Member Benefits: Health Advocate
Health Advocacy powered by Health Advocate™
Healthcare is becoming harder to understand. Personal Health Advocates help you find your way through insurance and healthcare systems. They can also locate doctors, specialists, hospitals, dentists and pharmacies. Advocates research treatments, resolve claims and provide medical explanations so you can make more informed decisions.
- Untangle medical bills and insurance claims
- Clarify benefits
- Answer questions about tests, treatments and medications
- Coordinate care among multiple providers
- Assist with eldercare and related healthcare issues
- Arrange second opinions
- Transfer medical records
- Negotiate payment arrangements with providers and find options for non-covered services
- Provide information about generic drug options
Easy to Use...!
- Call the number provided Monday to Friday, 9:00 am to 10:00 pm Central Time to speak with a Personal Health Advocate
- Click Use This Benefit in your members portal to access general health information
- You may need to complete the General Authorization Form in order for an advocate to:
- Discuss a claim or appeal with a provider/carrier on your behalf
- Transfer medical records from one office to another
- Speak with a provider office on your behalf
- You can also download the Health Advocate app from the iTunes App Store or Google Play Store
- You will need to enter “Health Services” in the member login field to use the benefit
Health Advocacy powered by Health Advocate™ FAQ
Q. What are the typical issues that Health Advocacy handles?
A. Health Advocacy representatives can address many medical questions and issues; including finding primary care and specialist physicians and medical institutions, and resolving claims, billing and related administrative problems. Health Advocacy also helps you access community resources, including senior care services that fall outside traditional healthcare coverage.
Q. How do I use this benefit?
A. Whether you’re confused by your health insurance, need help finding a specialist or transferring your medical records, Health Advocacy cuts through the red tape. Call the number on the back of your membership card to speak with a representative.
Q. Who will I speak with when I call?
A. Health Advocacy representatives are typically registered nurses supported by medical directors and benefits and claims specialists, who have a number of years of experience working in healthcare-related jobs. They are screened to make certain that they have both excellent personal communication skills and the necessary professional credentials.
Health Advocacy Testimonial
“I received a bill from my doctor several months after an office visit for $70 and I wasn’t sure why I was being charged. I called Health Advocacy, and a health advocate got a rep from my insurance company on the phone to explain exactly what the bill was for. It was nice to have someone on my side to speak with the insurance rep instead of calling on my own. The next time I have a question on a medical bill, Health Advocacy is the first call I will make.”
Kendal E., TX
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This is NOT insurance nor is it intended to replace insurance. This discount card program contains a 30 day cancellation period.The plan is not insurance coverage and does not meet the minimum creditable coverage requirements under the Affordable Care Act or Massachusetts M.G.L. c. 111M and 956 CMR 5.00. This plan provides discounts at certain healthcare providers for medical services. Pharmacy discounts range from 10% to 85% on most medications. This plan does not make payments directly to the providers of medical services. The plan member is obligated to pay for all healthcare services but will receive a discount from those healthcare providers who have contracted with the discount plan organization. For a full list of disclosures, please click here. | Terms and Conditions | Discount Medical Plan Organization: New Benefits, Ltd., Attn: Compliance Department, PO Box 671309, Dallas, TX 75367-1309.
The Health Advocacy program is not health insurance. Health Advocacy provides administrative, informational and referral type services, through its employees. Health Advocacy does not provide medical services and does not recommend treatment. Independent healthcare practitioners, who are not Health Advocacy’s employees or agents, provide all medical services.