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REMINDER: Multi-factor Authentication Coming Soon For Employer Web Portal

Starting 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...

Legislative Updates - One Big Beautiful Bill Act

On 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...

Rx Update - REMINDER: Join Our August Pharmacy Webinar Featuring Our Oncology Management Partner

Topic: 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...

New Community Rated Subgroup Application

Small 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...

Understanding Your Wellbeing: August - Join Us For Our Upcoming Wellbeing Webinars

We 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. ...

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 ...

September Wellbeing Tip: Mental Health And Substance Use Disorders

A 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...

2025 - August - Pharmacy Updates From Mona Chitre

A 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....

MDLIVE 6/1/2025 Increases

Univera 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...

Medicare Supplement Rate Requests Filed with NYS

On 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...

Multi-factor Authentication Coming Soon For Employer Web Portals

Starting 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...

Rx Update - Join Our August Pharmacy Webinar Featuring Our Oncology Management Partner

Topic: 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...

Showcasing How We Are Right Here For Western New York

On 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...

Understanding Your Wellbeing: July - Join Us For Our Upcoming Wellbeing Webinars

We’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....

Using Incentives To Engage Employees In A Wellbeing Program

Incentives 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...

August Wellbeing Tip: Immunizations

Vaccines 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...

2026 Large Group Product Updates And Reminders

Take 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...

Current Injectable GLP-1 Mail Order Prescriptions From Express Scripts® Pharmacy Transitioning To EnGuide Pharmacy

Express 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,...

Updated Fully Insured And Minimum Premium Documentation For 2025 CAA Gag Clause Attestation

For 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...

Prescription Drug Collection (RxDC) Report Submitted

On 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...

Rite Aid Pharmacy Closures

Rite 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...

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...

Understanding Your Wellbeing: July - Join Us For Our Upcoming Wellbeing Webinars

We 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. ...

July Wellbeing Tip: Physical Activity

Physical 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...

Rx Update - Smart Ways To Reduce Pharmacy Costs—Without Cutting Benefits

Rising 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...

Individual And Small Group Rate Requests Filed With NYS

On 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...

What’s Driving The Rising Costs Of Health Care, How This Influences Premiums, And What Univera Healthcare Is Doing, Right Here, For You

We 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...

2025 Exclusive Pharmacy Update From Mona Chitre

A 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...

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...

Rx Update - Time’s Almost Up: Join Our Pharmacy Cost Savings Webinar

Webinar 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....

Understanding Your Wellbeing: May & June - Join Us For Our Upcoming Wellbeing Webinars

We 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 Employer Wellbeing Tip: Musculoskeletal Health

If 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...

Right Here, For You With New Comprehensive Care And Disease Management Materials

We’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...

Rx Update - Learn What $27.77 PMPM Savings Means For Your Business

Webinar 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...

Understanding Your Wellbeing: Join Us For Our Upcoming Wellbeing Webinars

We 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. ...

Univera Healthcare Serves As The Presenting Sponsor Of The Buffalo Business First Best Places To Work Awards

Univera 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...

Community Spotlight: Addressing Gaps In Care In Western New York

Patients 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...

May Wellbeing Tip: Stroke Awareness

May is National Stroke Awareness Month. A stroke occurs when something blocks blood supply to part of the brain or when a blood vessel in the brain bursts. During a stroke parts of the brain become damaged or die. A stroke can cause lasting brain damage, long-term...

REMINDER: It’s Time To Report Your 2024 Prescription Data

This is a reminder for the Employer Update eblast that was sent on Wednesday March 5, 2025. You can read that full eblast in the news archive at: Employer Update | March 2025 - Special Issue As a reminder, Univera Healthcare will complete the required pharmacy benefit...

Annual Group Information Renewal - Webtool Update

The webtool used to submit the annual group information form for small groups has been updated. The year dropdown has been updated to include 2026, which is the year in which the tool is auto populating with. Please ensure that you are using the correct survey year for...

Small Group Healthy New York Application And Forms Updated For 2025

The Healthy New York (HNY) maximum wage has been increased to $53,650 and the HNY New Business form and HNY Recertification form have been updated. Please use the new forms (linked below) moving forward to reflect the new wages. If you have any questions on the Healthy...

The Value Of A Wellbeing Strategy

Your employees are your organization’s greatest asset. Creating a culture of wellbeing where employees feel holistically supported by their employer helps them to be more engaged and productive, leading to greater retention and recruitment of talent. According to Gallup,...

Understanding Your Wellbeing; 2025 Wellbeing Webinar Series

We are excited to host a new wellbeing webinar series in 2025, geared towards helping our members learn about various health topics that can support and improve their wellbeing from our own internal experts. Promotional flyers will be available for each month’s upcoming...

April Wellbeing Tip: Breaking The Stress Cycle

April is National Stress Month. Stress is a natural response to challenges we face in everyday life. Common stressors include relationships, finances, major life events, work-related issues and more. Everyone experiences stress in different ways and for different reasons;...

Rx Update - Right Here For Powerful Pharmacy Solutions With Personalized Care

Many people rely on prescriptions every day to stay healthy. For businesses, that means pharmacy benefits are a large part of taking care of their employees. The challenge? They can also be very costly. That’s why it’s essential you’re getting the most value from your...

Rx Update - Innovative Care For Inflammatory Bowel Disease Management

Inflammatory Bowel Disease (IBD), which includes Crohn’s disease and ulcerative colitis, impacts millions of people worldwide. IBD can significantly impact individuals’ ability to participate fully in work and social events, leading to increased absenteeism. Managing...

It’s Time To Report Your 2024 Prescription Data

The Consolidated Appropriations Act (CAA) requires group and individual health plans to report annual data about prescription drugs and health care spending to the Center for Medicare & Medicaid Services (CMS). The last day to submit this data to CMS for the 2024...

2025 Pharmacy Updates From Mona Chitre

A Message from Mona Chitre We're kicking off the year with a lot of excitement! As a pharmacy partner, we are always keeping an eye on market trends to ensure our programs and solutions align with your business needs. We’re eager to share the many pharmacy opportunities...

Managed Care Organization Tax

The Centers for Medicare and Medicaid Services (CMS) recently approved New York's Managed Care Organization tax (MCO), effective 1/1/2025. This tax, authorized by the 2024-2025 State Budget, will apply different tax rates to Medicaid and non-Medicaid plans. The tax rates...

Enrollment Portal Reminder – Accuracy Is Important

There has been an increase in keying errors submitted from the web and requests submitted through the enrollment portal. This has resulted in ID cards being mailed to incorrect recipients, members being enrolled in incorrect groups and information being sent to groups...

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