HEALTHCARE ADVOCACY
TELEMEDICINE WELLNESS RX MANAGEMENT
NAVIGATING HEALTHCARE
PROCEED WITH CAUTION
You and Your Team Face Increased
Responsibilities all while trying to
Deliver Significant Value
• Time tracking for variab...
Today’s Consumers have grown accustomed
to:
• Instant access to every piece of information.
• Expecting more services to b...
Move from Broker to Trusted Advisor
Stay on Top of
Legislation and
Industry Trends
Managing Healthcare
Timelines and Enrol...
Plan Members find Navigating Healthcare to be Very Confusing
What’s
Covered in
My Plan?
Mandatory
Second
Opinions
Scheduli...
Supporting a Consumer requires a New Dimension of
Information and Solutions
What
should I do?
Where
should I go?
How much
...
We help with answers and get results.
• Help in understanding your health plan
• Find the Right Doctor, Hospital
• Schedul...
Assist your Clients with Cloud Based Collaboration of
Subject Matter Experts (SMEs)
Clinician, RNs
and Medical
Advocates
Insurance
and Benefit
Professionals
Pharmacy
and Treatment
Specialists
Provider Relat...
• Dedicated Toll Free Numbers
• Advocate Resources
• Transparency Tools
• Chat Box Options
• Responsive Website
High Tech,...
General Plan Questions •
Assistance with Copayments, •
Deductible & Out-of-Pocket Costs
Clarify Covered Services •
Underst...
General Plan Questions •
Assistance with Copayments, •
Deductible & Out-of-Pocket Costs
Clarify Covered Services •
Underst...
• Finding In-Network Providers,
Treatments & Facilities
• Get Second Opinions & Alternative
Care Options
• Schedule Appoin...
• Claims Explanation & Support
• Medical Bill Reviews & Audits
• Fee & Payment Negotiation
• Appeals & Approvals
PROBLEM
S...
Rx Medication Review •
Cost Savings Options •
Case Management Support •
One-to-One Preventative Care Planning •
PERSONAL C...
Activity Summary Reports
• Employee / Member Count
• Number of Interactions
• Distribution of Call Categories
• Easy to Un...
We answer the
phone 24/7 with
your agency name
and greeting.
We free up agency
staff to focus on
growing the
business.
We ...
Become a Trusted Advisor
• Add Value and Enhance Client Relationships
• Improve Productivity and Retention
• Provide Exper...
HEALTHCARE ADVOCACY
TELEMEDICINE WELLNESS RX MANAGEMENT
THANK YOU
Benezon: Healthcare Advocacy
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Benezon: Healthcare Advocacy

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Learn how to utilize 24/7 Healthcare Advocacy to streamline operations, increase customer service & retention and offer peace-of-mind to clients and plan members.

Publié dans : Santé
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Benezon: Healthcare Advocacy

  1. 1. HEALTHCARE ADVOCACY TELEMEDICINE WELLNESS RX MANAGEMENT
  2. 2. NAVIGATING HEALTHCARE PROCEED WITH CAUTION
  3. 3. You and Your Team Face Increased Responsibilities all while trying to Deliver Significant Value • Time tracking for variable hour employees • Full-time employees and equivalents calculation • Plan affordability analysis ACA Reporting • Data gathered automatically from payroll • End-of-year printing and mailing to employees • Completed employer forms filed with the IRS Forms 1094 and 1095 • Penalty exposure warning • What-if simulations • Checklist to keep you on track ACA Compliance
  4. 4. Today’s Consumers have grown accustomed to: • Instant access to every piece of information. • Expecting more services to be available 24/7. • More comfortable connecting with people and businesses technology instead of in person. The Insurance Consumer has Changed. Have you?
  5. 5. Move from Broker to Trusted Advisor Stay on Top of Legislation and Industry Trends Managing Healthcare Timelines and Enrollment Process ACA and Compliance Checklist
  6. 6. Plan Members find Navigating Healthcare to be Very Confusing What’s Covered in My Plan? Mandatory Second Opinions Scheduling Appointments Locating Care Providers Brand or Generic Drugs? In or Out of Network? Finding Convenient Facilities
  7. 7. Supporting a Consumer requires a New Dimension of Information and Solutions What should I do? Where should I go? How much will it cost? Cost Transparency and Medical Bill Review Provider Search and Scheduling Evaluate and Compare Treatment Options $
  8. 8. We help with answers and get results. • Help in understanding your health plan • Find the Right Doctor, Hospital • Schedule Tests, Appointments, Second Opinions • Get cost estimates for procedures • Resolve billing issues • Perform medical record transfers How does Healthcare Advocacy Help Members?
  9. 9. Assist your Clients with Cloud Based Collaboration of Subject Matter Experts (SMEs)
  10. 10. Clinician, RNs and Medical Advocates Insurance and Benefit Professionals Pharmacy and Treatment Specialists Provider Relations and Claims Coordinators Meet Our Subject Matter Experts
  11. 11. • Dedicated Toll Free Numbers • Advocate Resources • Transparency Tools • Chat Box Options • Responsive Website High Tech, High Touch
  12. 12. General Plan Questions • Assistance with Copayments, • Deductible & Out-of-Pocket Costs Clarify Covered Services • Understanding Pharmacy • Benefits & Formularies PLAN BASICS: Explanation & Understanding Of Benefits • Finding In-Network Providers, Treatments & Facilities • Get Second Opinions & Alternative Care Options • Schedule Appointments & Transfer Medical Records • Compare Cost & Quality FINDING CARE: Transparency & Access • Claims Explanation & Support • Medical Bill Reviews & Audits • Fee & Payment Negotiation • Appeals & Approvals PROBLEM SOLVING: Hands-On Support & Solutions Rx Medication Review • Cost Savings Options • Case Management Support • One-to-One Preventative Care Planning • PERSONAL CARE: Individual Solutions
  13. 13. General Plan Questions • Assistance with Copayments, • Deductible & Out-of-Pocket Costs Clarify Covered Services • Understanding Pharmacy • Benefits & Formularies PLAN BASICS: Explanation & Understanding Of Benefits
  14. 14. • Finding In-Network Providers, Treatments & Facilities • Get Second Opinions & Alternative Care Options • Schedule Appointments & Transfer Medical Records • Compare Cost & Quality FINDING CARE: Transparency & Access
  15. 15. • Claims Explanation & Support • Medical Bill Reviews & Audits • Fee & Payment Negotiation • Appeals & Approvals PROBLEM SOLVING: Hands-On Support & Solutions
  16. 16. Rx Medication Review • Cost Savings Options • Case Management Support • One-to-One Preventative Care Planning • PERSONAL CARE: Individual Solutions
  17. 17. Activity Summary Reports • Employee / Member Count • Number of Interactions • Distribution of Call Categories • Easy to Understand Usage Chart Activity Reports Include
  18. 18. We answer the phone 24/7 with your agency name and greeting. We free up agency staff to focus on growing the business. We customize our materials to promote your company and brand. We bring value and improve client retention and relationships. We provide customized reports that reinforce program value. Create a Differentiator
  19. 19. Become a Trusted Advisor • Add Value and Enhance Client Relationships • Improve Productivity and Retention • Provide Expertise • Stand Out in the Market Healthcare. Confusion. Simplified.
  20. 20. HEALTHCARE ADVOCACY TELEMEDICINE WELLNESS RX MANAGEMENT THANK YOU

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