Better Health

Advancing health equity is central to our mission and is woven throughout the work we do day in and day out. It’s good for your members and the Western New York community. With this, it’s important to recognize the diversity of employees and how their different...

2024 Small Group Package Update

The following Univera Access package will no longer be offered directly through Univera Healthcare or on the New York State of Health (SHOP) Marketplace beginning January 1, 2024: Univera On Demand will be updated for package comparisons.The package that will no longer...

Healthy NY Group Recertification Forms

Univera Healthcare was set to begin requiring the Healthy NY (HNY) Recertification form and Supplemental form from all HNY groups upon renewal starting July 1, 2023. We are postponing the requirement of the HNY Supplemental form at this time; however, all HNY groups will...

Offering Members Cost-Effective, Convenient Options

Site of Care is an Univera Healthcare program that provides valuable options to group members who are currently receiving infusion drugs at high-cost facilities. Our program provides cost savings by transitioning members from receiving their treatment at a hospital or...

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