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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...

NEW For 2024: Virtual Physical Therapy Through Vori Health

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

Every business wants to help their employees live their best. That’s why we are providing another option for physical therapy, so employees can have more accessibility when it comes to the care they need. Univera Healthcare is now partnering with Vori Health to offer...

Watch: Making The Most Of Your Health Plan

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

The Making the Most of Your Health Plan videos for 2024 are ready! These member-level videos provide a navigation of our member online account and mobile app, while highlighting important benefits, tools, and resources available to members. There are three videos based...

Annual Group Information Form (AGIF) – Mailbox Update For Small Groups

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

Over the past several months there have been some AGIFs emailed to Univera (AnnualGroupInformationUnivera@UniveraHealthcare.com) that were not received through our email system. While most of the emails were received, we realize this could create a situation where a small...

Univera On Demand Website Enhancements For Small Groups

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

To help create a better user experience for our Small Groups, we’ve updated Univera on Demand with the following enhancements: Medical Updates You can now compare the previous Q4 year rating period selected (Ex: 2022 to 2023) Added a new banner to link to dental...

February Is American Heart Month

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

According to the Centers for Disease Control and Preventive (CDC), heart disease is the leading cause of death for men, women, people aged 45 and over, and most races and Hispanic-origin groups, accounting for 1 in every 5 deaths in the US. The term “heart disease”...

Rx Update - Real Life Savings With Pharmacy Concierge

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

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...

This Holiday Season We're Grateful To Be Right Here. For You.

Broker Update | December 2023 | Vol. 18 No. 12

Thank you for your partnership and making our days merry and bright all year round. Wishing you peace, joy and even more success in 2024! Have a safe and happy holiday season!  

2024 Broker Guide Is Here

Broker Update | December 2023 | Vol. 18 No. 12

The 2024 Broker Guide for Univera Healthcare is now available to help you better service our clients and grow your brokerage business. The guide is available in the broker portal on the Univera Healthcare website. If you have any questions, contact:...

Our Next Step Toward Health Equity

Broker Update | December 2023 | Vol. 18 No. 12

We want everyone to have the chance to be as healthy as possible. Health equity is about removing any barriers that get in the way of health. We notified you earlier this fall that we would begin contacting our group members and asking them to share more about themselves...

Univera Healthcare Earns 85 Percent In Human Rights Campaign Foundation’s 2023-24 Corporate Equality Index

Broker Update | December 2023 | Vol. 18 No. 12

Univera Healthcare has received a score of 85 percent out of 100 on the Human Rights Campaign Foundation’s 2023-2024 Corporate Equality Index, the nation’s foremost benchmarking survey and report measuring corporate policies and practices related to LGBTQ+ workplace...

January Wellbeing Tip: The Importance Of Preventive Care

Broker Update | December 2023 | Vol. 18 No. 12

“An ounce of prevention is worth a pound of cure.” This is as true now as it was when Benjamin Franklin said it in 1735. While healthy behaviors such as exercise, sleep and good nutrition can significantly impact wellbeing, getting routine preventive care is an important...

Gag Clause Prohibition Attestation Under The Consolidated Appropriation Act

Broker Update | November 2023 | Vol. 18 No. 11

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...

Sunsetting Wellbeing Programs & How Members Can Claim Their Rewards

Broker Update | November 2023 | Vol. 18 No. 11

With the much-anticipated transition to our new digital, wellbeing engagement program, VitalizeSM, we will be sunsetting several of our wellbeing programs. The following programs* will be discontinued the last day of a groups’ benefit year: ActiveRewards ...

Fully Insured Large Groups To Move To Preferred Value Formulary

Broker Update | November 2023 | Vol. 18 No. 11

Please be advised that all Commercial Fully Insured Large Groups will move from the current 3 Tier Open Formulary to our Preferred Value Formulary (PVF) based on their plan year. This change excludes Minimum Premium groups, who will continue to have the option to choose...

Updated Annual Group Information Form And Web Tool Available

Broker Update | November 2023 | Vol. 18 No. 11

An updated version of the Annual Group Information Form (AGIF) is available for Large and Small Groups. The only change in this version is that a question has been added to the AGIF and online AGIF Web Tool which requires groups who offer a dental plan through the Health...

Showing 1– 50 of 216 Results
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