Cost & Coverage
Gold Standard is a Hybrid plan with low copays and generous prescription drug coverage. It's a good option if you want to save on monthly premiums while keeping your out-of-pocket costs lower for routine care.
(Note: this plan includes a deductible which applies to diabetic drugs and supplies as required by contract language provided by the state.)
View a Summary of Benefits & Coverage
- Gold Standard Summary of Benefits & Coverage
- Gold Standard Summary of Benefits & Coverage
- Gold Standard + Dependent 29 Summary of Benefits & Coverage
- Gold Standard + Dependent 29 Summary of Benefits & Coverage
- Gold Standard Child Only Summary of Benefits & Coverage
- Gold Standard Child Only Summary of Benefits & Coverage
View a Contract & Other Legal Information for Prospective Members
Embedded Pediatric Dental
In compliance with New York State mandates, all our medical plans include low-cost pediatric dental coverage for those under age 19. You can choose to exclude pediatric dental coverage, while maintaining comprehensive coverage for adults, if you already have coverage from another health plan.
A Great Provider Network
All of our plans give you access to top-quality doctors, hospitals and pharmacies.
Exclusive Member Benefits
NEW! VitalizeSM, powered by Virgin Pulse, is your digital home base for health and wellbeing. Get access to tools and support to make small, everyday changes in the areas you want to improve most.
As our member, you'll enjoy additional perks including:
- No referrals needed for specialist appointments
- Discounts with Perks 4 U®
- 24/7 Nurse Call Line
- Access to 6,000+ health topics
- And more!
Univera Dental Rewards
Go to the dentist and receive up to $100 for getting your teeth cleaned. It's really that easy. You don't even have to have dental coverage through Univera Healthcare. Just provide proof that you or your spouse/domestic partner went to the dentist for your annual cleanings, and we'll pay you up to $100 ($50 per person) to use as you wish.
