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Medicare Advantage Recognized For Quality

The federal government’s latest quality ratings have awarded the Medicare Advantage programs from Univera Healthcare with some of the highest ratings in the state. Medicare awarded Univera with 4.5 stars out of a possible 5-star rating for its Medicare Senior Choice HMO...

Resources For You And Your Employees

Get everything you expect from a health plan for your team and resources to keep your employees healthier and happier. You can find these tool kits and resources at UniveraForBusiness.com Individual Medicare Employee Toolkit Don't Forget About the Flu Toolkit Get...

Premium Payment Processor Change

On January 1, 2021 our premium payment processor will change from Chase Paymentech to InstaMed®, a J.P. Morgan company. Groups that have scheduled online automatic premium payments and invoice delivery preferences will continue uninterrupted. The AutoPay feature will be...

Annual Rate Notices Mailed

Groups will receive Annual Rate Notices (ARNs) at the end of October.  This includes:   Small Group Products Individual Medicare Advantage, Simply Prescription and Dental prospective pooled group notices and rates will be issued and viewable in...

Pharmacy Network Change

As of September 1, 2020, Kroger, Albertson’s and Publix pharmacies are no longer part of the Univera Healthcare network.* Express Scripts (ESI), our pharmacy benefit manager, is working hard to help reduce overall costs for members by removing higher-cost pharmacies from...

Simplified AGIF Now Available

A shorter, simpler version of both the web and paper versions of the Annual Group Information Form (AGIF) are now available.  We redesigned the look and feel of the form and reduced the number of fields by over 60 percent—just in time to help simplify your open...

PPE Notification to Members

The New York State Department of Financial Services (DFS) is requiring us to notify members that our participating providers cannot bill their patients for the costs related to their purchase of personal protective equipment (PPE). Providers may only collect any...

New Individual Medicare Toolkit Now Available

With many people continuing to work past age 65, employees are turning to their employers for guidance when making important decisions about their health insurance. The right advice may save employees money by avoiding lifetime late Medicare enrollment penalties. We’re...

We’re Here to Help You Navigate the Individual Market

The Special Enrollment Period has now been extended to December 31, 2020. We continue to be here to support you and help with the many questions you may have about free or low-cost health insurance alternatives to COBRA.  We have engaged with many of our Broker...

Small Group Rates and Plans for 2021 now Available!

Small Group plans and rates for 2021 are now available on Univera on Demand. Updated Open Enrollment tools, including At-A-Glance Brochures and Product Guides are also available.  Now available:   Univera Access Small Group Medical Plans NEW  Univera...

It’s More Important Than Ever to Get Your Flu Shot This Year

Because of COVID-19, you should do everything you can to keep yourself and your family healthy. It is recommended that everyone six months and older get a flu shot every year in the fall—especially if you or someone in your home is at high risk of serious complications...

Helpful Guidelines As New York Goes Back to Work

As more businesses, schools and other organizations continue to reopen, reminding everyone of important safety measures is more important than ever. That’s why we’ve pulled together a toolkit with resources to help you provide a safer and healthier work environment. ...

Simplified AGIF Coming in September

We’ve received feedback from brokers and groups letting us know that our Annual Group Information Form (AGIF) is too long and overly complex. We listened and are pleased to let you know a shorter, simpler version of both the web and paper versions will be available by...

Mini-COBRA Timeframe Extension Information

The recent Department of Labor (DOL) regulation requiring COBRA timeframe extensions DOES NOT apply to mini-COBRA groups. COBRA regulations state that an employer qualifies as mini-COBRA if they employ fewer than 20 employees on at least 50 percent of the employer’s...

2021 Large Group Product Updates

2020 is testing the resilience of Western New York businesses and individuals alike, us included. And, in a bigger way than ever before, it brought to light the importance of supporting and protecting the health and wellbeing of every business’ greatest asset: your...

We’re With You As You Get Ready To Reopen

We’ve been by your side as our schools, favorite restaurants and places of employment closed to slow the spread of the coronavirus. And now, we’ll be with you as our communities begin to reopen as New York State’s PAUSE initiative sets to expire by region. Ready To Reopen

Special Enrollment Period Extended to June 15

The Special Enrollment Period for enrolling in Qualified Health Plans has been extended through June 15, 2020. Individuals can enroll between May 16 and June 15, and their coverage will begin June 1, or July 1. Our customer care advocates can assist with any questions on...

Individual & Small Group – NYS Prior Approval of Rate Changes

We know the focus for everyone the past two months has been the coronavirus pandemic. And now, our attention is turning to efforts to reopen businesses in accordance with state and local guidelines. While all of this is happening, there are still mandates set by New York...

COVID-19 Pharmacy Update

Our pharmacy team has been closely monitoring the supply of medications that are available during the COVID-19 outbreak. We’re taking several actions to ensure our members have access to clinically appropriate medications.  Providing early refill overrides....

Don’t Fall For Fraud During COVID-19 Fight

Please remind your employees to be aware that there are various scams and fraudulent activities that can occur during this difficult time. As is often the case, a national and global emergency brings out people who prey upon the fears and vulnerabilities of...

Telemedicine Visits Covered At No Cost To Members

A reminder for your employees; telemedicine visits are being covered at no cost to members for 90 days beginning with NYS’s State of Emergency issued on March 13, 2020. The purpose is to help alleviate the burden on provider offices, urgent care centers and hospitals as a...

Small Group Extended Grace Period

In these uncertain times, we’re doing everything we can to fulfill our corporate mission: to provide the people in the communities we serve with access to high quality, affordable health care. One way we can help is by providing some financial relief for those small...

Finding Coverage During Job Loss

We’re all facing an uncertain future, but for many employer groups this is a particularly anxious time. We have resources for groups and members, including those members who may be facing job loss and the loss of their employer-sponsored health insurance.  There are...

Cost Relief Available With Mid-Year Plan Changes For Groups

Univera Healthcare wants to ensure as many of our group members as possible can maintain their health insurance benefits. Through June 1, 2020, we are allowing mid-year plan changes to allow for lower cost employer and employee plans to accommodate the COVID-19 impacts on...

Univera Healthcare Waives COVID-19 Cost Sharing

Univera Healthcare will waive out of pocket costs for COVID-19 medical testing, diagnosis and treatment for its fully insured employer groups, individual market qualified health plans and Medicare Advantage members for the next 60 days.  This waives the member’s...

Can the CARES Act Help Your Business?

We’re all continuing to navigate these unchartered waters while striving to find our new normal. Last week, the Federal government signed a stimulus package to help businesses with 500 or fewer employees to stay afloat as the country continues to battle the COVID-19...

Coronavirus (COVID-19) Small Business Guidance & Loan Resources

During these uncertain and challenging times, our Univera Healthcare team is here to provide access to resources to help your business and employees. The Small Business Administration (SBA) has programs and initiatives in place as a result of the Coronavirus Aid, Relief...

Protecting the Health of Our Communities

The coronavirus COVID-19 pandemic is disrupting life for everyone as our communities battle this deadly virus. Those being hit hardest include many small businesses around the country and in our own communities, and many we insure. We have options for those employers who...

We're Here For You

To Our Valued Employer Groups: These are anxious and unsettling times. We’re bombarded by wall-to-wall news and around-the-clock social media about coronavirus (COVID-19) – and the impact on the economy. I want to reassure you that Univera Healthcare is well prepared...

Pending Federal Regulations on COVID-19 (Coronavirus) Member Cost Share

The coronavirus COVID-19 pandemic is disrupting life for everyone as our communities battle this deadly virus.  The number of confirmed coronavirus cases continues to grow in New York state and across the country. New York state is requiring all insured health...

Update On COVID-19 (Coronavirus)

We know there are many ongoing questions regarding coronavirus disease 2019 (COVID-19) and how it impacts everything from your businesses, your employees and even your own families. Please know that we have an internal team dedicated to researching and vetting the most...

Simple Ways to Work Wellness Into Your Day

Whether it’s sharing a few everyday tips or rewarding smart choices with wellness debit cards, our goal is to improve the health of everyone in WNY. Here are a few easy ways to help your employees focus on wellness throughout the day and make their time on the job a...

Use of Telemedicine for Behavioral Health Increasing Year Over Year

Behavioral health services delivered via telemedicine now account for nearly one-third of all telemedicine visits, according to a review of 2019 claims data by Univera Healthcare and its parent health plan. In 2018, behavioral health services accounted for less than 25...

New Year, New Mandates

The beginning of a new year also means state mandated changes to some of our plans. The Healthy NY wage level for small employers is now in line with federal poverty guidelines. Read more about the increase and eligibility criteria. NYS now requires insurers to cover...

Update on 1095-B Form for Tax Season

Beginning this year, health insurers—including Univera Healthcare—will no longer be 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...

Flu Season Going Strong

Flu season runs through May—so there's still time for employees to get the flu vaccine. As of November 30, 2019, New York state logged 3,158 confirmed cases of the flu, compared to 1,462 confirmed cases at this time last year. There is still time to get your flu Shot....

Member Webinars - "Making the Most of Your Health Plan"

Do you have members that need a refresh on the wellness tools and resources available to them within their health plan coverage? Our Workplace Wellness & Telemedicine team will host live monthly webinars for members in 2020.  "Making the Most of Your Health...

Important Reminders for ActiveRewards

The end of the calendar year also means the end of the plan year for many members. Please have them keep in mind these important deadlines about ActiveRewards if this is the end of their plan year. For members renewing their ActiveRewards plan (subscriber ID not...

Underwriting Guideline Changes Filed With The Department Of Financial Services

Changes to our underwriting guidelines were recently filed for reference with the Department of Financial Services. There are changes in several areas including group and subscriber eligibility.  Please contact your broker or account consultant with any...

NEW! A Clear Look Ahead – 2020 Small Group Plans and Rates for all Quarters Now Available!

You will no longer have to wait to see upcoming quarterly rates for Small Group. New this year, the 2020 Small Group plans and rates are available for all quarters now. Now Available: Q1 At-A-Glance (PDF)Open a PDF Q2 At-A-Glance (PDF)Open a PDF Q3...

Caring. Now Available Anywhere.

Caring for your people isn’t something you only do from 9 to 5. So in this 24/7 world we’re helping you help employees manage their health each and every day with the Wellframe® app. It’s an easy way for our dedicated team of health care professionals to give...

New Feature For ActiveRewards Members - Rally Marketplace™

Starting January 1, members with Active Rewards will have an additional option for using the coins they earn from completing tasks through the Rally platform. Previously, members only had the option of donating their coins to a charity of their choice. With the launch of...

Annual Rate Notices Being Mailed

Groups will receive their Annual Rate Notices (ARNs) at the end of October. Also, at the end of October, groups will be able to access the Monthly Rate Summary report through Information Connection with their January 2020 renewals. This includes: Small Group...

Employer-Based Waiting Periods for Medical and Dental

Please remember, when an online request is submitted to add a new hire for medical and dental, you need to be aware of your company's employer-based waiting period. If your company's waiting period for medical is different than the waiting period for dental, the request...

2020 Community Rated, Small Group Medicare Advantage Plans are now Available on Univera on Demand

You can now view 2020 Community Rated, Small Group Medicare Advantage Plans on Univera on Demand. Univera on Demand allows you to compare plans and access your group's 2020 benefit summaries and rate sheets. Please contact your broker or Group Medicare Sales...

Compliance With New York State Insurance Law and Small Group Eligibility

As part of our ongoing commitment to maintain compliance with New York State Insurance Law 4317(a)(1), we will continue to verify that our small groups are receiving community rates. As has been our practice, this process will include our request for confirmation of...

Get Your Employees Ready for Open Enrollment

We have received great feedback about our member portal and the personalized information members can access when they register for an online account. This is a great way to educate your employees about their health insurance and to prepare them for this year’s open...

Care That’s Always In Your Corner

We believe that health insurance isn’t something to be used once in a while. That’s why we want to give you everything you need to help employees take control of their health each and every day. Introducing Wellframe®, a free and convenient way for your employees and...

Have Your Employees Changed Their Password Yet?

On August 3, we made enhancements to our website including our member portal. At that time, members were asked to reset their password when they visited the site to login.  If they HAVE NOT accessed their online account since August 3, they will be prompted to...

Small Group Rates and Plans for 2020 now Available!

Individual & Small Group plans and rates for 2020 and stand alone small group dental plans are now available on Univera on Demand. Updated Open Enrollment tools, including At-A-Glance Brochures and Product Guides are also available.  Now available: Univera...

Showing 1– 50 of 162 Results