0. Company Name Here

1. Table of Contents
Company Overview…
Program Overview…
Health Advocacy….……
Benefits Gateway
Health Cost Estimator
Communications Support…
Member Experience…
How to Reach Us… 02 04 08 17 19 22 25 29

2. Company Overview 2

3. Company Overview Nation’s leader in healthcare advocacy and assistance
Distinguished roster of 11,500 nationwide clients
Serving over 50 million eligible lives
Broad product spectrum
Outstanding, experienced management team
Expert staff of healthcare and insurance professionals
Powerful and proprietary infrastructure
Strong brand recognized as objective and well-respected
A subsidiary of West Corporation 3

4. Program Overview 4

5. Welcome to Health Advocate
METRICS
Welcome to Health Advocate
Your Health Advocate benefit provides:
Health Advocacy
Benefits Gateway™
Unlimited access for employees and eligible family members
Provided by <insert company name> at no cost to you
A single number connects employees 24/7

6. Important Note About Our Service
METRICS
Important Note About Our Service
Health Advocate
Does not replace health insurance coverage
Does not provide medical care or recommend treatment
Helps resolve healthcare and insurance-related issues
Interacts with healthcare professionals and insurance companies

7. Private and Confidential
METRICS
Private and Confidential
We protect employees’ privacy
All healthcare information is kept strictly confidential
We fully comply with the federal Health Insurance Portability and Accountability Act (HIPAA)

8. Health Advocacy 8

9. Health Advocacy Solution Close-up
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
HIPAA compliant * *
* Based upon receipt of group’s utilization data

10. How does the Health Advocacy service work?
Call the single, toll-free number
Member is assigned to a Personal Health Advocate
Same Personal Health Advocate works with the employee until the issue is resolved; available for follow-up

11. What is a Personal Health Advocate?
Registered Nurses with 10+ years experience in clinical care, case management, nursing education, supervision and administration
Trained clinical professionals – social workers, behavior change counselors, nutritionists, dieticians, dental care and pharmacy management
Benefits Experts with 5+ years experience in benefits administration, claims management and provider group administration
Single, ongoing contact person – direct dial phone number, address
Supported by full-time Medical Directors
Chosen for medical expertise, commitment to service excellence, communication skills and strong problem resolution approach 11

12. Addresses the Entire Family’s Needs
Employee
Spouse/Domestic Partner
Dependent Children
Parents and Parents-in-law 12

13. Medical Authorization Release Form
METRICS
Medical Authorization Release Form
Authorizes Health Advocate to interact with the employee’s doctors, other providers and health insurance companies on their behalf
One-page form can be downloaded from member website or ed, mailed or faxed to employee to complete and return
Ensures complete confidentiality and privacy

14. How We Help
Find the right doctors, hospitals and other healthcare providers; expedite appointments
Explain complex medical conditions; research and locate the latest treatments
Coordinate care and schedule follow-up visits; facilitate second opinions; transfer X-rays and medical records
Arrange treatments and tests; answer questions about results, treatment options and prescribed medications
Clarify benefits including copays; help facilitate access to appropriate care
Provide one-on-one coaching to help close gaps in care*
Provide personalized information through Member and Client Dashboards*
Offer personal contact with Registered Nurses to support treatment decisions
Resolve insurance claims; negotiate billing arrangements
Help locate eldercare services including assisted living and adult day care; address other issues facing parents and parents-in-law
* Based upon receipt of group’s claims and utilization data

15. Special Help for Seniors
Retirees transitioning to a new health plan
How to enroll in Medicare
Clarify Medicare Parts A, B, D and supplemental plans
Inform about pre-existing conditions; dependents under age 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 15

16. Key Benefits Independent and objective
Improves health outcomes
Reduces medical costs
Improves administrative efficiencies
Eases burden on HR staff and employees
Maximizes benefits utilization
Reduces grievances and appeals
Supports consumer-driven health plans
Professional, non-adversarial approach to finding the right answers
Increases employee productivity, satisfaction and retention
Easy to use

17. Benefits Gateway 17

18. A Single Phone Call
Benefits experts connect employees to all health-related benefits through a single 800# (e.g., medical, dental, EAP, pharmacy)
Smooth transition to Health Advocacy service for help resolving healthcare and insurance-related issues
Unlimited support available 24/7 18

19. Health Cost Estimator+19

20. Key Features
Helps employees shop around for medical procedures and services in their area
Estimated costs for doctors, hospitals and other facilities nationwide
Quality indicators, safety scores and patient reviews
Complete mobile functionality (smartphone, tablet, PC)

21. Drives More Informed Decisions
Detailed cost breakdown for each estimate
Powerful filter to narrow search results
Compare hospitals and doctors side by side
Contact a Personal Health Advocate for added support

22. Communications Support22

23. Member Communications
Year-round electronic, print and online materials introduce the program, raise awareness and drive participation
Multi-leveled: brochures, newsletters, posters, health tip sheets, table tents
Strategic and comprehensive
Communication may be different from samples above.

24. Member Website What’s included? Features of the program
Access to communication materials
Health information
Member videos 24

25. Member Experience 25

26. 26

27. “
This is a great service. As a HR professional at my company, I have encouraged others to use Health Advocate but had not had the opportunity to call for myself until now.
I was getting nowhere with my issue on my own, so I decided to give it a try. I greatly appreciated the help, and the representative helped me save a considerable amount of money. ”

28. “
The nurse who helped me is worth her weight in gold. She clearly saved me at least four hours of work time.
This may be the best benefit we have! Shout it from the rooftops! ” 28

29. How to Reach Health Advocate
Telephone:
Website: HealthAdvocate.com/members
Hours of Operation
Normal hours of operation are Monday - Friday from 8 am to 12 am (midnight), Eastern Time.
Health Advocate can be accessed 24/7. Staff is available for assistance after hours and on weekends. 29

30. Thank You
Any questions?