Health Advocate
Health Advocate
Overview
Health Advocate is a free, easy-to-use service that helps you and your family members (including parents and parents-in-law) take control of your health care issues. You and your family can call Health Advocate at 1-800-933-3622 to speak with a staff of medical professionals and health-related specialists to help you:
Solve clinical and administrative issues directly with the insurance carriers and other vendors
Locate, evaluate and arrange appointments with “best in class” network physicians and medical centers anywhere in the U.S.
Research and identify the most advanced approaches to care and help coordinate second opinions
Transfer medical records, lab results and x-rays
Communicate with doctors; help coordinate care and services after a hospital stay
Navigate Medicare and elder care services
Any information you share with a Personal Health Advocate remains protected and secure.
Health Advocate Services
Health Advocate offers many services, including:
Clinical Support Services
| Benefit | What It Does |
|---|---|
| Care Coordination | Helps members coordinate care among physicians |
| Advocates for Excellence™ | Helps members with rare, serious or complex medical conditions identify top medical institutions, critical illness providers and specialized medical programs across the country |
| Physician Locator™ | Helps identify primary and specialist physicians, hospitals, dentists and other healthcare providers focusing on in-network providers first, to help members utilize their benefits to their best advantage |
| Rx Advocate™ | Provides members with assistance on prescription drug issues, including formulary and benefit questions |
Administrative Support Services
| Benefit | What It Does |
|---|---|
| Claims & Billing Assistant | Helps sort out and solve claims and related paperwork problems |
| Fee Negotiation | Attempts to negotiate fees, when necessary, with healthcare providers to lower the member’s out-of-pocket costs |
| Appeals Advice | Provides advice or assistance, when appropriate, to members when filing a complaint or grievance with their health insurer or health plan administrator |
| Coverage Advantage™ | Helps members through the review and appeals process related to coverage questions for a particular service, or if coverage for clinical care has been denied |
Health Coaching
| Benefit | What It Does |
|---|---|
| Health Coaching | Provides members with the information they need to help them become active participants in managing their health |
Information & Service Support
| Benefit | What It Does |
|---|---|
| CareQuest™ | Helps sort out and solve claims and related paperwork problems |
| M.D. Direct™ | Attempts to negotiate fees, when necessary, with healthcare providers to lower the member’s out-of-pocket costs |
| Complementary and Alternative Medicine | Provides advice or assistance, when appropriate, to members when filing a complaint or grievance with their health insurer or health plan administrator |
| Mind Matters™ | Helps members through the review and appeals process related to coverage questions for a particular service, or if coverage for clinical care has been denied |
| HealthyWheels™ | Helps arrange healthcare transportation services |
| Senior Care Navigator™ | Offers access to a wide array of services for employees or family members approaching retirement, and to those who are already retired |
| Wellness | What It Does Helps locate providers and arrange appointments for those members looking for a personalized approach to weight management, getting and staying in shape, and stress management |
Get Started Today
Access the Health Advocate website. When you log in to the site, you will be able to:
Check the status of your case(s) in real time, and view your case history
Send and receive secure messages from your Personal Health Advocate
Submit a billing or claims issue and pertinent documents
Receive news, alerts and seasonal tips/advice, and set your communication preferences
Download the mobile app and log on to your profile via the Health Advocate mobile app for instant access to live support!
If you have any questions, call 1-800-933-3622 to speak with a Personal Health Advocate, 24/7 or email answers@HealthAdvocate.com.