2027 product updates and reminders1
Wellbeing and incentive programs
Univera Healthcare offers members access to a wide range of reward and incentive programs, with savings on fitness, weight loss, travel and more.
- Build healthy habits and earn rewards with VitalizeSM
Vitalize is a digital home base designed to engage teams in their health journey. Supported by Personify Health, it empowers employees to make small everyday changes, build healthy habits, have fun with friends, and enjoy the lifelong rewards of improved overall wellbeing.
Care management
Personalized care management is at the core of our approach, building meaningful employee connections while supporting physical and emotional well being through flexible, individualized programs.
- NEW! Woman and family health support through Ovia Health2
Ovia Health is a comprehensive solution that supports women and families through every stage of life - from fertility and pregnancy to postpartum, parenting and menopause. With personalized guidance, digital tools, and 1:1 access to specialists and/or licensed health care professionals, Ovia connects members to the care and support they need for better health outcomes and greater confidence throughout their journey. Ovia will be embedded in all Fully Insured plans and available as a buy-up for Self-Funded and Minimum Premium plans.
- Connect with a personalized care manager with Wellframe®
Wellframe provides employees with personalized, on demand care management through an easy to use mobile app. Members have direct access to a dedicated care manager, nurses, and dietitians, all in one place. With personalized care plans, secure messaging, progress tracking, and proactive tips and reminders, Wellframe helps employees stay engaged, supported, and on track with their health goals.
Virtual care and digital resources
Our suite of digital tools and other resources gives members instant access to benefits, tools, and member-only resources.
- NEW! Deductible removed for telemedicine
Members enrolled in Fully Insured HDHP and Hybrid plans with a deductible can now access telemedicine 24/7 before meeting their deductible, improving access to timely, personalized care that is more convenient and affordable. Members can take advantage of a broad range of telemedicine services, with the ability to connect to board-certified providers by phone or video—often within minutes.
- MD Live® Virtual Care: Medical and behavioral health
- Urgent care ($0 before deductible): Care for common conditions like colds, flu, sinus infections, cough, allergies and more.
- Behavioral health support ($0 before deductible): Access to mental health therapy and psychiatry.
- Dermatology (specialist cost share before deductible): Connect with board-certified dermatologists for thousands of skin, hair, and nail conditions, including acne, rashes, and eczema.
- Vori Health: Virtual musculoskeletal care
- Personalized care for back, neck, and joint pain ($0 before deductible): Virtual access to board-certified physical therapists and specialists who provide an individualized treatment plan, along with ongoing support to help reduce pain, restore movement, and avoid unnecessary tests or procedures.
- Members can take their health plan with them 24/7
With the Univera Healthcare app, members can easily connect to care anytime, anywhere, making it simple to find support and manage their health in one convenient place. Access 24/7 telemedicine, check benefits and coverage, view claims, use digital ID cards, find a doctor, and more.
Pharmacy programs
We offer proven programs that make medications more affordable, support proper use, member health, and deliver the lowest net cost.
- NEW! Updating our preventive drug list for smarter, more sustainable coverage
Effective January 1, 2027, Univera Healthcare will update the preventive drug list to better align coverage on high value, clinically appropriate preventive medications. As part of this update, select non preferred drugs, multi-source brands, and high-cost generics will no longer be included on the preventive drug list. These changes are designed to support more sustainable pharmacy costs while maintaining access to effective preventive care. This change applies to all groups regardless of renewal date.
Integrated benefits and services
Our partner, Lifetime Benefit Solutions (LBS)3, a company that offers administrative services, is a national leader in workplace management solutions, providing tools and support that help groups remain compliant while improving efficiency and financial performance.
- Health Savings Accounts (HSAs)
HSAs help employers keep health coverage affordable by offering a tax advantaged way for employees to save for current and future health care expenses, with no "use it or lose it" requirement. Through LBS, employers and employees can manage HSAs—along with eligible FSAs and HRAs—on a single, integrated platform. LBS delivers simple administration, flexible contributions, and 24/7 access to account funds through an online portal or debit card.
1 Subject to DFS approval
2 Subject to final contract terms
3 Lifetime Benefit Solutions is a company offering administrative services in the Univera Healthcare service area.
Personify Health is an independent company and offers a digital wellbeing service on behalf of Univera Healthcare.
Ovia Health is an independent company offering digital women’s health solutions to Univera Healthcare members.
Wellframe is an independent company that provides a health and wellness support mobile app to Univera Healthcare members.
Vori Health is an independent company that offers virtual musculoskeletal (back, neck and joint) health care and physical therapy services to Univera Healthcare.
MD Live is an independent company providing virtual care services to Univera Healthcare.
MDLIVE Medical Group (DE), P.A, MDLIVE Medical Group, PA and other MD Live related independent professional entities provide the clinical services made available by MD Live.
Medical plans
We take our network to another level. We’re proud to offer the largest local network in Western New York.1 But the benefits reach far beyond. It’s the peace of mind that comes with knowing you have access to hospitals, doctors, nurses, and more across your home region – all 39 counties of it.
- Within 39 Upstate New York counties, more than 99% of all physicians participate with us2
- 100% of major local hospitals participate with us
- We have direct contract relationships with providers in select neighboring Pennsylvania counties
- MultiPlan network offers access to 1.4 million providers nationwide
And it goes beyond in-person visits: We make remote care options available to supplement our local provider network to improve access to care.
- MD Live® Virtual Care: On-demand access to urgent care, behavioral health support, and dermatology
- Vori Health3: Personalized virtual musculoskeletal care for back, neck, and joint pain
Medicare solutions
We can also help you with Medicare Advantage, Part D, and supplement plans for retirees and employees working past age 65. View group Medicare options.
1 Largest local network with no access fees or claims fees, compared to WNY-based health plans
2 2025 Health Plan data
3 Embedded for Fully Insured groups; Buy-up for Self-Funded groups
Member health management
When your team is healthier, your business runs more smoothly. That’s why our comprehensive approach to member health management is essential. With our system of clinical 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 feel confident knowing someone is looking out for them—at no additional cost.*
Some highlights of our comprehensive roster of member health management services include:
- Utilization management
- Care management
- Disease management
- Behavioral health management
- Wellbeing and incentive programs
*Included for Fully Insured; Buy-up for Self-Funded
Tools & resources
We’re dedicated to making health care more convenient for greater employee engagement. That’s why we offer self-service support tools and resources.
-
NEW Ovia Health1,2: Comprehensive women’s and family health support with personalized guidance, digital tools, and one-on-one specialist care for every stage—from fertility and pregnancy to postpartum, parenting, and menopause.
-
VitalizeSM: Available through a partnership with Personify Health, Vitalize is a digital homebase for health and wellbeing. Members can access tools to build healthy habits, track fitness, make everyday changes, and get a clear view of their overall health.
-
Headspace2: Integrated with Personify Health, Headspace is our preferred mindfulness partner for managing stress, anxiety, focus, and sleep.
-
Univera Healthcare app: Members can easily connect to care anytime, anywhere—access telemedicine, check benefits and coverage, view claims, use digital ID cards, find a doctor, and manage their health all in one convenient place.
-
Vori Health2: Personalized virtual musculoskeletal care for back, neck, and joint pain.
-
MDLIVE® Virtual Care: On-demand access to urgent care, behavioral health support, and dermatology.
-
Wellframe®: Guidance and support from licensed health care professionals to help manage issues like anxiety, maternal health, asthma, and more.
-
Pharmacy Home Delivery: Members can save time and money by having prescriptions delivered to their home.
-
Welvie My SurgerySM: Resources for navigating the entire surgery decision-making process.1
-
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.
1 Subject to final contract terms
2 Included for Fully Insured; Buy-up for Self-Funded and Minimum Premium
Voluntary benefits services
When you integrate services like dental, administrative services and stop loss with medical benefits, Univera Healthcare can support employees with a more complete view of their health. Leading to more proactive support to help keep employees healthy and costs of care down.
Univera for Business
Infographics, videos and more: See how we can help keep your team healthy and costs under control.
GDPR Notification Content