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We’re here when you need us most Your Health Advocate benefit can be accessed 24/7. Normal business hours are Monday - Friday, from 8 am to 12 am (midnight), Eastern Time. Staff is available for assistance after hours and on weekends. There is no cost to use our service Your employer or plan sponsor offers your Health Advocate benefit at no cost to you. We’re not an insurance company West’s Health Advocate Solutions is not affiliated with any insurance or third party provider, and does not replace health insurance coverage, provide medical care or recommend treatment. Your privacy is protected Our staff carefully follows protocols and complies with all government privacy standards. Your medical and personal information is kept strictly confidential. ©2017 Health Advocate HA-CM-1701040-7BRO Turn to us—we can help. Download the app today! 866.695.8622 Email: [email protected] Web: HealthAdvocate.com/members “Health Advocate saved the day.” When Gina received a large bill for anesthesia after a recent surgery that should have been covered by her health plan, she called Health Advocate. Her Personal Health Advocate sorted through the paperwork, found a coding error and worked with the hospital and Gina’s plan to get the claim reprocessed, saving Gina significant time and money. “They took the pressure off a serious situation.” Don called Health Advocate after his son, Jake, was injured in a car accident. His Personal Health Advocate worked with the hospital and health plan to find a rehab facility that could accommodate Jake as soon as he was discharged. She also located a leading orthopedic specialist and expedited an appointment so there would be no delays in his care. Health Advocate is a service provided by your employer or plan sponsor at no cost to you! Our experts make healthcare easier by supporting you and your eligible family members with a wide range of health and insurance-related issues, all through a single toll-free number. We look forward to serving you! Welcome to Your New Health Advocate Benefit!

to Your New Health Advocate Benefit!€¦ · Health Advocate benefit at no cost to you. We’re not an insurance company West’s Health Advocate Solutions is not affiliated with

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Page 1: to Your New Health Advocate Benefit!€¦ · Health Advocate benefit at no cost to you. We’re not an insurance company West’s Health Advocate Solutions is not affiliated with

We’re here when you need us most

Your Health Advocate benefit can be accessed 24/7. Normal business hours are Monday - Friday, from 8 am to 12 am (midnight), Eastern Time. Staff is available for assistance after hours and on weekends.

There is no cost to use our service

Your employer or plan sponsor offers your Health Advocate benefit at no cost to you.

We’re not an insurance company

West’s Health Advocate Solutions is not affiliated with any insurance or third party provider, and does not replace health insurance coverage, provide medical care or recommend treatment.

Your privacy is protected

Our staff carefully follows protocols and complies with all government privacy standards. Your medical and personal information is kept strictly confidential.©2017 Health Advocate HA-CM-1701040-7BRO

Turn to us—we can help.Download the app today!866.695.8622

Email: [email protected] Web: HealthAdvocate.com/members

“Health Advocate saved the day.”When Gina received a large bill for anesthesia after a recent surgery that should have been covered by her health plan, she called Health Advocate. Her Personal Health Advocate sorted through the paperwork, found a coding error and worked with the hospital and Gina’s plan to get the claim reprocessed, saving Gina significant time and money.

“They took the pressure off a serious situation.”Don called Health Advocate after his son, Jake, was injured in a car accident. His Personal Health Advocate worked with the hospital and health plan to find a rehab facility that could accommodate Jake as soon as he was discharged. She also located a leading orthopedic specialist and expedited an appointment so there would be no delays in his care.

Health Advocate is a service provided by your employer or plan sponsor at no cost to you! Our

experts make healthcare easier by supporting you and your eligible family members with a wide range of health and insurance-related issues, all through a single toll-free number.

We look forward to serving you!

Welcome to Your New Health Advocate Benefit!

Page 2: to Your New Health Advocate Benefit!€¦ · Health Advocate benefit at no cost to you. We’re not an insurance company West’s Health Advocate Solutions is not affiliated with

Welcome to Health Advocate!This guide contains an overview of Health Advocate and the many ways we can help. Call the toll-free number anytime for one-on-one, confidential support.

Expert help at your sideNothing is more important than your health and the health of your loved ones.

Unfortunately, the healthcare system is so complicated that it can be hard to know where to turn when you need help or have a question. That’s where Health Advocate steps in.

Our Personal Health Advocates are healthcare experts with extensive experience supporting people with important medical issues and decisions, no matter how common or complex. Typically registered nurses supported by medical directors and benefits experts, our team will work on your behalf to get you and your family the answers and the peace of mind you need.

Our job is to make healthcare easier, so you get the right care and support—at the right time.

We support the whole family Our services are available to eligible employees, spouses, dependent children, parents and parents-in-law.

©2017 Health Advocate

©2017 Health Advocate

©2017 Health Advocate

©2017 Health Advocate

How We Can Help • Answer questions about health conditions,

diagnoses and treatments, no matter how complex

• Research and explore the latest treatment options

• Coordinate services relating to all aspects of your care

Need to find a doctor? We can:

• Use our Medical Insights technology to match you with the right quality providers for your condition

• Make an appointment at a time that works for your schedule!

Considering a second opinion? We’ll do the work to:

• Research and identify top experts and Centers of Excellence nationwide

• Arrange for the transfer of medical records, test and lab results and X-rays

• Arrange face-to-face appointments

Baffled by medical bills, claims denials or benefit questions? Our experts can:

• Explain how your benefits work, including copays and deductibles

• Review medical bills to uncover possible duplicate charges or other errors

• Do the research and make the calls to resolve claims and billing issues

Have you recently been diagnosed with a medical issue? Count on us to:

we make healthcare easier

we make healthcare easier

we make healthcare easier

we make healthcare easier

866.695.8622 Email: [email protected] Web: HealthAdvocate.com/members

Download the app today!

866.695.8622 Email: [email protected] Web: HealthAdvocate.com/members

Download the app today!

866.695.8622 Email: [email protected] Web: HealthAdvocate.com/members

Download the app today!

866.695.8622 Email: [email protected] Web: HealthAdvocate.com/members

Download the app today!

Page 3: to Your New Health Advocate Benefit!€¦ · Health Advocate benefit at no cost to you. We’re not an insurance company West’s Health Advocate Solutions is not affiliated with

we makehealthcare easier

Our experts can:

• Support medical issues, from common to complex

• Answer questions about diagnoses and treatments

• Research the latest treatment options

• Find the right in-network doctors and make appointments

• Research and arrange expert second opinions

• Facilitate pre-authorizations and coordinate benefits

• Resolve insurance claims and billing issues

• Explain benefits and your share of the costs

Available at no cost to employees, their spouse, dependent children, parents and parents-in-law. Completely confidential.

We’re not an insurance company. West’s Health Advocate Solutions is not a direct healthcare provider, and is not affiliated with any insurance company or third party provider.

©2017 Health Advocate HA-CM-1610013-1FLY

Turn to us—we can help.Download the app today!866.695.8622

Email: [email protected] Web: HealthAdvocate.com/members

Page 4: to Your New Health Advocate Benefit!€¦ · Health Advocate benefit at no cost to you. We’re not an insurance company West’s Health Advocate Solutions is not affiliated with

Under the Affordable Care Act, also called Obamacare, adult children up to age 26 have been allowed to be covered by their parent’s insurance.* If you are on your parent’s plan, you will need to take action before your 26th birthday to get your own health coverage – either through your employer’s health plan, the Marketplace or an individual plan. Health Advocate, a service offered to bebe employees at no cost to you, can personally walk you through your health plan options. Simply call us and one of our Personal Health Advocates will provide the following help:

Turning 26 and need your own insurance?

Research plan options. We can assist you with locating a plan on the Marketplace or provide an individual plan search, based on your health and medication needs, income and whether or not you want to continue seeing your current providers.

Check to see if your doctors are in the network of the benefit plans researched. If your providers are out-of-network and you want to stay with them, you will pay higher costs. Health Advocate can help locate in-network providers.

Review the services of each option. We will review with you the benefits provided in each plan including coverage levels, preventive care and prescription plans.

Explain your share of the costs. This includes the cost of monthly premiums, the deductibles you have to meet before the insurance pays, as well as the copays/coinsurance for doctor and medical visits.

Inform you of enrollment timeframes and how to enroll. We can assist you with the enrollment process through the Marketplace. Additionally, we’ll explain what happens if you don’t get health coverage in the Marketplace or decline coverage offered through an employer’s plan.*

*This information is subject to change.

866.799.2728 Email: [email protected] Web: HealthAdvocate.com/members

We’re not an insurance company. West’s Health Advocate Solutions is not a direct healthcare provider, and is not affiliated with any insurance company or third party provider.

©2017 Health Advocate HA-CEM-1606038-4FLY

Don’t wait to learn about your insurance options.

Coverage under a parent’s plan will usually end during or shortly after your 26th birthday month. Check with the plan or your parent’s employer for the exact date. Let us help you start the process so you won’t be without coverage when you need it!

Call Us Today.

Additional information:https://www.healthcare.gov/young-adults/children-under-26/

https://www.healthcare.gov/turning-26/