Employee Advocacy

We have access to employee medical advocacy services, which are a means of enabling employees and their families (including parents and parents-in-law) to navigate the increasingly complex health care and insurance markets. These services do not replace health insurance; rather, they provide assistance with clinical and administrative issues involving their medical, hospital, vision, dental, pharmacy and other health care needs. Services include:

Personal Health Advocate (PHA)

• Registered nurse
• Member speaks with same PHA each time
• Medical director support
• Ensures privacy/confidentiality

Clinical Services

• Find the best doctors and hospitals
• Assist with a complex medical conditions
• Locate and research treatments for a medical condition
• Secure second opinions
• Schedule appointments with hard-to-reach specialists
• Identify renowned best-in-class medical institutions

Administrative Services

• Resolve insurance claims
• Save money on health care bills
• Navigate within an insurance company
• Assist with correcting billing mistakes

Health Coaching

• Help prepare patients for health care appointments
• Educate members to better understand their conditions
• Encourage members to become active participants in their health care

Information and Service Support

• Assist with eldercare issues
• Obtain health information to help make informed decisions
• Help members complete qualification applications
• Identify and coordinate/arrange for wellness services
• Help make arrangements for members’ special service needs
• Help arrange transportation services