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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

BenefitWhat It Does
Care CoordinationHelps 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

BenefitWhat It Does
Claims & Billing Assistant Helps sort out and solve claims and related paperwork problems
Fee NegotiationAttempts to negotiate fees, when necessary, with healthcare providers to lower the member’s out-of-pocket costs
Appeals AdviceProvides 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

BenefitWhat It Does
Health CoachingProvides members with the information they need to help them become active participants in managing their health

Information & Service Support

BenefitWhat 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 MedicineProvides 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
WellnessWhat 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.