Health Advocate - Healthcare Help is a Phone Call Away
Do you need help getting an appointment with a specialist? Untangling medical bills? Finding eldercare?
Just call Health Advocate - Get help when you need it most
No matter what your healthcare issue, you can get personalized help to resolve it. Health Advocate, a free benefit, offers you and eligible family members unlimited access to your own highly experienced Personal Health Advocate (PHA), typically a registered nurse backed by medical directors and benefits and claims specialists. Your PHA will work to resolve your issue and provide any information you may need, saving you time and money. You can call your PHA as often as you like.
How Health Advocate Works
Whenever you or an eligible family member needs healthcare help, you simply call the Health Advocate toll free number, 1-800-359-5465. Your assigned PHA will handle all the details of your issue, perform the research, interact with your doctor, providers and insurance plan, and follow up with you at each step.
Here are a few ways the PHA can help you save time and money:
- Find qualified doctors, dentists; leading hospitals and medical centers
- Facilitate appointments with hard-to-reach specialists
- Assist with eldercare concerns
- Secure second opinions
- Provide cost-comparisons for common medical procedures
- Untangle claims, billing and payment issues; negotiate fees
- Answer questions about test results, treatment recommendations, medications
- …and more
Covers your entire family
You, your spouse, dependent children as well as your parents and parents-in-law are eligible to use the Health Advocate service.
Real cases, real results
A member called Health Advocate for help to sort out a mix-up with his insulin prescription. He expected the newer, pen-based prefilled cartridge injection system for which he received instructions from his physician at his last office visit. However, because his physician had not specified these cartridges, the pharmacy benefit management service (PBM) sent the member the standard, more costly, insulin vials. The member made an unsuccessful attempt to exchange the vials for the cartridges. His Personal Health Advocate provided documentation from the patient’s physician, specifying the pre-filled cartridges. As a result, the PBM agreed to the exchange, saving the member and employer money.
A young member and recent college grad was one month into his first full-time job when he began to feel miserable from cold-like symptoms. Unsure of his health benefits and needing a doctor, he expressed his concerns to a coworker who suggested he call Health Advocate. His Personal Health Advocate helped him find a doctor, scheduled an appointment and explained which services were covered by his health plan.
A member called about special education services for her son, newly diagnosed with Asperger's syndrome, a form of autism. The Personal Health Advocate found support groups, an art therapist and a summer program. The PHA also helped the member apply to Medicaid to cover services involving the school, doctor and community resources. The mother was pleased that his son received the full range of services he needed.
Answers to Your Questions