Complete coverage. Holistic wellbeing.

More support. It’s all right here.

At Univera Healthcare, we’re here to bring you the plans, coverage and savings that your team deserves. It’s about providing support for more holistic wellbeing throughout the entire health care journey, with plans and perks designed around the needs of your business and employees – all backed by our commitment to flexibility and outstanding service. With so many reasons to love us, it’s no wonder businesses keep coming back year after year.

Newly Added Member Benefits

  • VitalizeSM digital health and wellbeing program, administered by Virgin Pulse

  • Full coverage for telemedicine, mental health support, and virtual physical therapy for musculoskeletal conditions

  • Access to Headspace meditation app for every Large Group Fully Insured plan

New For Small Business

$0

outpatient mental and behavioral health care services for all Non-Standard Small Business plans with a PCP copay

$0

pediatric primary care sick visits for all Non-Standard Small Business plans

Providing local support

We work with the member, physician, and pharmacy to provide the most clinically appropriate and cost-effective solutions

Pharmacy solutions with guaranteed savings opportunities

Pharmacy Concierge
Site of Care
Biosimilar Optimization
Out of Pocket Protection
SaveOn
Split-fill Program
Generic Advantage Program

Pharmacy savings that add up

  • One group saved $893,000 annually through one member Rx recommendation with Pharmacy Concierge

  • A Site of Care member saved $43,000 annually

  • Many savings programs can be added outside of Open Enrollment

PPO Network

Includes coverage in
39
Upstate New York counties

Provides access to

98%

of area doctors

100%

of local hospitals

66,000

pharmacies nationwide, including most major retail chains

Plus

  • Relationships with providers in select neighboring Pennsylvania counties*

  • Nationwide coverage through Multiplan/Private Healthcare Systems (PHCS) includes more than 1.2 million practitioners and 5,600 hospitals

*The PHCS and/or MultiPlan network may also provide additional in-network coverage in Pennsylvania and throughout the U.S. Please visit the Univera Healthcare website for the most up-to-date network information.

WNY Small Business Spotlight

Because they are the heart and soul of our communities. We’re featuring hard-working business people who represent the fighting spirit of Western New York.

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health-plan-management employers pdf PDF
Experience a more comprehensive approach to pharmacy care when your team has integrated medical and pharmacy. Download the flyer to see a full list of benefits available to your team based on your group's funding arrangement.

Protecting Employees and Lowering Costs With Integrated Pharmacy Benefits

Experience a more comprehensive approach to pharmacy care when your team has integrated medical and pharmacy. Download the flyer to see a full list of benefits available to your team based on your group's funding arrangement.
resource_blog Blog Post

Understanding the GLP-1 Trend

Diabetes is one of the top trend drivers of pharmacy costs due to the growing diabetic population and newer, more expensive therapies recommended earlier in the treatment plan. Since 2006, medications like Ozempic® and Trulicity®  have been used to treat Type 2 Diabetes. Today, they are gaining popularity as celebrities and social media influencers tout their weight
self-service-tools-resources your-team toolkit Virgin Pulse, Vitalize Rewards, Wellbeing Hub, Vitalize, Rewards. Toolkit Toolkit
Vitalize, in partnership with Virgin Pulse is our digital, wellbeing program dedicated to engaging your team in health and wellbeing. Download this toolkit to help your team get started with Vitalize Rewards. Toolkit includes ready-to-send emails with several resources about the program, rewards flyers and steps to create an account.

Get Your Team Started With Vitalize℠ Rewards Package

Vitalize, in partnership with Virgin Pulse is our digital, wellbeing program dedicated to engaging your team in health and wellbeing. Download this toolkit to help your team get started with Vitalize Rewards. Toolkit includes ready-to-send emails with several resources about the program, rewards flyers and steps to create an account.
member-centric-care employers toolkit Toolkit
Our Accountable Cost & Quality Agreement (ACQA) toolkit will help you to understand how an ACQA works and the benefits to members, employers and providers.  The toolkit includes brochures, FAQ sheet and video.

Learn how we prioritize quality care and lower costs for everyone with ACQAs  

Our Accountable Cost & Quality Agreement (ACQA) toolkit will help you to understand how an ACQA works and the benefits to members, employers and providers.  The toolkit includes brochures, FAQ sheet and video.
resource_blog Blog Post

Get to Know Our Unique Approach to Value-Based Care

Our integrated care approach is illustrated through our ACQAs, where we work together with providers to offer highly coordinated care for members and lower costs for everyone. We all recognize that health care costs are continuously on the rise. It is estimated that $935 billion is wasted annually in the U.S. health care system. To
health-plan-management employers brochure handout Brochure
Price Assure™ provides automatic savings on generic medications for self-funded groups.

Price Assure™ Provides Automatic Savings

Price Assure™ provides automatic savings on generic medications for self-funded groups.
resource_blog Blog Post

Supporting the Wellbeing Needs of Your Whole Team

Most times when we hear health and wellbeing we attribute it to our physical state, but wellbeing is more than just getting a step count in for the day. Wellbeing is the state of being comfortable, healthy and happy. This can come in many different forms and doesn’t look the same for all. Your employees
self-service-tools-resources employers toolkit Toolkit
Headspace, powered by Virgin Pulse, is a leading, digital mindfulness-based mental health app that helps members take care of their wellbeing. Members will gain access to hundreds of meditations and exercises for stress, focus, sleep, movement, and more. Headspace is now included in all fully insured large group plans with the exception of minimum premium arrangements. This toolkit provides a ready-to-send email along with an overview flyer of the program, and guides on how to start an account.

Help Your Team Manage More Aspects of Their Wellbeing With Headspace

Headspace, powered by Virgin Pulse, is a leading, digital mindfulness-based mental health app that helps members take care of their wellbeing. Members will gain access to hundreds of meditations and exercises for stress, focus, sleep, movement, and more. Headspace is now included in all fully insured large group plans with the exception of minimum premium
resource_blog Blog Post

Combining Health and Pharmacy Benefits Means Better Health Care

Learn how integrating medical and pharmacy benefits makes care safer for members and easier for employers to manage, results in improved health care, and costs less overall.
self-service-tools-resources your-team toolkit Vitalize, Toolkit, Wellbeing Hub Toolkit
Vitalize, in partnership with Virgin Pulse is our digital, wellbeing program dedicated to engaging your team in health and wellbeing. Download this toolkit to help your team get started with Vitalize. Toolkit includes ready-to-send emails with several resources about the program and steps to create an account.

Get Your Team Started With Vitalize℠ Base Package

Vitalize, in partnership with Virgin Pulse is our digital, wellbeing program dedicated to engaging your team in health and wellbeing. Download this toolkit to help your team get started with Vitalize. Toolkit includes ready-to-send emails with several resources about the program and steps to create an account.
resource_blog Blog Post

Working Together to Remove Barriers to Care

There are factors largely beyond a person’s control that act as barriers to optimal health and health equity – meaning they make some people more susceptible to poor health outcomes. This can have a big impact on your employees and your business.
resource_blog Blog Post

Build Resiliency. Avoid Burnout.

Employee burnout is a reality employers can’t afford to ignore. Employee engagement, productivity, and growth are never sustainable without a focus on employee wellbeing.
resource_blog Blog Post

How to Create a Culture of Workplace Wellbeing

With depression and anxiety topping the list of the most common conditions for employer groups, many organizations are looking for ways to make workplace wellness a part of their company culture.
self-service-tools-resources employers brochure Brochure
Learn how the Pharmacy Concierge program focuses on controlling cost by driving appropriate utilization of medications while ensuring members are benefiting from clinically appropriate therapies.

Reduced Pharmacy Costs with the Pharmacy Concierge Program

Learn how the Pharmacy Concierge program focuses on controlling cost by driving appropriate utilization of medications while ensuring members are benefiting from clinically appropriate therapies.
resource_blog Blog Post

The Path to Wellbeing Includes Emotional Health

Guiding individuals to proper care means looking at all aspects of their well-being – physical and emotional – and meeting them where they are. And it starts with addressing some of the common challenges.
self-service-tools-resources employers guide Medication, Assurance Program, Pharmacy Guide
The Medication Assurance Program is designed to reduce spend on specialty medications by holding manufacturers accountable for drugs that are approved through the Food and Drug Administration’s (FDA) Accelerated Approval Program.

Medication Assurance Program

The Medication Assurance Program is designed to reduce spend on specialty medications by holding manufacturers accountable for drugs that are approved through the Food and Drug Administration’s (FDA) Accelerated Approval Program.
member-centric-care employers guide Guide
In our ongoing efforts to ensure access to high quality, affordable health care and reduce costs. Univera Healthcare leads the insurance industry in pursuing biosimilar drugs for our members.

Supporting Greater Access to Care With Biosimilars

In our ongoing efforts to ensure access to high quality, affordable health care and reduce costs. Univera Healthcare leads the insurance industry in pursuing biosimilar drugs for our members.
health-plan-management employers brochure Brochure
We are proud to introduce a new 2024 benefit called Vitalize, powered by Virgin Pulse. This digital home base is dedicated to engaging your team in health and wellbeing. Download this brochure to learn more about how Vitalize can support a more complete approach to wellbeing for all your employees.

Small Group Vitalize℠ Brochure

We are proud to introduce a new 2024 benefit called Vitalize, powered by Virgin Pulse. This digital home base is dedicated to engaging your team in health and wellbeing. Download this brochure to learn more about how Vitalize can support a more complete approach to wellbeing for all your employees.
health-plan-management employers brochure Wellbeing hub, virgin pulse, vitalize, wellbeing solution, wellness strategy, 2024 benefits Brochure
We are proud to introduce a new 2024 benefit called Vitalize, powered by Virgin Pulse. This digital home base is dedicated to engaging your team in health and wellbeing. Download this brochure to learn more about how Vitalize can support a more complete approach to wellbeing for all your employees.

Vitalize℠ Large Group Brochure

We are proud to introduce a new 2024 benefit called Vitalize, powered by Virgin Pulse. This digital home base is dedicated to engaging your team in health and wellbeing. Download this brochure to learn more about how Vitalize can support a more complete approach to wellbeing for all your employees.
health-plan-management employers guide Guide
From comprehensive plans and great extras to excellent service and satisfaction scores, see what's to love about working with Univera Healthcare for your employee health coverage.

Univera Healthcare Overview

From comprehensive plans and great extras to excellent service and satisfaction scores, see what's to love about working with Univera Healthcare for your employee health coverage.
member-centric-care your-team toolkit Toolkit
This toolkit will help you and your team get to know our comprehensive Diabetes Management Program and all the ways it can help your employees better manage their diabetes, save money and enjoy more peace of mind. This program leverages tools like the Wellframe(R) App, our Member Care Management team, and Remote Monitoring.

Empower Your Team To Take Charge Of Their Diabetes

This toolkit will help you and your team get to know our comprehensive Diabetes Management Program and all the ways it can help your employees better manage their diabetes, save money and enjoy more peace of mind. This program leverages tools like the Wellframe(R) App, our Member Care Management team, and Remote Monitoring.
health-plan-management employers guide Guide
Learn about Site of Care, a program that provides important options for members who are receiving infusion drugs at high-cost facilities.

Site of Care Program Brochure

Learn about Site of Care, a program that provides important options for members who are receiving infusion drugs at high-cost facilities.
member-centric-care employers guide Guide
At Univera Healthcare, we know that a person's ability to be as healthy as possible is impacted by more than just what happens in the doctor's office. Download this brochure to learn about the work we are doing to break down barriers to care for your employees.

Our Strategy for Better Health Equity

At Univera Healthcare, we know that a person's ability to be as healthy as possible is impacted by more than just what happens in the doctor's office. Download this brochure to learn about the work we are doing to break down barriers to care for your employees.
member-centric-care employers toolkit Toolkit
Employees face barriers to care that can impact their ability to live as healthy as possible. This toolkit includes ideas for how your business can make a difference and a handout for employees who may need extra help.

Health Equity Toolkit

Employees face barriers to care that can impact their ability to live as healthy as possible. This toolkit includes ideas for how your business can make a difference and a handout for employees who may need extra help.
health-plan-management employers toolkit Toolkit
New York State is now conducting annual eligibility reviews and renewals for members enrolled in a free or low cost New York State sponsored Safety Net plan. Learn what this might mean for your employees and what their options may be.

Safety Net Recertification Resources

New York State is now conducting annual eligibility reviews and renewals for members enrolled in a free or low cost New York State sponsored Safety Net plan. Learn what this might mean for your employees and what their options may be.
health-plan-management employers guide Pharmacy, Annual Report, prescription Guide
Pharmacy Concierge brings big savings for a minimal investment. And the savings are guaranteed. There is nothing to lose.

Pharmacy Concierge 2022 Annual Report

Pharmacy Concierge brings big savings for a minimal investment. And the savings are guaranteed. There is nothing to lose.
voluntary-benefits-services your-team toolkit Vision, eye health, healthy, diabetes, eye exam, toolkit Toolkit
Help employees know what to expect at an eye exam, tips for supporting good vision and healthy eyes, and a guide to eye health specifically for employees with diabetes.

Encourage Employees to Take Care of their Eye Health

Help employees know what to expect at an eye exam, tips for supporting good vision and healthy eyes, and a guide to eye health specifically for employees with diabetes.
member-centric-care your-team toolkit Primary Care Provider, PCP, doctor, preventive care Toolkit
At any age, having a primary care provider (also called a PCP) is important to good health. With this ready-to-send email, PCP checklist, find a doctor tool fact sheet and e-book, you can encourage your employees to find a provider and stay ahead of illnesses.

Encourage Your Team to Find a Primary Care Provider

At any age, having a primary care provider (also called a PCP) is important to good health. With this ready-to-send email, PCP checklist, find a doctor tool fact sheet and e-book, you can encourage your employees to find a provider and stay ahead of illnesses.
self-service-tools-resources your-team toolkit physical health, mental health, emotional health, behavioral health, coaching, wellframe, smoking cessation, diabetes management, maternal care Toolkit
With emails, a quick-start guide and more, you'll have everything you need to get employees on their way to better health with the free Wellframe app.

Wellframe® app: Helping Employees Manage their Health each and Every Day

With emails, a quick-start guide and more, you'll have everything you need to get employees on their way to better health with the free Wellframe app.
self-service-tools-resources your-team toolkit Toolkit
With this collection of information flyers, FAQ and ready-to-send email, you can encourage your team to activate their telemedicine accounts and stay ahead of disruptive illnesses.

Help Your Team Be Prepared With Telemedicine

With this collection of information flyers, FAQ and ready-to-send email, you can encourage your team to activate their telemedicine accounts and stay ahead of disruptive illnesses.
member-centric-care your-team handout Calm app, mental health tips, behavioral health tips, stress reduction, emotional wellbeing, emotional wellness, emotional health, self-care, self care Handout
Exhaustion. Irritability. Trouble concentrating. Emotionally detached from work. These are all signs of burnout, and many employees can relate to these feelings. This handout can help give employees effective strategies to build resiliency, which helps when it comes to navigating stress and avoiding burnout.

5 Strategies for Building Personal Resiliency

Exhaustion. Irritability. Trouble concentrating. Emotionally detached from work. These are all signs of burnout, and many employees can relate to these feelings. This handout can help give employees effective strategies to build resiliency, which helps when it comes to navigating stress and avoiding burnout.
member-centric-care employers handout Handout
This employer brochure will help you get to know how our comprehensive Diabetes Management Program leverages tools like the Wellframe(R) App, our Member Care Management team, and Remote Monitoring to help members better manage their diabetes.

Our Comprehensive Approach to Diabetes

This employer brochure will help you get to know how our comprehensive Diabetes Management Program leverages tools like the Wellframe(R) App, our Member Care Management team, and Remote Monitoring to help members better manage their diabetes.
member-centric-care your-team toolkit ProgenyHealth NICU Infant Program, healthy baby connection, maternal health, prenatal, Bright Beginnings Toolkit
Everything you and your team need to know about our Maternity Care Program and its individual program components. Note: Some program components are included at an additional cost for some funding arrangements.

Maternity Care Program Toolkit

Everything you and your team need to know about our Maternity Care Program and its individual program components. Note: Some program components are included at an additional cost for some funding arrangements.
self-service-tools-resources employers toolkit Toolkit
In this toolkit file, you’ll find resources to help you provide a safer and healthier work environment for your employees. All recommendations and guidelines come directly from the Centers for Disease Control and Prevention (CDC).

Reopening Your Workplace with Care

In this toolkit file, you’ll find resources to help you provide a safer and healthier work environment for your employees. All recommendations and guidelines come directly from the Centers for Disease Control and Prevention (CDC).
member-centric-care your-team handout Handout
Investing in employee wellness is just good business.

How Do Wellness Programs (Really) Work?

Investing in employee wellness is just good business.
member-centric-care your-team handout Handout
According to the book, Happiness at Work, we as Americans spend 90,000 hours of our lives working. Here are a few easy ways to focus on wellness throughout your day and make all that time on the job a little healthier.

Simple Ways to Work Wellness Into Your Day

Here are a few easy ways to focus on wellness throughout your day and make all that time on the job a little healthier.
health-plan-management your-team handout Handout
According to the American Dental Hygienist Association, nearly 75% of American adults have some form of gum disease and don’t even realize it. Here are a few more reasons not to skip that next checkup.

It Pays to Show Your Teeth Some Love

Nearly 75% of American adults have some form of gum disease and don’t even realize it. Here are a few more reasons not to skip that next checkup.
health-plan-management your-team toolkit Toolkit
If you’ve never had a high deductible health plan (HDHP) it can take time to get used to how it works. We want to help you feel confident when using your Univera Healthcare plan and have assembled information to help get you started.

Get Your Team Ready for their High Deductible Health Plan

If you’ve never had a high deductible health plan (HDHP) it can take time to get used to how it works. We want to help you feel confident when using your Univera Healthcare plan and have assembled information to help get you started.
member-centric-care your-team toolkit Toolkit
The flu is a contagious respiratory disease that can lead to hospitalization and even death. Because of COVID-19, it’s even more important to do everything you can to keep yourself and your family healthy this flu season.

Don’t Forget About the Flu Toolkit

The flu is a contagious respiratory disease that can lead to hospitalization and even death. Because of COVID-19, it’s even more important to do everything you can to keep yourself and your family healthy this flu season.
self-service-tools-resources employers toolkit Toolkit
Caring for your people isn’t something you only do from 9 to 5. So in this 24/7 world we’re helping you help employees manage their health each and every day with the Wellframe® app.

Free Texting App Puts Care at Your Team’s Fingertips

Caring for your people isn’t something you only do from 9 to 5. So in this 24/7 world we’re helping you help employees manage their health each and every day with the Wellframe® app.
health-plan-management employers toolkit Toolkit
If an employee is losing their employer-sponsored health insurance or if some of their family members aren't covered by the group plan, you can help them understand the affordable, high-quality options that are available. 

Individual Coverage Options Toolkit

If an employee is losing their employer-sponsored health insurance or if some of their family members aren't covered by the group plan, you can help them understand the affordable, high-quality options that are available. 
health-plan-management employers toolkit Toolkit
In this toolkit, you’ll find resources to help your Medicare-eligible or soon-to-be-eligible employees understand how Medicare and Medicare Advantage plans work so they can select the coverage that’s best for them.

Individual Medicare Employee Toolkit

In this toolkit, you’ll find resources to help your Medicare-eligible or soon-to-be-eligible employees understand how Medicare and Medicare Advantage plans work so they can select the coverage that’s best for them.
member-centric-care your-team video Video
As the Niagara region grew from small towns to a major industrial area in the late 19th century, the number of residents needing help also increased. Initially formed with a $156 donation in 1895, Pinnacle Community Services has now grown to over 90 staff members in 5 locations helping thousands of children, adults, and families across Niagara County. Today, they offer a wide range of inter-related community social work – including a number of domestic violence, parenting, and youth services – all through ongoing support and care from the community. Learn more about them at PinnacleCS.org

Pinnacle Community Services

2020 marks the 125th anniversary of Pinnacle Community Services. Over the years their name has changed, and services have evolved, but their dedication to helping Western New Yorkers has remained.

member-centric-care your-team video Video
We show up every day, roll up our sleeves and work together to get the job done. For Univera Healthcare, that job is getting your business the best possible health insurance. We've been working to keep costs down and provide employees with 24/7 access to nurses, mental health support and telemedicine because we don't just know what it means to care for Western New York Businesses. We are one. Learn more about our local businesses: Dunn TireLebro's RestaurantPinnacle Community ServicesCompass House

We Know What it Means to Care for WNY Businesses

Because we are one. Just like Dunn Tire, Lebro’s Restaurant, Pinnacle Community Services and Compass House.

member-centric-care your-team video Video
We show up every day, roll up our sleeves and work together to get the job done. For Univera Healthcare, that job is getting your business the best possible health insurance. We've been working to keep costs down and provide employees with 24/7 access to nurses, mental health support and telemedicine because we don't just know what it means to care for Western New York Businesses. We are one. Learn more about our local businesses: Valu Home CentersWest HerrEvans Bank

WNY Never Backs Down from a Challenge

We show up every day, roll up sleeves, and get the job done. Just like  Valu Home Centers, West Herr and Evans Bank.

self-service-tools-resources employers toolkit Toolkit
Check out the Get Started guide and Ready-to-Send emails for employees. With an online account, your employees can view benefits, claims, member cards, and more.

Download the Online Account Toolkit

Check out the Get Started guide and Ready-to-Send emails for employees. With an online account, your employees can view benefits, claims, member cards, and more.
member-centric-care your-team toolkit Toolkit
Mental and emotional wellbeing affects every aspect of life, from personal relationships and physical health to the ability to get the job done. Download our toolkit for resources that will help you and your employees with a little extra support.

Support for Emotional Health

Mental and emotional wellbeing affects every aspect of life, from personal relationships and physical health to the ability to get the job done. Download our toolkit for resources that will help you and your employees with a little extra support.