An introduction to the services provided by Health Advocate. This is one of the many services provided and sponsored by iPersonal Health Centers

1. Member Presentation
Sponsored by:

2. TABLE OF
CONTENTS
Table of Contents
Company Overview………………………......................................................... 2
Program Overview…………………….............................................................. 4
• Core Health Advocacy..…………………………………..………...……….... 11
• Wellness……………………………………………………………........…….. 20
• MedChoice Support………………………………………………........….….. 27
Communications……….………………………………....................................... 33
How to Reach Us……………………………………………...…………………... 36
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3. COMPANY
OVERVIEW
Company Overview
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4. COMPANY
OVERVIEW
Health Advocate Company Overview
Providing personalized help resolving clinical, administrative
and insurance-related issues.
• Nation’s leader in healthcare advocacy and assistance
• Serves 21 million Americans, through more than 7,500 clients
• Expert staff of healthcare, benefits and claims professionals
• One-source support for a variety of needs, saving time and money
• Dedicated to finding the right answers
• Independent and confidential
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5. PROGRAM
OVERVIEW
Program Overview
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6. PROGRAM
OVERVIEW
Welcome to Health Advocate
Your New Health Advocate Benefit provides:
• Three integrated features to make life easier:
Feature 1: Core Health Advocacy
Feature 2: Wellness
Feature 3: MedChoice Support
• Unlimited access for you and your eligible family members*
• Health Advocate is provided by your employer or plan sponsor
• A single number connects you 24/7
* Eligibility varies by program
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7. PROGRAM
OVERVIEW
How Health Advocate Helps
The New Health Advocate Benefit provides:
Feature 1: Core Health Advocacy
Personal Health Advocates (PHAs) provide one-on-one help to resolve
clinical, administrative and insurance-related issues
Feature 2: Wellness
Unlimited access to Wellness Coaching through telephone or email,
plus online Wellness tools, to help you get—and stay—healthy
Feature 3: MedChoice Support
Self-directed online tool guides you through key health decisions to choose
the medical care option that is right for you
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8. PROGRAM
OVERVIEW
An Important Note About Our Service
Health Advocate
• Does not replace health insurance coverage
• Does not provide medical care or recommend treatment
Rather, Health Advocate
• Helps resolve healthcare and insurance-related issues
• Interacts with healthcare professionals and insurance companies
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9. PROGRAM
OVERVIEW
Private and Confidential
• We protect your privacy
• All healthcare information is kept strictly confidential
• We fully comply with the federal Health Insurance Portability
and Accountability Act (HIPAA)
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10. PROGRAM
OVERVIEW
Medical Authorization Release Form
• Authorizes Health Advocate to interact with your
doctors, other providers and health insurance
companies on the your behalf
• One-page form can be downloaded from
website or emailed, mailed or faxed to you to
complete and return
• Ensures complete confidentiality and privacy
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11. PROGRAM
OVERVIEW
Member Website
What is included: How to log on:
• Features of the program • Visit www.ipersonalhealthcenters.com
• Access communication materials • Login using your iPHC account
• Health information • Go to the Members Area and click on the
• Member videos Health Advocate Logo
• Click on the member login link
• Enter iPHC as the organization
• Follow the steps to register by clicking on
the registration tab
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12. CORE HEALTH
ADVOCACY
Feature 1
Core Health Advocacy
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13. CORE HEALTH
ADVOCACY
What is the
Core Health Advocacy service?
Personal Health Advocates can help you and your eligible family
members navigate healthcare and insurance-related issues.
• Helping with complex conditions
• Finding the right doctors, including specialists
• Addressing eldercare issues
• Clarifying insurance coverage
• Helping to resolve claims issues
• Helping negotiate medical bills
• Locating the right services at the right time
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14. CORE HEALTH
ADVOCACY
How does the
Core Health Advocacy service work?
• Call the single, toll-free number
• You are assigned to a Personal Health Advocate (PHA)
• Unlimited access to PHAs for healthcare and insurance-related issues
• Same PHA works with you until issue is resolved, available for follow-up
• PHA interacts with providers and health plans on your behalf
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15. CORE HEALTH
ADVOCACY
Who is Eligible?
• You
• Your spouse and dependent children
• Your parents and parents-in-law
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16. CORE HEALTH
ADVOCACY
Special Help for Seniors
We assist with retiree and eldercare issues:
• Retirees transitioning to a new • Locate eldercare services that fall
health plan outside traditional healthcare coverage
• How to enroll in Medicare • Assist with the transition from
traditional insurance to Medicare HMO
• Clarify Medicare A, B, D and
supplemental plans • Facilitate early care
management intervention
• Inform about pre-existing conditions;
dependents under age 65
• Locate and inform about adult day
care, assisted living, long-term care
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17. CORE HEALTH
ADVOCACY
Spotlight on $AVING$
Health Cost Estimator™ SavingsNet™
• Estimates medical services costs by • If insurance does not cover service,
zip code finds other options
• Summary report detailing • Options include government programs,
estimated costs community services, etc.
• Information helps you become a • Attempts to negotiate
better healthcare consumer provider discounts
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18. CORE HEALTH
ADVOCACY
What are the features
of the Core Health Advocacy service?
• Find qualified doctors, dentists, • Navigate insurance plan to
hospitals and other healthcare obtain appropriate approvals for
providers, nationwide needed services
• Expedite appointments, including • Explain conditions, answer
those with hard-to-reach specialists; questions about tests, treatments
arrange for specialized treatments and medications to help you make
and tests informed decisions
• Provide cost estimates • Assist with the transfer of medical
for medical procedures records, X-rays and lab results
• Untangle claims, negotiate billing • Secure second opinions with a
and payment arrangements, qualified healthcare provider for the
uncover billing errors right care
• Locate eldercare services, such as
finding adult day care, assisted living
and other related issues facing
parents, parents-in-law
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19. CORE HEALTH
ADVOCACY
What are the benefits
of the Core Health Advocacy service?
• Personal Health Advocates do the • Easy for you to use
legwork, available for follow-up
• Helps you make better use
• Helps reduce medical costs of health benefits
• Helps members improve health • Saves you and your family time
and money
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20. CORE HEALTH
ADVOCACY
Real Stories. Real People. Real Results.
Problem: Coverage for hospitalization
Elizabeth had been trying for more than a year to get her health insurance to cover the
cost of a lengthy hospital stay, as her plan stipulated.
Solution: Health Advocate found a coding mistake and worked
with Elizabeth’s doctor, hospital and health plan to correct it. After
four months, all claims were processed for payment, saving
Elizabeth $3,500.
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21. WELLNESS
Feature 2
Wellness Program
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22. WELLNESS
What is the
Wellness program?
• Convenient, comprehensive program with unlimited Wellness Coaching
• Wellness Coaches personally help you set and reach health goals
• Coaching available through telephone or email
• Comprehensive tools to support Wellness Coaching
• Seamless integration with Core Health Advocacy for healthcare help
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23. WELLNESS
How does the
Wellness program work?
• Just call toll-free number or log on to website to connect with Coach
• Work with same Coach to reach manageable health goals
• Online tools include Health Risk Assessment (HRA) to learn risks for diseases
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24. WELLNESS
Who is Eligible?*
• You
• Your spouse
• Your dependent children age 18 and older
* Note: The eligibility for the Wellness program is slightly different from the other features.
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25. WELLNESS
What are the features of the
Wellness program?
• Unlimited Wellness Coaching • Authoritative, online heath
through telephone or email information, from A-Z
• Health Risk Assessment (HRA) • MedChoice Support™ helps you
summarizes risks for diseases compare the pros and cons of
medical options
• HRA includes ways to reduce risks,
including lifestyle changes • Integrates with other Health Advocate
program features
• Online health trackers to chart
blood pressure, cholesterol, etc.
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26. WELLNESS
What are the benefits of the
Wellness program?
• Personalized, action-oriented approach for long-lasting change
• Addresses spectrum of healthcare and wellness issues
• Integrates seamlessly, coordinates with Core Health Advocacy service
• Improves health outcomes
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27. WELLNESS
Real Stories. Real People. Real Results.
Problem: Risk for Diabetes
After completing a Health Risk Assessment, Ann realized she was past due for
a physical exam and promptly scheduled an appointment. Her doctor told her
she had high cholesterol, and that she was pre-diabetic. She was also told she
needed to lose weight, change her diet and exercise.
Solution: Ann’s Health Advocate Wellness Coach suggested
ways to eat healthier and use her lunch break to walk. In
addition, a Personal Health Advocate helped her locate a
diabetes education class.
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28. MEDCHOICE
SUPPORT
Feature 3
MedChoice Support
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29. MEDCHOICE
SUPPORT
What is the
MedChoice Support program?
• Interactive, online tool helps you understand and choose care options
• Self-directed tool guides you through key health decisions
• Learn risks, benefits and costs of each option, assess your feelings
• Care topics range from medications to diagnostic tests and surgery, etc.
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30. MEDCHOICE
SUPPORT
How does the
MedChoice Support program work?
• Log on to site, choose condition or topic for detailed information
• You will be guided through six decision steps
• Compare options, gauge feelings, record concerns, assess confidence
• Decision summary can be printed to share with healthcare team
• Personal Health Advocate available for assistance
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31. MEDCHOICE
SUPPORT
Who is Eligible?
• You
• Your spouse and dependent children
• Your parents and parents-in-law
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32. MEDCHOICE
SUPPORT
What are the features of the
MedChoice Support program?
• Physician-reviewed information • Practical assessments gauge
on conditions from A-Z personal needs and wants
• Covers more than 150 decision • Printable summary to share with
topics, such as surgery, tests healthcare team
• Details less costly or less risky • Integration with Core
options with fewer complications Health Advocacy service
• Compares benefits, risks, costs,
side effects, recovery, outcomes
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33. MEDCHOICE
SUPPORT
What are the benefits of the
MedChoice Support program?
• Comparative measures support • Promotes shared decision making
consumer-driven health plans
• 24/7 access
• Latest information leads to less
costly decisions and better care • Saves you time and money
• You may be less likely to use • Integrates with other Health Advocate
inappropriate care program features
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34. COMMUNICATIONS
Communications
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35. COMMUNICATIONS
Communications:
Get Started Materials
Email Announcement Welcome Brochure Member Poster Wallet Cards
Member Website Table Tent Member Video
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36. COMMUNICATIONS
Communications:
Reminder Materials
Member Newsletter “Top Reasons to Feature Flyers Trifold
Call Us” Flyer
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37. HOW TO
REACH US
How to Reach Us
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38. CONTACT US
How to Get More Information:
Telephone: 855.521.5313
Email: members@ipersonalhealthcenters.com
Website: www.ipersonalhealthcenters.com
Sponsored by:
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