SUBSCRIPTION ADVOCACY SERVICES

Basic

A service for those who want occasional advice, assistance, and representation from professionals.

• You provide written authorization so that we can represent you;
• We maintain all your important family information, coverage documents, copies of I.D.cards, physicians, preferred pharmacy, etc.;
• We maintain the user names and passwords for all your coverage-related web sites in our secure data base to enable us to access your information 24/7;
• You receive advice, assistance, and advocacy regarding coverage, claims, medical bills, provider networks, rules of the plan, or other problems or issues of concern;
• A dedicated representative is assigned to your account. You will speak with the same person nearly every time you need assistance;
• We assist with a review of your coverage. For those on Medicare Part D, we perform an annual Part D review to make sure you’re on the best plan for your needs;
• You have access to our After Hours Service.

Base Annual Fee $1200 for an individual.*

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    Premier

    A service for those who also want regular, ongoing support with the management of medical bills and claims and/or evaluating options and managing a transition to new coverage. All Basic Services included.

    Base Annual Fee of $2000 for an individual, customized for couple or family.*

    Platinum

    A comprehensive service for those with complex medical needs who require extensive support, significant coordination among healthcare providers and/or coordination with other trusted advisors.

    Base Annual Fee of $4000 for an individual. It is rare for more than one individual in a family to require this level of assistance.

     

    *Our fees are largely based on time as described in our Professional Services Agreement included under Forms. Most individual Basic clients pay us $1200 per year and individual Premier clients $2000 per year. When fees are higher it is typically because we are supporting a number of family members and/or the client’s situation is unusually complex.

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    Subscription Advocacy

    BENEFITS OF SUBSCRIPTION SERVICES

    • Should you choose, you will not have to call your insurance company again.

    • You will never have to file a claim, review an explanation of benefits statement, or pay a medical bill before you know it is for the correct amount.

    • You will have professional support during annual open enrollment.

    • You will have professional support to guide you to new coverage should you experience a loss of coverage for any reason.

    • If someone in your family is experiencing serious illness, we will help with prior authorizations. Someone is available 24-7 to provide immediate assistance.

    • You will be protected from receiving medical bills you don’t expect. If you receive a larger bill than you anticipated, you can hand it off to us for investigation, negotiation, and resolution.

    • You will have an account representative familiar with your benefits who can respond to any inquiries about healthcare and healthcare coverage you have. This includes everything from questions about a drug copayment to calling your insurer or your student’s college health plan.

    • If you have limited or no travel coverage, we will review your options, make recommendations to you prior to any trip, and place the coverage for you.

    • If you are on Medicare, we will do an annual Part D (drug coverage) review for you.

    • We will download a summary of your claims every year so you have a permanent lifetime record of your healthcare experience and claims history.

    • You will have peace of mind knowing that in this turbulent healthcare environment, a knowledgeable team is looking out for you and your family.

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