Health Advocate is a personalized service that will help your members navigate the healthcare system through its full spectrum of time- and money-saving solutions.

Health Advocate’s value centers around it’s team of Personal Health Advocates and is supported by medical and benefits experts. It provides clinical and administrative support to help members resolve healthcare and benefits-related issues and provides information and support to improve their healthcare experience. Coverage extends to the member, their spouse, dependent children, their parents and parents-in-law.

Members calling our toll-free number are assigned their own Personal Health Advocate (PHA), typically a registered nurse, who is supported by a team of medical directors and benefits specialists. Health Advocate keeps all calls strictly confidential in compliance with the privacy provisions of the Health Insurance Portability and Accountability Act (HIPAA), freeing plan sponsors of the financial and legal liability.

• Highly personalized
  
• We do the work for the member
  
• Helps members navigate healthcare and insurance-related issues
  
• Experts who know the ins-and-outs of the healthcare system
  
• Saves time and money
  
• Covers your entire family—you, your spouse, dependent children, your parents and your parents-in-law.

When you call into Health Advocate, you’ll be connected to your own Personal Health Advocate (PHA) who can help you:

• Find qualified doctors, dentists, hospitals, other healthcare providers anywhere in the country
  
• Expedite appointments including thosewith hard-to-reach specialists; arrange for specialized treatments and tests
  
• Provide health cost estimates
  
• Help resolve insurance claims
• Negotiate billing and payment arrangements
  
• Assist with eldercare such as finding adult daycare, assisted living and other related issues facing parents, parents-in-law
  
• Work with insurance companies to obtain appropriate approvals for needed services
  
• Obtain unbiased health information about complex medical conditions to help make informed decisions
  
• Answer questions about test results, treatments and medication prescribed by the physician
  
• Assist in the transfer of medical records, X-rays and lab results
  
• Locate and research the newest treatments for a medical condition
  
• Explain benefits and help facilitate access to appropriate care
  
• Help find transportation to and from medical appointments

Your Personal Health Advocate (PHA) will also assist you with retiree and eldercare needs, including:

• Retirees transitioning to a new health plan
  
• How to enroll in Medicare
  
• Clarify Medicare A, B, D and supplemental plans
  
• Inform about pre-existing conditions; dependents under 65
  
• Locate eldercare services that fall outside traditional healthcare coverage
  
• Assist with the transition from traditional insurance to Medicare HMO
  
• Facilitate early care management intervention

Health Advocate will provide the village administrator with utilization reports identifying health trends in the village. This valuable data will assist the village in developed focused programs to meet the unique needs of their membership. (These reports are de-identified and on an aggregate basis. They do not contain personal health information.)

• Provides program utilization
  
• User-friendly format
  
• Identifies productivity and medical cost savings
  
• Provides comparative information
  
• Provides member feedback
  
• Identifies opportunities for improvement

Please contact Bryan Mulford to learn how you can bring Village Healthcare Services to your village.

Bryan Mulford
bryan@probeninc.com
1-888-578-1288