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Season’s Greetings From Our Team To Yours

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 2025! Have a safe and happy holiday season!      

Automatic Payment Error Impact

Some of your employees may have received an email from us via our vendor, Instamed, saying that their automatic payment agreement has been terminated. If any of your employees received a letter in regard to their automatic payments, please refer them to the banner on our...

Reminder: We Want To Hear From You!

At some point throughout the year, you should have received a satisfaction survey from us. Your feedback and experience are valuable, and we want to learn from you. If your group has received an email and survey link, please respond by December 31st. If you have any...

Upcoming Member Webinar For Small Groups

Making the Most of Your Health Plan! Thursday, January 9 11:00 A.M. - 11:45 A.M. ET Online event for all small group members Looking to educate your employees on the benefits, tools and resources available through Univera Healthcare? Encourage your employees to register...

2025 Workplace Wellbeing Resources

The new year brings new resources to help employers support the wellbeing of their employees. They can engage, educate and empower their workforce with these helpful resources: Employee Wellbeing Webinars: Looking to have your employees learn about health topics such as...

January Wellbeing Tip: New Year, Well You

The new year is a great time to reflect and set intentions for the upcoming year. Many resolutions center on health and wellness, highlighting the importance of physical and mental wellbeing. Despite resolutions having several benefits, sticking to them can be difficult. ...

Incorrect ID Card Mailing Impact

Univera Healthcare has identified that incorrect ID cards were recently mailed out to some small groups. Since ID cards are mailed in batches, not all small group members would have received an incorrect ID card.    We are working promptly to reissue ID cards...

REMINDER: Gag Clause Prohibition Attestation Under the Consolidated

As a reminder, Univera Healthcare has determined that we will be completing the attestation on behalf of our fully insured and minimum premium groups for the time they had Univera Healthcare coverage in 2024. If any additional information is required to submit the...

Healthy New York - New Group Application and Recertification Form

The new Healthy New York – New Group Application and Recertification Form is now available for small groups.   The New Group Application should only be used when a small group is applying for a standalone Healthy New York plan, or when applying for Healthy New York...

Health Status Questionnaire

We encourage all plan members to complete a health status questionnaire upon enrollment and annually thereafter. We use this information to identify our members who may need care right away and are eligible for health care services that may be beneficial to them. Our case...

We Want to Hear from You!

At some point throughout the year, you should receive a satisfaction survey from us. The fourth quarter survey is being sent to the remainder of our employer groups this month. Your feedback and experience are valuable, and we want to learn from you. If your group has...

December Wellbeing Tip: Self Care & Seasonal Blues

While the holiday season can be a time of joy, it may bring added stress, anxiety, and depression for some people. According to the American Psychological Association, nearly 9 in 10 (89%) of U.S. adults say that concerns such as financial pressure, family conflict, and...

Rx Update - Introducing HelpScript, formerly Smart RxAssist

In July, we announced our partnership with Smart RxAssist to help maximize savings available from drug manufacturers assistance programs. This program provides financial relief to self-funded employer groups and decrease out-of-pocket costs for medical specialty...

Rx Update - Univera Healthcare 2025 Formulary Update: Humira and Biosimilars

Biosimilars present a significant opportunity to enhance access to affordable medications for our community. Since 2018, Univera Healthcare has been a strong advocate for biosimilars, beginning with the inclusion of our first biosimilar on our covered medication list....

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...

2025 Individual Market Plans 

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

Medicare Recognizes Univera Healthcare For Quality

The Centers for Medicare and Medicaid Services (CMS) announced its 2025 quality ratings, and again this year recognized Univera Healthcare for its Medicare Advantage plans. This is the 12th consecutive year the health plan has ranked above average or higher for its...

November Is Diabetes Awareness Month

Diabetes is a chronic disease that affects how your body turns food into blood sugar to use for energy. There are three types of diabetes: type 1, type 2, and gestational diabetes. Type 2 diabetes is the most common form, accounting for 90-95% of cases. According to the...

Annual Renewal Request Submissions

For Groups that are submitting their annual renewal requests through the Annual Group Information Form (AGIF) Webtool, please ensure that you or your broker are selecting the correct Renewal Year for your submissions.  The Webtool will auto populate with the 2025...

Member Mailing Notification

Due to new requirements of Section 1557 of the Affordable Care Act, we are required to send an annual Notice of Nondiscrimination and Notice of Availability of Language Assistance Services to all members no later than 11/2/2024.  This mailing is currently underway,...

Upcoming Member Webinar For Small Group Plans*

Looking to educate your employees on the benefits, tools and resources they have available through their Univera Healthcare membership with the Small Group plan your company offers? Tuesday, September 24 12:00 P.M. - 12:30 P.M. ET Online event for all small group members...

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...

REMINDER: Medicare Part D Creditable Coverage

As part of the Medicare Modernization Act (MMA), employers and union groups offering prescription drug coverage must disclose to Medicare eligible individuals with prescription drug coverage under their plan, whether the coverage is creditable. Employer Group...

Rx Update - Save Money And Protect Employees With Diabetes

Our model is built to bring all your benefits together, providing an integrated and holistic approach to health care by leveraging medical and pharmacy data. When medical and pharmacy teams are working collaboratively, it’s proven to be the best care, while driving costs...

Small Group Rates And Plans for 2025 Are Now Available!

2025 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 2025. Let’s look at what’s...

Medicare Supplement – NYS Prior Approval Of Rate Changes

On June 25, 2024, an application was submitted requesting 2025 premium rate changes in accordance with New York state prior approval law. This rate application applies to Medicare Supplement products. Employer Group NotificationsInitial notification letters are being...

Medicare Part D Creditable Coverage

Medicare beneficiaries can receive subsidized prescription drug coverage through the Medicare Part D program. Beneficiaries who have other sources of drug coverage—through a current or former employer or union, for example—may choose not to enroll in Medicare Part D, if...

Enterprise File Transfer Service Updates

As part of our ongoing commitment to ensuring the highest standards of digital security, we are updating our encryption protocols in line with industry standards and best practices. These changes to our enterprise file transfer service MAY impact SOME groups. Impacted...

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 September, we will send Social Security number request letters to individuals who had health...

All-Access To Member Benefits

Many people are getting ready for fall, a new school year, and open enrollment, making it the perfect time to check out their online account and make sure they’re using their plan to the fullest. An online account is like an “all-access pass” to customized member...

September Wellbeing Tip: Substance Use Disorders

According to the National Survey on Drug Use and Health, about 17% of people aged 12 or older had a substance use disorder (being addicted to, overusing or misusing drugs or alcohol) in the past year. That’s one in six people! A substance use disorder is a disease (not a...

Rx Update - Understanding The Biosimilar Landscape

As new biosimilars enter the market, increased competition brings down the price of the biosimilar and reference product. As biosimilars continue to grow in use, it is important to understand what they are and their impact in the market. In our ongoing efforts to ensure...

2024 Pharmacy Updates From Mona Chitre

A Message from Mona Chitre As we look to the rest of the 2024 plan year, I wanted to take a moment to share all that has been happening in the pharmacy space and reiterate our mission to provide greater access to high-quality health care. As supporters of your business...

Coordinated Care, Complete Coverage And Greater Value. It’s All Right Here. For You.

When you’re there to help care for your people, they’ll be there for your business. It’s a simple idea – and it’s why you’re committed to providing great health coverage for employees. Coverage that goes beyond basic medical care to help people live healthier lives while...

Warby Parker Added To Vision Network

Together with our partner, Davis Vision, we are excited to announce the expansion of our vision network to include Warby Parker as of July 1, 2024. This enhancement has no premium rate impact. Members will enjoy full access to Warby Parker’s elevated shopping experience...

August Wellness Topic: The Importance Of Vaccines

Most of us probably don’t remember when people regularly died from smallpox or polio. There have been no cases of smallpox anywhere in the world since 1980. Polio has been eliminated in the United States because of vaccination, though it is still a threat in some other...

Rx Update - Site Of Care For Infusion Drug Therapy

We are continuously looking for ways to promote member convenience while lowering overall costs. The Site of Care (SOC) program provides outreach to patients receiving select infusion or injectable drugs at high-cost facilities and transitions these patients to home...

2025 Large Group Product Updates

We’ve got exciting changes planned that will help groups and their employees enjoy even better health and wellbeing in 2025. Let’s look at what’s in store. Here’s What’s New for 2025*: Reminder! Vitalize℠ Introduced in 2024, Vitalize is a digital home base dedicated...

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 is valuable, and we want to learn from you. If you have not yet received...

July Wellness Topic: The Benefits Of Physical Activity

Exercise gives you energy. That may seem counterintuitive, but exercise boosts energy levels. Even occasional exercise improves your mental wellbeing, thinking and sleep and reduces anxiety and blood pressure. Regular exercise has even more benefits than an occasional...

Rx Update - Reduce Risk And Control Costs With Integrated Pharmacy Benefits Available To Your Team

Experience a more comprehensive approach to pharmacy care when your team has integrated medical and pharmacy. We now have Integrated Pharmacy Program Flyers so you can see every value-added and optional pharmacy program we have available for your business. Download the...

Rx Update - New! Pharmacy Concierge Program Video Series

Now available! A new series of videos highlighting our Pharmacy Concierge Program. Mona Chitre, Chief Pharmacy Officer, and President Pharmacy Solutions Chapter 1: Why we created Pharmacy Concierge Chapter 2: What sets us apart with Pharmacy Concierge Steve Conrad,...

Individual & Small Group – NYS Prior Approval Of Rate Changes

On May 15, 2024, an application was submitted requesting 2025 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 2025...

The Lifetime Healthcare Companies Announce Plans To Affiliate With CDPHP

Today (May 22), we announced that The Lifetime Healthcare Companies (LTHC), the parent company of Univera Healthcare, plans to form an affiliation with CDPHP, one of New York’s leading not-for-profit health insurance companies. This affiliation is aimed at improving...

Past Due: What To Do If You Missed The RxDC Deadline?

We have received questions from groups about what to do if they did not complete the RxDC online form by the due date of April 12. If a group missed the deadline, they should report the information directly to CMS in HIOS (or have another reporting entity report it for...

Plan Designation Indemnification Is Now A Fillable Form

We’re excited to share the availability of a fillable Plan Designation Indemnification form. This has been a request from brokers and self-insured groups that use the form, and we look forward to this new form saving time for everyone. The fillable versions of these...

Working To Deliver A Real Time Enrollment Experience

Enhancements are coming soon to our online “Enroll & Update” tool that will allow us to process many of your transactions in real time. You’ll begin seeing these changes within the next month. For example: When making “Enroll a New Member” transactions, a...

June Is Employee Wellness Month

Most adults spend more time at work than anywhere else. And work has a significant impact on all aspects of our wellbeing. According to Gallup, people who are thriving in all aspects of wellbeing are healthier and more engaged at work. Yet 6 in 10 adults in the US have a...

A New Way For Self-Funded Groups To Save

Self-funded commercial group members now have access to GoodRx® prescription pricing. GoodRx provides automatic savings on many generic prescription drugs when available. Our Price Assure flyer has additional information. Please contact your account representative with...

Healthy New York Business Applications And Recertifications For Small Group

Updated versions of the Healthy New York (HNY) New Business application and the HNY Recertification form are now available online at Univera On Demand. They are also available on our website under the Broker and Employer portals where small group new business and renewal...

Showing 1– 50 of 383 Results
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