Univera Healthcare

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General Medicare Timeline
Let's get started! Take these important steps to learn about Medicare and see what you have to do now to prepare for enrollment.
7-9 Months to turning 65:
• Watch our Medicare Minute Video series and get answers to the most common questions we hear about Medicare.
• Review your current health care coverage to see what options you have after you turn 65. Also, consider your travel habits, prescription drug needs, and calculate your annual health care budget.
5-6 Months to turning 65:
• Compare Medicare Advantage plans and check to see if your prescriptions are covered.
3 Months to turning 65:
• Complete your enrollment during your Initial Enrollment Period. You have from 3 months before you turn 65 to 3 months after your birthday month to enroll.
More about Initial Enrollment Period >
Your Initial Enrollment Period starts 3 months prior to your 65th birthday, through 3 months after your birthday month concludes.
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 Choose Your Medicare Plan 
Whether your looking for a plan on your own or would like help from an expert, we've got you covered. Find a Univera Healthcare Medicare plan that fits your needs and budget.
 
All Medicare Plans Include:
  • $0 copay for Tier 1 drugs (Tier 1 now includes select vaccines like the shingles vaccine Shingrix®)
  • Save time and money for a 90 day supply at most retail pharmacies or through mail order
  • Access to 100% of hospitals, 98% of physicians in a network that extends to the Rochester area and border counties in Pennsylvania
  • Telemedicine services
  • Hearing aid benefit, gym membership, and $0 copay for routine eye exams
 
$0
SeniorChoice Basic
  • $0 premium plan to stay within your budget
  • Low primary care and specialist co-pays
  • $0 copay for routine eye exams
New Plan Available
$29
NEW! SeniorChoice Advanced
  • Vision and Dental Included
  • Eyewear allowance, along with $0 eye exam co-pay
  • Preventive dental coverage, including cleanings and x-rays
  • Low drug deductibles
Watch & Learn: Understand Medicare in Minutes
Chances are you’re not a Medicare expert. That’s okay. We’re here with the answers you’re looking for in one minute or less. You will learn about the basics of Medicare, the difference between Medicare Advantage vs. Medicare Supplement, what to do if you plan on working past 65, and more.
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Frequently Asked Questions and Helpful Resources

Preventive Care Services + Prescription Drug Coverage

Preventive Care Services

Some of the $0 preventive services covered in full when using our network providers include:

  • "Welcome to Medicare" preventive visit
  • Flu Shot
  • Pneumonia Vaccination
  • Mammogram
  • Cardiovascular screenings
  • Colorectal and Prostate cancer screenings
  • Cervical cancer screenings
  • Diabetes screenings
Prescription Drug Coverage

$0 Tier 1 generic drugs are available on most Univera Healthcare Medicare plans, including more than 50 frequently prescribed medications. To find out how your prescriptions are covered, check our comprehensive list of covered prescription drugs (also known as the “formulary”)5.

To learn more, talk to a Univera Healthcare Medicare Sales Advisor at: 1‑877‑406‑4823 (TTY: 1‑800‑421‑1220) | Monday - Friday 8 a.m. - 8 p.m.

Fitness Benefits

You’re never too old to feel young. At Univera Healthcare, we have a plan to help you feel better than ever.

  • $25 annual participating gym membership, including available classes
  • Choose 2 in-home fitness kits such as yoga, chair exercise, aquatic exercise and more for only $10
  • An annual fitness allowance at non-participating facilities
To learn more, talk to a Univera Healthcare Medicare Sales Advisor at: 1‑877‑406‑4823 (TTY: 1‑800‑421‑1220) | Monday - Friday 8 a.m. - 8 p.m.

Travel Coverage

With Univera Healthcare, you are covered worldwide for medically necessary emergencies or urgently needed care. All plans also include a Telemedicine benefit that allows member to contact a network doctor by video conference or phone.

To learn more, talk to a Univera Healthcare Medicare Sales Advisor at: 1‑877‑406‑4823 (TTY: 1‑800‑421‑1220) | Monday - Friday 8 a.m. - 8 p.m.

When Can I Enroll In Medicare?

There are three times when you can enroll in Medicare: Annual Election Period, Turning 65 and Special Enrollment Periods.

Annual Election Period
Eligible individuals can enroll for 2020 coverage from October 15, 2019 – December 7, 2019.

Turning 65
If you're turning 65, you can enroll in Medicare from the period that extends 3 months before to 3 months after the month of your 65th birthday. For example, if you turn 65 on July 4, you can enroll anytime between April 1 and October 31.

Your Initial Enrollment Period starts 3 months prior to your 65th birthday, through 3 months after your birthday month concludes.

Special Enrollment Periods
In certain situations, you may be able to join, switch or drop Medicare Advantage plans during a Special Enrollment Period. A few examples of a Special Enrollment Period are:

  • If you lose creditable coverage (loss of employer group coverage) 
  • If you make a permanent move into or out of the plan’s service area
  • If you have both Medicare and Medicaid
  • If you become approved for Low Income Subsidy (LIS — extra help) or NYS EPIC
  • If you qualify for any other exceptional conditions determined by the Centers for Medicare & Medicaid Services (CMS). To determine elibility, talk to a Univera Healthcare Medicare Sales Advisor at 1-877-406-4823 (TTY: 1-800-421-1220) Monday - Friday from 8 a.m.- 8 p.m.

Medicare Advantage Open Enrollment Period
From January 1 to March 31, individuals enrolled in a Medicare Advantage plan are allowed to make a one-time election to switch to a different Medicare Advantage plan or to disenroll from their current plan and obtain coverage through Original Medicare.

To learn more, talk to a Univera Healthcare Medicare Sales Advisor at: 1‑877‑406‑4823 (TTY: 1‑800‑421‑1220) | Monday - Friday 8 a.m. - 8 p.m.
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