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 your open enrollment materials today.
Small Group Plans Now available:
- Univera Access and Univera Clear Options
- Univera Access Dental and Univera Dental Select
2025 Plan Highlights*:
We know that health and wellbeing have taken on new meaning and significance over the past few years. 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.
- Reminder! Vitalize℠
Introduced in 2024, Vitalize is a digital homebase dedicated to engaging teams in health and wellbeing. Our partnership with Personify Health gives employees the tools to make small everyday changes to their wellbeing that are focused on the area they want to improve the most. They’ll build healthy habits, have fun with friends, and experience the lifelong rewards of better health and wellbeing.
Vitalize is embedded in all plans, offering rewards of up to $200 per subscriber and $200 per spouse, or domestic partner, for a total rewards payout of up to $400 per plan year.
- Reminder! Foodsmart Nutritional Program
Foodsmart, embedded in the Personify Health platform, is a nutrition offering where members can take the ‘NutriQuiz’ for personalized health insights, browse a comprehensive recipe library, set dietary preferences, and save recipe ingredients to an exportable grocery list feature.
- NEW! Vision Plan Options
Introducing two new vision plan options, Vision Platinum Plan and Vision Platinum Plus Plan. The Platinum Plan will have a $0 copay and an increased allowance from $150 to $175. The Platinum Plus Plan will offer all the benefits in the Platinum Plan, plus coverage of safety glasses. All six Vision plans include low-cost eye exams plus benefits for fully covered and low-cost corrective eyewear, plus other great discounts. By partnering with Davis Vision, members will have access to a large local and national network.
- NEW! $0 Tier 1 Drugs for Children
Tier 1 drugs for children up to age 19 will now be covered in full, (subject to deductible, where applicable). This update applies to all Non-Standard plans.
- NEW! Eliminating Diabetic Insulin Copays
According to the American Diabetes Association, people with diabetes have medical expenses that are 2.6 times higher than people who do not have diabetes. To improve access and affordability, we support the NYS mandate to eliminate the cost share, including the deductible, for diabetic insulin.
- NEW! Cardiac and Pulmonary Rehab
We’re committed to lowering the total cost and other barriers to care for our members. Beginning in 2025, Cardiac and Pulmonary Rehab health services, will be covered in full, (subject to deductible when applicable) for Non-standard plans.
- NEW! Univera Access Bronze 5
Introducing a new low-cost plan for Small Groups with a $9,200 deductible and $9,200 Out-of-Pocket Maximum, and no coinsurance. Preventive services are covered in full.
- NEW! Univera Access Gold 7
New for 2025, this plan has no deductibles, $0 PCP and telemedicine for acute care and behavioral health. There is 50% coinsurance on all other services.
* Subject to DFS approval
Personify Health is an independent company and offers a digital wellbeing service on behalf of Univera Healthcare.
Davis Vision is an independent company providing vision benefit management services and access to their network.
Learn More on the Sales Hub.
As a reminder the Sales Hub will be your virtual destination for on-demand training videos and educational materials, covering topics like new product offerings, annual Open Enrollment updates, and new broker education.
Log in to the Sales Hub for all Small Group updates for 2025. If you’re new to the Sales Hub, refer to the bottom of this email for details on how to request an account.
Please contact your account consultant with any questions.
For a Large Group Open Enrollment Materials reminder visit:
