Plan Documents
View important plan documents including your Summary of Benefits, Evidence of Coverage, and Annual Notice of Change (if available). Since these documents vary by region and plan, we need some information from you. Use the form below and we’ll find your specific plan documents.
Existing Members: Request to receive printed versions of your specific documents by mail
Univera Medicare Dual (HMO D-SNP)
Evidence of CoverageOpen a PDF
Annual Notice of ChangeOpen a PDF
Univera SeniorChoice Advanced HMO-POS
Evidence of CoverageOpen a PDF
Univera SeniorChoice Secure HMO-POS
Evidence of CoverageOpen a PDF
Univera SeniorChoice Value Plus HMO-POS
Evidence of CoverageOpen a PDF
Univera Medicare Dual (HMO D-SNP)
Evidence of CoverageOpen a PDF
Annual Notice of ChangeOpen a PDF
MyHealth PlusSM Member HandbookOpen a PDF
Univera SeniorChoice Advanced HMO-POS
Evidence of CoverageOpen a PDF
Univera SeniorChoice Secure HMO-POS
Evidence of CoverageOpen a PDF
Univera SeniorChoice Value Plus HMO-POS
Evidence of CoverageOpen a PDF
Plan Documents - Script and Style
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.
