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Finding a Provider:
Provides assistance to you and your family in identifying a
primary healthcare provider. Focuses on finding a provider
network relationships to help you use your benefits to your best
advantage. |
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Claims
Assistance:
Assists you with facilitating payment plans, pre-authorization,
and coordination of benefits information. |
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Benefit Education:
Helps you understand your benefit offerings such as deductibles,
coinsurance and of in-and-out-of-network choices. |
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Facility Locator:
Assists with finding the nearest hospitals, freestanding
facilities, rehabilitative facilities, urgent care centers.
|
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Health Information:
Promotes your understanding of tests, treatment, lifestyle
modification, medical conditions, support groups, and medication
recommended or prescribed medication. |
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Medicare/Medicaid:
Answers questions you may have regarding government programs and
the benefits available to you. |
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Rx Advocate:
Provides you with assistance on prescription drug issues
including mail order formulary and benefits questions.
Providers you with finding lower cost prescription drugs that
may not be covered by your health plan |
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Enrollment Support:
Answers questions specific to open enrollment including
eligibility plan review and benefit counseling. |