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!

Benefits included in most Medicare Advantage plans:

Dental

What's Covered

  • Preventive dental with no copay for routine care such as cleanings, X-rays, and oral exams
  • Comprehensive dental with a $1,000 annual allowance for care like select crowns, root canals, fillings, and extractions

See the Dental HighlightsOpen a PDF for details. 

To use your dental benefits, schedule an appointment with an in-network dentist or Find a Dentist near you.

Vision

What's Covered

  • $0 routine eye exams
  • Annual eyewear allowance of at least $150 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.

Hearing

What's Covered

  • 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 by calling 1-855-205-5526 (TTY 711) Monday – Friday, 8 a.m. to 9 p.m. ET.

Over-the-Counter (OTC) benefit of at least $200/year

What's Covered

  • At least $50/quarter ($200/year) for common items such as aspirin, vitamins, cold and cough medicine, bandages, and more

See the OTC HighlightsOpen a PDF for details. You'll receive a catalog of covered items by mail. 

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

FitOn Health

What's Covered

Your new fitness and health benefit, FitOn Health, gives you access to digital and in-person fitness experiences. You can begin building your profile through your online account starting January 1, 2025.

  • Unlimited premium digital fitness classes
  • Nutrition programs including 500+ exclusive recipes
  • Chronic disease courses and wellness content
  • 13,000+ gyms, studios, & community centers

Learn more about your FitOn Health benefit, see how credits work, or contact FitOn Health for assistance.

$0 preventive care

What's Covered

  • Health screenings, including mammograms, colorectal cancer screening, bone density tests, and more
  • $0 preventive vaccines

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

$0 Tier 1 generic drugs

What's Covered

  • $0 Tier 1 generic drugs on all Medicare Advantage prescription drug plans

To learn more about your prescription drug benefits, choose from the following options:

Some plans also have:

Transportation for health-related trips

What's Covered

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

See the SafeRide Transportation HighlightsOpen a PDF for details.

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

Mom’s Meals® delivery service

What's Covered

  • 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. 

$250 Flex Card for Univera SeniorChoice® Access (PPO) plans

What's Covered

  • $250 for use on dental, hearing and vision expenses not already covered
  • Earn up to $100 in additional funds when you complete certain activities

See the PPO HighlightsOpen a PDF for details.

To use your flex card benefit, simply pay for expenses with the card that was mailed to you. The full $250 balance will be loaded on the card and ready to use on your plan start date. To check your balance, log in to your member account or call 1-833-655-1780 (TTY 711).

Tip: Use your plan benefits first and then use your flex card to pick up any remaining balance. If you forget your card, you can submit a claim and get reimbursed with your flex card balance. Your card is good for a few years so once you use it, don’t throw it away – it will be reloaded next plan year.

We’re here to help:

Find the care you need

Check to see if your doctor participates with your plan:

Additional ways to get help:

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

Not sure what your plan covers?

Log in to your member account to view your benefits and coverage, member card, claims, and more.

Please note: some actions associated with your account, such as paying a bill online, may not be available until after your plan starts. If you need help before your effective date, please call our Customer Care Advocates.

Still have questions? We’ve got answers.

View your Medicare plan information online or call our Customer Care Advocates. You can also visit us in person at our Resource Center.

Univera Healthcare is an HMO plan and PPO plan with a Medicare contract. 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_10520_C.

This page last updated 10-01-2024.

 

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