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Component Title: GLO-Prospects-Business Plans-Sole Proprietors
Health Insurance for Sole Proprietors
Are you self-employed, an independent contractor or a freelancer? We have high quality coverage for sole proprietors so you can continue to focus on running your own business. Choose from a variety of plans including bronze, silver, gold or platinum.
Component Title: UNI-Prospects-Business Plans-Small Businesses
Small Business Health Plans
(Up to 100 eligible employees)
Let’s face it. It takes more for a small business to succeed. More courage to seize opportunities. More creativity to overcome obstacles. More innovation. More insight.
No one understands this better than us.
That’s why we’re giving businesses in Western New York more to help keep employees healthy. Like new tools that put their own care in the palm of their hand and access to more resources than ever before. We’re finding creative ways to help small businesses give the most to their employees, so they can give you more in return.
Here’s what’s new:
A new, convenient way for our Care Managers to provide confidential, proactive, one-on-one, text-based outreach to members using a smartphone or tablet.
Telemedicine visits with MDLIVE are now covered in full with no cost to the member (subject to the deductible where applicable).
Introducing Univera Access Dental, a dental plan option tailored specifically for small groups.
Mental health and substance use disorders are now covered under the primary care physician cost share.
Through our Wellness Rewards and Dental Rewards programs members can earn money doing healthy things like going to the gym or having an annual dental checkup.
Component Title: Business Plans-Medium & Large Business Health Plans-Hub Page section
Medium & Large Business Health Plans
(More than 100 eligible employees)
In our ongoing effort to help keep care affordable in our community, we’re giving employers more flexibility when it comes to the network you choose. Univera Healthcare now offers the largest network in Upstate New York, covering 39 Upstate New York counties as well as select contiguous Pennsylvania counties. And when members need care outside of our 39-county local network, Univera Healthcare offers nationwide coverage through the PHCS/MultiPlan system. Using PHCS/Multiplan, members get the same in-network benefits when they receive care from a PHCS/MultiPlan participating provider throughout the United States. No matter where members need care, our Network Navigator is available to assist in finding participating providers and facilities, answer claims questions, and help resolve questions or issues that may arise.
Discover how our flexible and innovative plans, wellness opportunities, exceptional coverage and proactive care can help keep your team healthy and costs under control.
With three types of plans and multiple options, we have coverage that’s right for every group and every member. Our network gives you access to the best doctors, specialists, and hospitals in your neighborhood and across the country. We’ve also negotiated great rates with these providers, which means everyone pays less for a higher quality of care.
- Local 39-County Network: More than 98% provider participation within these counties, includes all major hospitals and strategic physician groups
- National Network: In-network benefits with more than 876,000 practitioners and 5,000 acute care facilities throughout the United States through the PHCS/MultiPlan system
With Univera Dental Select, members get comprehensive dental coverage with the flexibility of choosing from a variety of coinsurance, deductible, and annual maximum options. Emphasizing on preventive care, Univera Dental Select helps employees maintain their complete oral health, reducing the need for more costly dental care in the future.
With Univera Healthcare, members get:
- One-stop shop for comprehensive medical and dental coverage
- Flexible benefit options at competitive rates
- Easy access to a broad network of providers, including national network options through DenteMax and National Dental GRID
- Rewarded for regular dental care through Dental Rewards, a program offering monetary incentives for getting dental exams and cleanings
- 100% employee-paid options available
Introducing Dental Annual Maximum Rollover:
Regular dental visits can greatly reduce the occurrence of major oral health issues, saving money for both employers and employees. The Dental Annual Maximum Rollover from Univera Healthcare incentivizes preventive care by rewarding employees with funds they can roll over to use as needed in the future.
One of the ways we can help keep health care costs under control is by keeping your employees healthy with a wellness strategy. Our wellness team is comprised of clinical and degreed professionals who partner with you and your employees to provide targeted wellness programs tailored to meet each employee’s needs. The result: greater satisfaction and savings, and the best outcomes for your organization and your employees.
Our team of wellness consultants will work with you to develop programs that touch every aspect of wellness:
- Wellness toolkits for employers: Low-cost, high-return ideas you can implement right away.
- On-site biometric screenings: Provide your employees with actionable health data to inspire changes, head off potentially serious conditions, and avoid expensive claims without making an extra trip.
- Tobacco cessation: Most people who smoke want to quit. They just need help.
- Rewards-based programs: ActiveRewards® for large group members reward positive behaviors and lifestyle changes.
- Wellness Your Way: Provides members with a Wellness Your Way debit card that can be used to try a new activity, offset the cost of gym memberships, or any other way they see fit. No complicated activity tracking or reimbursement forms required.
- Web-based wellness resources and education for members: We’re here to help in every way we can.
* Online available for experience-rated groups with 100+ employees.
When your team is healthier, your business runs more smoothly. That’s why our comprehensive approach to Population Health Management (PHM) is essential. With our system of programs, reminders, and education, we surround your employees with the help they need to stay on track with their health goals, live better, and work harder. Whether someone on your team is dealing with a chronic or complex condition, or just needs a reminder to go to the doctor once in a while, you can rest easy knowing someone is looking out for them—at no additional cost.
- Utilization Management: We connect members to the exact level of care they need to speed recovery and keep costs in check. We track and review each stage of care and leverage established national standards of care guidelines, evidence-based data, and partnerships with local providers to ensure the right level of treatment.
- 24/7 Nurse Call Line: Members can contact a nurse by phone anytime—24 hours a day, seven days a week—with general health questions. If ongoing support is needed, members may be referred to a member care manager so they’ll have the support that best fits their needs.
- The Wellframe® app: Members can take advantage of a new, convenient way for our Care Managers to provide confidential, proactive, one-on-one, text-based outreach using a smartphone or tablet. Members can receive guidance, support, and tips to help achieve their health care goals and reduce costs.
Univera Healthcare provides access to virtual health care via our partner MDLIVE. Through a toll-free phone number, video conferencing via the web, or a secure mobile app, members have another option to receive care from Board-Certified providers for acute, non-life-threatening medical and behavioral health conditions.
Our telemedicine program:
- Addresses medical conditions like allergies, nausea and vomiting, cold and flu, and pink eye, as well as behavioral health conditions such as depression, addiction, stress and LGBTQ support
- Increases employee access to high-quality health care
- Helps reduce costs for both members and your company
- Decreases absenteeism and improves productivity by reducing visit times
- Promotes employee work-life balance by reducing in-person appointments that cut into valuable work and personal time
- Supports employers with a toolkit to educate employees on the benefits of telemedicine and motivate them to set up their accounts
