Title: WorldClass Personalized Healthcare Service
1World-Class Personalized Healthcare Service
2BACKGROUND
- Healthcare is confusing and overwhelming
- Multitude of insurance issues and clinical
choices - Coordinating care takes a lot of time
- Service is impersonal, rules are bureaucratic,
hassles are common - Many opinions and medical directions exist
3BACKGROUND
- Are any of these situations familiar?
- We can not get answers to our healthcare needs
- We are not sure which doctor we should see
- We received a bill and cant get a straight
answer regarding why - We are overwhelmed by the many decisions we need
to make for an elderly relative - We do not understand everything the doctor shared
with us.
4BACKGROUND
This may be the help weve all been waiting for.
A new service that
- figures out our medical bills
- negotiates with our medical insurance, and
- finds the best doctors for our sick relatives
Larry Mendte Co-anchor, NBC 10 News
Philadelphia
5BACKGROUND
I was suffering from chronic headaches and was
unable to obtain relief despite having been seen
by multiple healthcare professionals. The Health
Advocate team intervened upon my behalf and got
me to a world class center of excellence where I
was treated. I finally got the expert care that
has helped alleviate my headaches.
Debbie DLorenzo New Jersey Chamber of Commerce
6BACKGROUND
- founded in 2001
- owned by healthcare experts who worked in one of
the countrys largest healthcare plans - management team has over 100 years of experience
- tremendous insurance and medical background
- members represent employers of many industries,
unions, associations and individuals
7About Half of Insured Adults Report Some Kind of
Problem With Their Health Plan Over the Past Year
Type of Problem That Occurred Most Recently
13 Delays or denials of coverage or
care 13 Billing or payment Problems 10
Difficulty seeing a physician 8 Communication
or customer service problems 4
Problem type unspecified
Did not report a problem with their Health plan
48
52
Reported a problem with their Health plan
Among privately insured adults ages 18 to 64
Source Kaiser Family Foundation/Harvard School
of Public Health National Survey on Consumer
Experiences With and Attitudes Toward Health
Plans, August 2001 (conducted July-August 2001).
8BACKGROUND
- MISSION
- To provide individuals with personalized,
thorough, efficient assistance navigating /
facilitating the complexities of the health care
system to obtain solutions to your health
problems
9BENEFITS
A New Benefit For You Help you save
time money stress Assist with work/life
balance
10BENEFITS
- Who is eligible to use Health Advocate?
- You
- Your spouse/same sex domestic partner
- Your dependent children
- Your parents
- Your parent in-laws
11BENEFITS
- Personal Health Advocate
- your personal assistant
- registered nurse first contact
- backed by team of physicians
- compassionate and knowledgeable
- team coverage 24/7
12BENEFITS
- Personal Health Advocate
- Advocates of Excellence
- identify top medical institutions
- identify top medical providers
- For complex medical needs
13BENEFITS
- Personal Health Advocate
- Advocates of Excellence
- Physician Locator
- identify medical institutions
- identify medical providers
- For new doctors, travel, relocation routine
needs
14BENEFITS
- Personal Health Advocate
- Advocates of Excellence
- Physician Locator
- Benefits Advantage
- claims
- appropriateness of billed charges
- denials of coverage
- proper representation of medical issue
15BENEFITS
- Personal Health Advocate
- Advocates of Excellence
- Physician Locator
- Benefit Advantage
- Health Advocate CareQuestTM
- locating best and convenient services
- elderly care
- community based
- medical
- other
16BENEFITS
ADVOCATES OF EXCELLENCE
HEALTH ADVOCATE CAREQUESTTM
PERSONAL HEALTH ADVOCATE
PHYSICIAN LOCATOR
BENEFIT ADVANTAGE
17FEATURES
- Personalized proactive service
- Health Advocate-registered nurse- acting on your
behalf - Guide to navigate healthcare and insurance
systems - Investigation and resolutions of claims and
coverage issues - Negotiation of fees when appropriate
- Identification of doctors and treatments
available - Location and coordination of care
18FEATURES
- Maximize the benefits you have
- Resolve difficult medical issues
- Save time while providing peace of mind
- For you and your immediate and extended family
19SUMMARY
- EFFECTIVE DATE
- AUTHORIZATION FORM
- WALLET CARDS
20HIPAA Compliant Release
21HEALTH ADVOCATE Another Name For PEACE OF
MIND SStarker_at_Healthadvocate.net 1-866-695-8622