1. Problem: Help Understanding Coverage
Joanne needed to confirm that a surgery her husband was having was covered by their health plan. Before Health Advocate, she would have spent hours on the phone with the insurance company and surgeon’s office, trying to get an answer.
Solution:
Joanne called Benefits Gateway
His Personal Health Advocate:
Confirmed that the surgeon and facility were in her health plan’s network
Explained her plan’s coverage and the percentage Joanne was responsible for
Answered her questions about risk factors and recovery time for her husband
Offered to help with any follow-up needs after the surgery