Supplemental Benefits Solution

Fully Integrated Technology + Services Program

An expanded suite of CMS-compliant supplemental benefits administration solutions, including our market-leading OTC program, to serve the fast growing and competitive Medicare Advantage marketplace.

Full-Service Benefit Solutions

Miramar:Benefits is configured to meet your health plan needs, enhance your member experience, and contribute to your plan’s wellness programs. With the ability to support flexible benefit designs through our proprietary technology, and by providing comprehensive administrative services, you can be assured that your supplemental benefits program will be a success.

At Convey, we start by consulting with you on your market approach, to understand what supplemental benefit will be most effective for your plan. We provide industry experts, account management services and proprietary analytics to enable you to deliver your best to your members.

500+ Benefit Configurations.
40+ Health Plans.

CRAFT A SUPPLEMENTAL BENEFITS PROGRAM THAT BOTH ATTRACTS & RETAINS MEMBERS

OTC Benefits

Providing your organization with a full service, compliant OTC benefit administration solution that enables your health plan to provide the top trending supplemental benefit to your Medicare beneficiaries.

Our integrated technology unites mail order, web, mobile, and retail to deliver an omni-channel experience for your members.

Clinical Program Alignment

Approximately 80% of older adults have at least one chronic condition. With our supplemental benefits program configurations, your health plan is provided with another avenue through which to address your highest risk populations.

By honing in on targeted conditions such as heart disease and diabetes, we are able to support your wellness initiatives through clinical support and innovative benefit design.

Fall Prevention Programs

With billions of healthcare dollars spent on non-fatal fall injuries every year, making fall prevention initiatives available to your members will prove to be a valuable investment.

We can partner to design a program for your plan and members that includes:
safety items, education and activity tracking, strength and balance monitoring, as well as personal emergency responses systems (PERS).

Wellness Incentives

In looking to connect supplemental benefits for your Medicare members, consider connecting them through a wellness incentive program.

Convey offers a variety of configurable programs that can help to incentivize your members. Incremental benefits through adherence, fitness and chronic disease management can be offered, along with reporting and monitoring to help drive program success.

Comprehensive & Integrated Technology

Specifically built to manage and support the supplemental benefits program, Miramar:Benefits easily exchanges member data with client interfaces, empowering both advocates and members to navigate the program with ease.

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Eligibility file processing - from all formats

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Member interaction and benefit tracking

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Flexible, configurable benefit design

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Role-based security measures

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Comprehensive CMS reporting

Security & Compliance

Working with our technology team to properly maintain our operations and IT systems (HIPAA, PHI, PCI, Privacy and Security), our compliance team focuses on upholding all regulatory requirements

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Full compliance with CMS regulations and internal quality assurance

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Adherence to the Seven Fundamental Elements of an Effective Compliance Program (OIG)

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Collaboration with your compliance team

“Miramar:OTC was already positioned as a valuable benefit to millions of Medicare Advantage members. With Miramar:Benefits, Convey is focusing more broadly on improving health outcomes and strengthening the health plan’s supplemental benefits portfolio to be more competitive.”

– Jonathan Starr, Executive Vice President for Convey Health Solutions

Schedule Time to Discuss Your Supplemental Benefit Options