Improving the health and wellness of Western New Yorkers starts by helping you better understand your benefits, so you can receive the best care while keeping more money in your pocket. Let’s get started!

Key benefits included our 2026 Medicare Advantage plans*

Component Title: Welcome - Standard 6 Preventative care

$0 preventive care

  • Annual Care Visits including Annual Wellness Visit and Annual Physical
  • Health screenings including mammograms, colorectal cancer screening, diabetes testing, bone density tests, and more
  • $0 preventive vaccines including flu, pneumonia, RSV, COVID-19 vaccines, and the shingles vaccine, SHINGRIX

To use your preventive care benefits, be sure to use an in-network provider for recommended care. You can also download a preventive care checklist to make sure you’re getting the care you deserve.

Component Title: Welcome - Standard 1 Dental

Dental*

  • Preventive dental with no copay for routine care such as cleanings, X-rays, and oral exams
  • Comprehensive dental with a $1,000 annual allowance, which covers more extensive services like restorative care or major procedures

Our 2026 Dental Benefits Guide has more information on your dental benefit.

To make the most of your dental benefits, schedule an appointment with an in-network dentist. We can also help you find a dentist near you.

*Dental coverage is not part of the Univera SeniorChoice Core Plan

Component Title: Welcome - Standard 2 Vision

Vision

  • $0 routine eye exams
  • Annual eyewear allowance of up at least $150 a year to use towards contact lenses and eyeglasses (frames & lenses)

To use your vision benefits, schedule an appointment with any licensed provider or find a provider near you.

Component Title: Welcome - Standard 3 Hearing

Hearing

  • Free annual routine hearing exam and reduced hearing aid costs with TruHearing®
  • Advanced hearing aid: $499, premium hearing aid: $799

To use your hearing benefits, schedule an appointment with a TruHearing provider by calling 1-855-205-5526 (TTY 711) Monday – Friday, 8 a.m. to 9 p.m. ET.

Component Title: Welcome - Standard 7 Prescriptions

Prescriptions

  • Understand your 2026 pharmacy benefit: See our Prescriptions Guide for a summary of coverage updates
  • View your plan’s formulary to see what drugs are covered by your plan and what tier your medication is under

Other helpful resources

Component Title: Welcome - Standard 4 OTC

Over-the-counter (OTC) allowance

  • Receive $30 a quarter to spend on over-the-counter health and wellness items such as aspirin, vitamins, cold and cough medications, bandages, and more.

See the OTC HighlightsOpen a PDF for details. 

To use your OTC benefits, choose one of the following ordering methods:

  • Online: Visit the OTC Benefits website (powered by Convey Health) – registration required
  • Phone: Call 1-855-657-7545 (TTY 711), Monday – Friday, 8 a.m. to 11 p.m. ET
  • Mail: Use the mail order form in the product catalog that was mailed to you
  • App: Download and use the OTC Anywhere mobile app

Component Title: Welcome - Standard 5 Fitness

Fitness

We are pleased to partner with the Silver&Fit® program to provide you with fitness options and healthy aging resources that include:

Learn more about the Silver&Fit benefitOpen a PDF

To use your fitness benefit, log in to access your Silver&Fit account or speak with a Silver&Fit Customer Service agent at 1-888-797-7925 (TTY 711).

Component Title: Welcome- Standard Virtual Care

Virtual care

If your provider isn’t available, virtual care can help. Get fast access to care from the comfort of your home or wherever you are.

We’ve partnered with: 

You also have access to our 24/7 Nurse Line where our specially trained registered nurses are available general questions and provide support for chronic or complex health conditions for no charge.

To learn more about your specific plan and the benefits that are included, log in to your online account or contact us
 

* benefits in the SeniorChoice PPO plan vary, please refer to your Explanation of Benefits.

Our Univera SeniorChoice® Secure (HMO-POS) plan also includes

Component Title: Welcome- Additional 1 Transportation

Transportation for health-related trips

  • 12 one-way non-emergency trips per calendar year with SafeRide® (50-mile limit per ride)

Learn more about the SafeRide benefit and see how it works.

To schedule a ride, call SafeRide at 1-888-617-0270 (TTY 711), Monday - Saturday, 8 a.m. to 8 p.m. ET.

Component Title: Welcome- Additional 2 Meals

Mom’s Meals® delivery service

  • 2 home-delivered meals per day for 7 days after an observation, inpatient, or skilled nursing stay

See the Mom’s Meals HighlightsOpen a PDF for details.  

To use your Mom’s Meals benefit, call 1-877-222-1240 (TTY 711), Monday – Friday, 8:30 a.m. to 4:30 p.m. ET. Keep in mind that this benefit must be used within 30 days of discharge. 

Component Title: Welcome - Additional Benefits

Make the most of your benefits

Check to see if your provider participates with your plan, or find someone who does:

Remember to complete the Authorization Release Form so we can share protected health information (PHI) with a spouse, child, or a caregiver. Login to submit this form online.

Univera Healthcare is an HMO/PPO/HMO D-SNP plan with a Medicare contract and a contract with the New York State Medicaid program. Enrollment in Univera Healthcare depends on contract renewal. Submit a complaint about your Medicare plan at www.Medicare.gov or learn about filing a complaint by contacting the Medicare Ombudsman. Y0028_11356_C.

This page last updated 10-01-2025.

 

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