News Archive
All News
| Title | Issued Date |
|---|---|
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 |
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... |
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 |
May Wellbeing Tip: Stroke AwarenessMay 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... |
April 11, 2025 |
REMINDER: It’s Time To Report Your 2024 Prescription DataThis 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... |
March 12, 2025 |
Annual Group Information Renewal - Webtool UpdateThe 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... |
March 12, 2025 |
Small Group Healthy New York Application And Forms Updated For 2025The 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... |
March 12, 2025 |
The Value Of A Wellbeing StrategyYour 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,... |
March 12, 2025 |
Understanding Your Wellbeing; 2025 Wellbeing Webinar SeriesWe 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... |
March 12, 2025 |
April Wellbeing Tip: Breaking The Stress CycleApril 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;... |
March 12, 2025 |
Rx Update - Right Here For Powerful Pharmacy Solutions With Personalized CareMany 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... |
March 12, 2025 |
Rx Update - Innovative Care For Inflammatory Bowel Disease ManagementInflammatory 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... |
March 12, 2025 |
It’s Time To Report Your 2024 Prescription DataThe 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... |
March 5, 2025 |
2025 Pharmacy Updates From Mona ChitreA 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... |
February 27, 2025 |
Managed Care Organization TaxThe 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... |
February 18, 2025 |
Enrollment Portal Reminder – Accuracy Is ImportantThere 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... |
February 18, 2025 |
New Web Enrollment And Online Bill Pay Trainings Now AvailableWeb Enrollment and Online Bill Pay trainings are now available on the web under Employers > Resources > Employer Training Materials. These are interactive, self-paced courses that employers can navigate to learn more about Web Enrollment and Online Bill Pay. Web... |
February 18, 2025 |
Tax Form 1095-BHealth 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... |
February 18, 2025 |
Understanding Your Wellbeing; 2025 Wellbeing Webinar SeriesWe 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... |
February 18, 2025 |
Why Having A Primary Care Provider (PCP) MattersIndividuals with a PCP may receive higher value healthcare. PCPs provide preventive care such as cancer screenings, identify and treat common medical conditions and provide referrals for specialists as needed. Preventive care can help identify health concerns and chronic... |
February 18, 2025 |
New Year, New Goals: Take Charge With Preventive Health TodayPreventive care can help catch potential issues early before they develop into more serious health conditions. Things like routine checkups, screenings, and immunizations can fall under preventive care. Preventive services are covered in full by Univera Healthcare. Our... |
February 18, 2025 |
March Wellbeing Tip: Healthy Eating On A BudgetAccording to the Centers for Disease Control & Prevention (CDC), good nutrition is essential for well-being across all stages of life. A nutritious diet consists of primarily whole foods which include unprocessed fruits and vegetables, nuts, seeds, whole grains, beans... |
February 18, 2025 |
Rx Update - We’re Making Medications More Affordable With Our Automatic Prescription Discount ProgramMembers who pay 100% out-of-pocket for certain medications outside of their pharmacy benefit now have access to the automatic prescription discounts. The automatic prescription discount program provides discounts on medications outside a member’s pharmacy benefit through... |
February 18, 2025 |
Rx Update - Integrated Pharmacy Benefits: A Smart Solution For Cost Control And Risk ReductionDiscover a more comprehensive approach to pharmacy care with our integrated medical and pharmacy benefits. Our 2025 integrated pharmacy program flyer is now available for download, showcasing all the value-added and optional programs we offer for your business. Head over... |
February 18, 2025 |
Gag Clause Certificate Of Attestation Now AvailableOn December 30, 2024, Univera Healthcare completed the Gag Clause Attestation 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. Please reach out to your broker or... |
January 17, 2025 |
Understanding Your Wellbeing; 2025 Wellbeing Webinar SeriesWe are excited to launch a new wellbeing webinar series in 2025, geared toward 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... |
January 17, 2025 |
Starting The Year Off RightJanuary is a great time of year for employees to review their online account information or register for an account if they don’t already have one. Members can check their personal information, plan details and gain access to additional resources such as: Online member... |
January 17, 2025 |
February Wellbeing Tip: Heart HealthFebruary is American Heart Month. According to the Centers for Disease Control and Prevention (CDC), heart disease is the leading cause of death for men, women, and people of most racial and ethnic groups in the United States. The term “heart disease” includes several... |
January 17, 2025 |
Rx Update - Pharmacy Savings Toolkit AvailableHealth care costs continue to rise, affecting both businesses and employees alike. High prescription drug prices, increased outpatient procedures and hospital care are driving up premiums and out-of-pocket costs. It's important to find solutions that support employee... |
January 17, 2025 |
Season’s Greetings From Our Team To YoursThank 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! |
December 19, 2024 |
Automatic Payment Error ImpactSome 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... |
December 19, 2024 |
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... |
December 19, 2024 |
