Health Advocate
CME offers you a progressive solution to resolving employee questions and concerns regarding health and claim issues. By partnering with Health Advocate, CME can implement a call center model that uses nurses and Personal Health Advocates to receive calls from employees and their dependents.
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Health and Claims Advocate Services Help Employees Get through Life’s Healthcare Challenges with Ease |
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Calls are typically taken by an RN and supported by Medical Directors, Social Workers, Claims Experts, and Operational Experts.
Once a call is taken, the Health Advocate works diligently to answer questions by interfacing with any and all parts of the healthcare system including – doctors, health plans, ancillary vendors, community services, government programs, and other key constituents.
Health Advocate offers plan sponsors, employees, and HR departments a formal resource to handle the most sensitive healthcare issues for the immediate and extended family.
Health Advocate offers a comprehensive array of services on a nationwide basis.
Health Advocates can help your employees nationwide by:
- Locating primary care and specialist network doctors and dentists
- Answering referral questions
- Scheduling doctor appointments
- Resolving claims issues
- Obtaining approvals
- Supporting eldercare matters for parents and parent-in-laws
- Answering questions about test results and treatment recommendations
- Assisting in transferring records
- Researching newest treatments for a medical condition
- Identifying qualified wellness programs
- Obtaining “second opinions”
These services are extended to all fulltime employees regardless if they utilize the company sponsored health plan. Spouses, dependent children, parents, and parent-in-laws of fulltime employees are also eligible to use the services.
Health Advocate’s client advocacy fills a void in the healthcare system that has often compromised care, inflated inappropriate use, and increased cost without a true benefit.
Introducing Health Advocate as part of a group’s benefits and services provides a unique and “differentiating factor” as well as a great return on investment in productivity, claim and copay savings, and could help lower future health insurance renewals.
Health Advocate Benefits can include:
- Preferred pricing for CME clients
- Nation’s leading healthcare advocacy and assistance company, serves millions of Americans nationwide through its more than 3,400 client relationships
- Help clients and members navigate the healthcare system with a full spectrum of innovative, time and money saving solutions
- Among many other benefits to the employer including:
- Reduction in medical costs
- Greater productivity
- Timesaving in HR and benefit departments
- Enhanced employee relations
