Presentation is loading. Please wait.

Presentation is loading. Please wait.

Table of Contents Company Overview… Program Overview…

Similar presentations


Presentation on theme: "Table of Contents Company Overview… Program Overview…"— Presentation transcript:

0 Company Name Here

1 Table of Contents Company Overview… Program Overview… Health Advocacy….…… Communications Support… Member Experience… How to Reach Us… 2 4 8 17 20 24

2 Company Overview 2

3 Company Overview Nation’s leader in healthcare advocacy and assistance
Distinguished roster of 11,500 nationwide clients Serving over 50 million eligible lives Broad product spectrum Outstanding, experienced management team Expert staff of healthcare and insurance professionals Powerful and proprietary infrastructure Strong brand recognized as objective and well-respected A subsidiary of West Corporation 3

4 Program Overview 4

5 Welcome to Health Advocate
METRICS Welcome to Health Advocate Your Health Advocate benefit provides: Health Advocacy Unlimited access for employees and eligible family members Provided by <insert company name> at no cost to you A single number connects employees 24/7

6 Important Note About Our Service
METRICS Important Note About Our Service Health Advocate Does not replace health insurance coverage Does not provide medical care or recommend treatment Helps resolve healthcare and insurance-related issues Interacts with healthcare professionals and insurance companies

7 Private and Confidential
METRICS Private and Confidential We protect employees’ privacy All healthcare information is kept strictly confidential We fully comply with the federal Health Insurance Portability and Accountability Act (HIPAA)

8 Health Advocacy 8

9 Health Advocacy Solution Close-up
Highly personalized We do the work for the member Helps members navigate healthcare and insurance-related issues Experts who know the ins and outs of the healthcare system Saves time and money HIPAA compliant * * * Based upon receipt of group’s utilization data

10 How does the Health Advocacy service work?
Call the single, toll-free number Member is assigned to a Personal Health Advocate Same Personal Health Advocate works with the employee until the issue is resolved; available for follow-up

11 What is a Personal Health Advocate?
Registered Nurses with 10+ years experience in clinical care, case management, nursing education, supervision and administration Trained clinical professionals – social workers, behavior change counselors, nutritionists, dieticians, dental care and pharmacy management Benefits Experts with 5+ years experience in benefits administration, claims management and provider group administration Single, ongoing contact person – direct dial phone number, address Supported by full-time Medical Directors Chosen for medical expertise, commitment to service excellence, communication skills and strong problem resolution approach 11

12 Addresses the Entire Family’s Needs
Employee Spouse/Domestic Partner Dependent Children Parents and Parents-in-law 12

13 Medical Authorization Release Form
METRICS Medical Authorization Release Form Authorizes Health Advocate to interact with the employee’s doctors, other providers and health insurance companies on their behalf One-page form can be downloaded from member website or ed, mailed or faxed to employee to complete and return Ensures complete confidentiality and privacy

14 How We Help Find the right doctors, hospitals and other healthcare providers; expedite appointments Explain complex medical conditions; research and locate the latest treatments Coordinate care and schedule follow-up visits; facilitate second opinions; transfer X-rays and medical records Arrange treatments and tests; answer questions about results, treatment options and prescribed medications Clarify benefits including copays; help facilitate access to appropriate care Provide one-on-one coaching to help close gaps in care* Provide personalized information through Member and Client Dashboards* Offer personal contact with Registered Nurses to support treatment decisions Resolve insurance claims; negotiate billing arrangements Help locate eldercare services including assisted living and adult day care; address other issues facing parents and parents-in-law * Based upon receipt of group’s claims and utilization data

15 Special Help for Seniors
Retirees transitioning to a new health plan How to enroll in Medicare Clarify Medicare Parts A, B, D and supplemental plans Inform about pre-existing conditions; dependents under age 65 Locate eldercare services that fall outside traditional healthcare coverage Assist with the transition from traditional insurance to Medicare HMO Facilitate early care management intervention 15

16 Key Benefits Independent and objective
Improves health outcomes Reduces medical costs Improves administrative efficiencies Eases burden on HR staff and employees Maximizes benefits utilization Reduces grievances and appeals Supports consumer-driven health plans Professional, non-adversarial approach to finding the right answers Increases employee productivity, satisfaction and retention Easy to use

17 Communications Support
17

18 Member Communications
Year-round electronic, print and online materials introduce the program, raise awareness and drive participation Multi-leveled: brochures, newsletters, posters, health tip sheets, table tents Strategic and comprehensive Communication may be different from samples above.

19 Member Website What’s included? Features of the program
Access to communication materials Health information Member videos HealthAdvocate.com/members 19

20 Member Experience 20

21 21

22 This is a great service. As a HR professional at my company, I have encouraged others to use Health Advocate but had not had the opportunity to call for myself until now. I was getting nowhere with my issue on my own, so I decided to give it a try. I greatly appreciated the help, and the representative helped me save a considerable amount of money.

23 The nurse who helped me is worth her weight in gold. She clearly saved me at least four hours of work time. This may be the best benefit we have! Shout it from the rooftops! 23

24 How to Reach Health Advocate
Telephone: Website: HealthAdvocate.com/members Hours of Operation Normal hours of operation are Monday - Friday, from 8 am to 12 am (midnight), Eastern Time. Health Advocate can be accessed 24/7. Staff is available for assistance after hours and on weekends. 24

25 Thank You Any questions?


Download ppt "Table of Contents Company Overview… Program Overview…"

Similar presentations


Ads by Google