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Huron-Erie School Employee Association
February 19, 2019 We make Healthcare Easier Simplifying and Personalizing the Healthcare Experience 1
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Partnership via RxOC Thank You! Trust Business 3
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Health Advocacy The Heart of what we do 4
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Second Opinion Coordination
Health Advocate Bring employees to the right healthcare related resource! Pricing Transparency Gaps in Care Outreach Wellness Health Advocacy EAP + Work/Life simplifying Biometrics and connecting it all together Chronic Condition Coaching Decision Support Tele- medicine Second Opinion Coordination HSA Admin Benefits Center 4 5 HealthAdvocate
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Making Healthcare Easier for employees and family members
Health Advocacy: The heart of what we do... Making Healthcare Easier for employees and family members Find the right doctors and hospitals; schedule appointments, transfer medical records Arrange 2nd opinions for complex medical conditions; research the latest treatment(s) Coordinate care and schedule follow-up visits; arrange post-hospitalization care, durable medical equipment, facilitate pre-authorizations Decision Support: Educate and coach; answer questions about results, treatment options and medications Clarify coverage and benefits, resolve billing issues, explain what is covered including deductibles and copays and EOBs; identify alternative resources for non-covered services Closing Gaps in Care and assisting with needed health care steps Health Advocacy 6 HealthAdvocate
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Health Advocate helps the whole family:
Employees Spouses/Partners Dependent Children Parents and Parents-in-law .
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Provide Special Help for Mom and Dad, as well as employees considering retirement:
Assist employees considering retirement with transitioning to private coverage or Medicare Clarify Medicare Part D prescription drug plans Locate eldercare services and community resources that fall outside of traditional healthcare coverage Explain the differences between Medicare, a Medicare HMO and supplemental coverage Facilitate care management interventions for chronic conditions Research private coverage and public exchanges Discuss plan choice considerations relating to pre-existing conditions Explain how to enroll in Medicare
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2018 Utilization 16
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We make healthcare easier by creating a personalized experience designed to exceed a member’s expectations A dedicated Healthcare Concierge
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We’re always there, 24/7 By phone, through the mobile app, or online, patients can always reach us 24x7 Access useful health and wellness information 24/7 personal support is just a call or click away Instantly upload documents and forms A Personal Health Advocate in the palm of your hand
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Promoting Awareness 59
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NEW Communications Award-winning Health and Wellness Blog – NEW articles! Monthly Member Newsletter 2019 Activity Guides Campaigns/Packets Focus on popular employee issues such as: Help with clinical issues Locating a provider Help with prescriptions drugs Navigating Medicare Expecting a baby Proper use of the ER Autism support And more! - Communications to both employees and managers/ supervisors. - Includes s, flyers, posters, TV ads, and more!
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Thank you OUR MISSION: At Health Advocate, we believe that the complexity of the healthcare system should not be a barrier to living well. Our mission is to develop personalized, innovative programs and tools that simplify the healthcare experience and enable people to become engaged in their health and well-being – resulting in improved health outcomes, lower medical costs, reduced stress, and time savings for both our clients and their employees and family members. Kate Gaul AVP, Sales Cell: Jane Morales, Sr. Acct. Manager Office: 63
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