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Individual Metal Plans And Rates For 2025 Now Available!

Broker Update | October 2024 | Vol. 19 No. 10 - Special Issue

Individual plans, rates, placemats, tip sheets and product brochures for 2025* are now available on Univera on Demand. Now available: Individual & Family Qualified Health Plans Healthy Smile Stand-alone Dental Plans *Subject to DFS approval 2025 Plan...

Upcoming Member Webinar For Small Group Plans*

Broker Update | September 2024 | Vol. 19 No. 9

Many Small Group members are not aware of the programs, resources, and tools available to them through their benefit plan. We want to help close that gap. That’s why we are hosting a live “Making the Most of Your Health Plan,” webinar. Tuesday, September 24 12:00 P.M. -...

October Is Breast Cancer Awareness Month

Broker Update | September 2024 | Vol. 19 No. 9

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

Broker Update | September 2024 | Vol. 19 No. 9

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. Employers must provide...

Rx Update - New Integrated Medical & Pharmacy Diabetes Programs Brochure

Broker Update | September 2024 | Vol. 19 No. 9

We have a new brochure available to learn more about our integrated medical and pharmacy solutions for diabetes management. This piece offers information on each program, as well as group savings opportunities. This piece is now available to download on...

Small Group Rates And Plans For 2025 Are Now Available!

Broker Update | September 2024 | Vol. 19 No. 9 - Special Issue

Explore Univera on Demand for the latest Small Group rates, plan updates, and all your open enrollment tools, including At-A-Glance brochures and product guides. Summary Benefits and Coverage (SBCs) are coming soon and will be available by October 1. Learn more and order...

Reminder: Large Group Open Enrollment Materials

Broker Update | September 2024 | Vol. 19 No. 9 - Special Issue

If you need printed copies of the 2025 Large Group Open Enrollment materials, reach out to order through your Account Service Consultant. And remember, electronic versions and downloadable PDFs of each piece are also available on Univera On Demand and the Sales Hub.   ...

NYS Prior Approval Of Rate Changes For Medicare Supplement

Broker Update | August 2024 | Vol. 19 No. 8

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 Communication Initial notification letters will be...

Medicare Part D Creditable Coverage

Broker Update | August 2024 | Vol. 19 No. 8

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

Broker Update | August 2024 | Vol. 19 No. 8

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 affect you or SOME of your...

Request For Missing Social Security Numbers

Broker Update | August 2024 | Vol. 19 No. 8

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

Broker Update | August 2024 | Vol. 19 No. 8

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

Broker Update | August 2024 | Vol. 19 No. 8

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 - Specialty Drug Webinar Recording Now Available

Broker Update | August 2024 | Vol. 19 No. 8

As we learned in our recent pharmacy webinar, the specialty landscape continues to evolve as advancements in care provide additional treatment options for members. While these innovative treatment options can be great for members, they can also present financial...

2024 Pharmacy Updates From Mona Chitre

Broker Update | August 2024 | Vol. 19 No. 8 - Special Issue

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...

Right Here For A More Holistic Approach To Health

Broker Update | July 2024 | Vol. 19 No. 7

We’re proud to provide Western New York with a more coordinated, caring, personalized, and holistic health insurance experience. It’s an approach that connects the dots for employees while improving care and helping address rising costs for everyone. We’ve taken a hard...

Warby Parker Added To Vision Network

Broker Update | July 2024 | Vol. 19 No. 7

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

Broker Update | July 2024 | Vol. 19 No. 7

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 - Join Us For Our First Univera Healthcare Pharmacy Webinar

Broker Update | July 2024 | Vol. 19 No. 7

Topic: Rx Market Insights: Specialty Drug Trends & Solutions July 26th, 11:00 - 11:45 a.m. ET What are the top trend drivers for specialty pharmacy? What does the future look like for these trends? How can businesses save money on these high-cost drugs? These...

Rx Update - Site Of Care For Infusion Drug Therapy

Broker Update | July 2024 | Vol. 19 No. 7

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

Broker Update | July 2024 | Vol. 19 No. 7 - Special Issue

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 Your Employer Groups!

Broker Update | June 2024 | Vol. 19 No. 6

Throughout the year, employer groups receive a satisfaction survey from us. The second quarter survey is being sent to some employer groups this month. The feedback and experience of our employer groups is valuable, we want to learn from them. If your group has not yet...

Qualified Health Plan (QHP) Update On Monthly Open Enrollment Period

Broker Update | June 2024 | Vol. 19 No. 6

As of June 1, 2024, individuals will need a qualifying event/special election period (SEP), or must wait until November, to enroll or make changes to their health insurance. As a reminder, during the COVID public health emergency, New York State had continuous open...

July Wellness Topic: The Benefits Of Physical Activity

Broker Update | June 2024 | Vol. 19 No. 6

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 - NEW! Integrated Pharmacy Program Flyers Now Available

Broker Update | June 2024 | Vol. 19 No. 6

We now have Integrated Pharmacy Program Flyers accessible for use. These flyers include every value-added and optional pharmacy program we have available to groups who have their medical and pharmacy integrated with us. These flyers have been created for each funding...

Rx Update - New! Pharmacy Concierge Program Video Series

Broker Update | June 2024 | Vol. 19 No. 6

Now available are newly created series of videos to leverage 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...

Individual & Small Group – NYS Prior Approval Of Rate Changes

Broker Update | May 2024 | Vol. 19 No. 5 - Special Issue

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

Broker Update | May 2024 | Vol. 19 No. 5 - Special Issue

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...

We Want To Hear From You!

Broker Update | May 2024 | Vol. 19 No. 5

The annual broker satisfaction survey is now live until May 31. Your feedback and experience are valuable, and we want to learn more from you. If you have not already, you will receive an email with a link to the survey. Please respond by May 31. If you have any...

Past Due: What If My Group Missed The RxDC Deadline?

Broker Update | May 2024 | Vol. 19 No. 5

We have received questions from groups and brokers about what to do if a group 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...

Plan Designation Indemnification Is Now A Fillable Form

Broker Update | May 2024 | Vol. 19 No. 5

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 alike, and we look forward to this new form saving time for everyone. The fillable versions of...

Working To Deliver A Real Time Enrollment Experience

Broker Update | May 2024 | Vol. 19 No. 5

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

Broker Update | May 2024 | Vol. 19 No. 5

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...

Rx Update - A New Way For Self-Funded Groups To Save

Broker Update | May 2024 | Vol. 19 No. 5

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

Broker Update | April 2024 | Vol. 19 No. 4

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...

About ACQAs: Broker Training

Broker Update | April 2024 | Vol. 19 No. 4

We continue to update and add to our Sales Hub eLearning offerings. Our latest training material focuses on Accountable Cost and Quality Agreement (ACQA). An ACQA is a localized approach to value-based payment agreements. This session will explain more about what an ACQA...

Online Chat Now Available On Davis Vision Website

Broker Update | April 2024 | Vol. 19 No. 4

Davis Vision now has an online chat tool available to assist members in locating their benefits and eligibility information. The chat tool becomes available after a member creates an account and logs into the Davis Vision website. Members can ask questions or gather...

May Is Mental Health Awareness Month

Broker Update | April 2024 | Vol. 19 No. 4

Mental and physical health are equally important components of overall health and wellbeing. Mental health includes our emotional, psychological, and social wellbeing. It affects how we think, feel, and act. Poor mental health increases physical health risks, while poor...

Rx Update - Save On Medical Benefit Specialty Drugs With Smart RxAssist

Broker Update | April 2024 | Vol. 19 No. 4

In continuing efforts to combat the rising cost of specialty medications, Univera Healthcare is providing an innovative financial assistance program, Smart RxAssist. Smart RxAssist is a specialty drug assistance program offering financial relief to employers and employees...

REMINDER: Report Your 2023 Prescription Data

Broker Update | March 2024 | Vol. 19 No. 3

The 2021 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 2023...

Target Optical And Pearle Vision Being Added To Vision Network

Broker Update | March 2024 | Vol. 19 No. 3

Together with our partner, Davis Vision, we are excited to announce the expansion of our network in 2024 with the addition of Target Optical and Pearle Vision. With this addition, members will be able to access more than 150,000 in-network points of eye care. This...

Why Your Primary Care Provider Matters

Broker Update | March 2024 | Vol. 19 No. 3

Taking care of your health is one of the most important things you can do to help you feel your best every day. Your Primary Care Provider is your partner in managing your health. Seeing them for regular preventive care ensures you are up to date on recommended screenings...

It’s Time To Report Your 2023 Prescription Data

Broker Update | February 2024 | Vol. 19 No. 2 - Special Issue

The 2021 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 2023...

Learn How ACQAs Help Increase Quality Care For Members

Broker Update | February 2024 | Vol. 19 No. 2

An Accountable Cost & Quality Agreement (ACQA) is our localized approach to value-based payment agreements. ACQAs promote a better, more holistic patient experience for members while working to reduce unnecessary medical costs for all. Watch Our 3-Minute Video To...

NEW! Vitalize℠ Toolkit Now Available

Broker Update | February 2024 | Vol. 19 No. 2

A toolkit for our new digital, wellbeing program Vitalize, administered by Virgin Pulse, can now be found on UniveraforBusiness.com. With a ready-to-send email, member guide, quick start flyer, overview flyer, and reward flyers employers can encourage their team to get...

NEW! Headspace Toolkit Now Available

Broker Update | February 2024 | Vol. 19 No. 2

A toolkit for our new mindfulness and meditation partner*, Headspace, administered by Virgin Pulse, can now be found on UniveraforBusiness.com. This toolkit includes a ready-to-send email, Headspace overview flyer, and material to help guide members through creating an...

Rx Update - Reminder: Real Life Savings With Pharmacy Concierge

Broker Update | February 2024 | Vol. 19 No. 2

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...

The Importance Of Sleep

Broker Update | February 2024 | Vol. 19 No. 2

Sleeping is a basic human need, like eating, drinking, and breathing. Did you know adults need between seven and nine hours of sleep per night, and children and teens need even more? Surveys show the average adult sleeps fewer than seven hours a night. According to the...

Tax Form 1095-B

Broker Update | January 2024 | Vol. 19 No. 1

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

Broker Update | January 2024 | Vol. 19 No. 1

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 with...

Showing 1– 50 of 212 Results
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