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What is Family Health Plus?
What does it cost?
Who is eligible?
Can I choose my own doctor?
What is covered?
How do I enroll?
What about in an emergency?


Resources

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Univera Community
Health brochure
- PDF
Available in English.

FHP Dental Brochure - PDF
Available in English and Spanish.


Univera Community Health Newsletter

news

Download Winter 2008 Issue

Past Issues
Download Fall 2007 Issue
Download Spring 2007 Issue
Download Winter 2007 Issue

acrobat
Available in English and Spanish.


Member Facts
Could you be taking too much Tylenol?

  Family Health Plus Membership Info

What is Family Health Plus?
There are many families today who have no health insurance and may not receive routine health care and prompt treatment for illnesses and injuries. This can result in future health problems.

New York State's Family Health Plus program is for parents and childless adults 19-64 who have no health insurance coverage and are not eligible for Medicaid. Univera Community Health offers Family Health Plus insurance coverage in Allegany, Cattaraugus, Chautauqua, Erie, and Niagara counties.

What does it cost?
• There is no premium!
• Copays may apply to some services.

Who is eligible?
Adults between the age of 19 - 64 may join Univera Community Health's Family Health Plus program if the following guidelines are met:

• Must be a resident of Allegany, Cattaraugus, Chautauqua, and Erie counties.
• Cannot be covered under any other health insurance program.
• Meet specific income guidelines defined by New York State.

Can I choose my own doctor?
Yes. Select a primary care doctor from the Univera Community Health provider directory. This provider becomes your primary doctor who will arrange for all your health care needs.

When you enroll in Family Health Plus through Univera Community Health you will have access to all Univera Community Health affiliated health centers, offices, and physician practices located throughout the area.

What is covered?
The coverage includes:

  • All routine visits to the doctor's office for checkups, sickness or minor injury
  • Visits to specialists
  • Prescription drugs and smoking cessation products
    View the Formulary Guide - PDF
  • Lab, x-ray and other diagnostic services
  • Vision, speech and hearing services
  • Emergency services including emergency transportation
  • Inpatient hospital services for medical, surgical, mental health, alcohol and
    substance abuse
  • Outpatient surgery
  • Durable medical equipment, prosthetics and orthotics
  • Short term outpatient services: radiation / chemotherapy / hemodialysis
  • Home health care
  • Outpatient visits for mental health and for the diagnosis and treatment of alcoholism and substance abuse (some limits apply)
  • Dental care - FHP Dental Brochure
  • Rehabilitation services: physical / occupational therapy
  • Family planning

For more information, consult the Family Health Plus Member Handbook.

How do I enroll?
Call Univera Community Health at (716) 504-0560 or toll free at 1 (800) 494-2215 to schedule an appointment with a Facilitated Enroller.

We will help you learn everything you need to know about the program. A Facilitated Enroller will explain the Family Health Plus program and help you to complete the application. You will be required to submit proof of age/ identity, proof of residency, proof of household's income, proof of citizenship/ immigration status along with Social Security number verification. Our Univera Community Health's facilitated enrollment process will simplify enrollment and help to determine your eligibility. Most importantly, we will help you through every step in applying for your health insurance benefits.

The final determination of eligibility for Family Health Plus will be made my your local
department of Social Services.

What about in an emergency?
If you believe you have an emergency, call 9-1-1 or go to the nearest emergency room. BUT, call your primary care doctor as soon as you can.

If your’re not sure, call your primary care doctor.

Tell the person you speak with what is happening, Your primary care doctor will:
• tell you what to do at home, or
• tell you to come to the primary care doctor’s office, or
• tell you to go to the nearest emergency room.

If you are out of the area when you have an emergency:
Go to the nearest emergency room.
Call Family Health Plus as soon as you can (within 48 hours if you can)


Preventive Health Guidelines
Univera Community Health is a strong supporter of preventive health services. We also recommend an active lifestyle, weight management and tobacco free homes. These are the recommendations for the average person in good health. Please discuss these recommendations with your physician. Depending on your health and family history, your physician may advise you to have more frequent examinations and/or additional tests.
View Preventive Health Guidelines


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