Health Advocate Solutions Package

Health Advocate Solutions Package  

OVERVIEW

 

Health Advocate Solutions

Healthcare is complicated. Personal Health Advocates help you navigate the insurance and healthcare systems. They can help to:

  • Untangle medical bills and insurance claims
  • Locate doctors, specialists, hospitals, dentists and pharmacies
  • Clarify benefits and answer questions about tests, treatments and medications
  • Coordinate care among multiple providers
  • Assist with eldercare and related healthcare issues
  • Arrange second opinions
  • Transfer medical records
  • Negotiate payment arrangements with providers and find options for non-covered services
  • Provide information about generic drug options

 

 

 

MEDICAL BILL SAVER

 

 

  • Skilled negotiators will attempt to negotiate discounts on medical and dental bills.
  • Negotiate payment arrangements with providers and find options for non-covered services

 

 

FAQs

Answers about the plan, including eligibility, options, enrollment, customer service and more.
  • How does this benefit save me money?

    Medical Bill Saver can identify billing and claims processing errors, which could reduce your out-of-pocket expenses. Representatives can also help negotiate provider charges, which can be another source of savings.
  • How do I use this benefit?

    Once you receive a medical or dental bill with a remaining balance over $400 which is not covered by your insurance plan, call the number on the back of your membership card. The Medical Bill Saver negotiating team will contact the medical provider and attempt to have your bill reduced. Certain state restrictions may apply.
  • Who will I speak with when I call?

    Medical Bill Saver trained professionals are typically registered nurses supported by medical directors and benefits and claims specialists, who have a number of years of experience working in healthcare-related jobs. They are screened to make certain that they have both excellent personal communication skills and the necessary professional credentials.

 

 

Contact Us
We're here to help! Please contact us in whatever manner is most convenient for you.
 

Program Administrator

 Address
New Benefits, Ltd.
14240 Proton Road
Dallas, TX 75244

 Phone
1-800-800-7616
Members only; please have your member number available
 Hours
M-F 7a-7p, Sat. 8a-5p CT

 

Assistance with Registration in the Plan

 Address
Mercer Consumer
12421 Meredith Drive
Urbandale, IA 50398

 Phone
1-800-503-9230 (Mercer Consumer)
 Hours
M-F 8a-5p CT
 Email
customerservice.service@mercer.com

 

 

HEALTH ADVOCACY

 

 

  • Untangle medical bills and insurance claims
  • Clarify benefits and answer questions about tests, treatments and medication options
  • Coordinate care among multiple providers
  • Assist with eldercare and related healthcare issues
  • Arrange second opinions and transfer medical records

 

 

FAQs

Answers about the plan, including eligibility, options, enrollment, customer service and more.
  • What are the typical issues that Health Advocacy handles?

    Health Advocacy representatives can address many medical questions and issues; including finding primary care and specialist physicians and medical institutions, and resolving claims, billing and related administrative problems. Health Advocacy also helps you access community resources, including senior care services that fall outside traditional healthcare coverage.
  • How do I use this benefit?

    Whether you’re confused by your health insurance, need help finding a specialist or transferring your medical records, Health Advocacy cuts through the red tape. Call the number on the back of your membership card to speak with a representative.
  • Who will I speak with when I call?

    Health Advocacy representatives are typically registered nurses supported by medical directors and benefits and claims specialists, who have a number of years of experience working in healthcare-related jobs. They are screened to make certain that they have both excellent personal communication skills and the necessary professional credentials.

 

 

NURSE LINE

 

 

  • Registered nurses ready to answer calls 24/7/365
  • Detailed information on a range of concerns including appropriate treatment options for minor emergencies or illnesses

 

 

FAQs

Answers about the plan, including eligibility, options, enrollment, customer service and more.
  • Who do I speak with when I call?

    You will speak with Registered Nurses who will provide you with the best health information available. They use medical protocols developed by Healthwise, one of the most trusted sources of health information and have given reliable medical guidance to millions of Americans.
  • What types of issues can I call about?

    Nurses are available 24/7 to answer questions about symptoms, medications, health conditions and offer simple, self-care tips for non-urgent conditions
  • Can I call about family members?

    Yes. NurseLine may be used by you, your spouse and your children.

 

 

MYEWELLNESS.COM

 

 

Get stronger, lose weight and feel better with the tools you need to make wellness part of your daily life. You’ll enjoy personal workouts, health tips, thousands of articles and more.

 

  • Health and wellness calculators
  • Health risk assessments
  • Links to hundreds of wellness resources

 

 

 

 

 

ALTERNATIVE MEDICINE

 

 

To locate a provider, click here.

 

Save 10% to 30% on your health and wellness needs with over 35 specialties and 35,000 practitioners nationwide. Whether you want to reduce stress, relieve migraines or quit smoking, alternative medicine can help.

 

  • Acupuncture, massage therapy, nutritional counseling, biofeedback, hypnotherapy, reflexology and more
  • Popular exercise and movement specialties such as yoga, tai chi and pilates

 

 

 

FAQs

Answers about the plan, including eligibility, options, enrollment, customer service and more.

 

 

CAREGIVER SUPPORT

 

 

Caregiver Support - Care Companions  

Serving as a caregiver for a loved one is as stressful as it is rewarding. Care Companions powered by Papa helps reduce the stress of caregiving by sending thoroughly vetted helpers (called Papa Pals) who can provide companionship and assistance with transportation, household chores, technology lessons, and more, all while giving you a much needed break. Rather than having to take off work or miss an event due to your caregiving responsibilities, you can request a Papa Pal to drive your loved one to a doctor's appointment, do some light house cleaning, or simply spend a couple hours talking and visiting.

  • Papa Pals can be requested for $18 an hour, with the option of having the same companion for each visit
  • Papa Pals undergo a rigorous vetting and onboarding process, including background check, personality profile, car inspection, and training (only 15% who apply are accepted) 
  • Papa Pals can take notes of their visit and report back to you as requested, from behavior to state of the home to instructions from the doctor

 

Caregiver Support - Connected Caregiving 

Taking care of a parent, grandparent, sibling, or child with disabilities can be incredibly rewarding, but also incredibly stressful. Especially if you're working a full-time job on top of coordinating doctor's visits, calling family members, and sifting through piles of paperwork. Connected Caregiving by alska (“love” in Swedish) empowers you to efficiently manage caregiving responsibilities through an all-in-one web-based platform for storing important documents, coordinating with care team members, and sharing updates with family. 

  • Share updates and delegate tasks to family, healthcare professionals, teachers, and other members of the care team 
  • Get unlimited email support from professional patient advocates and access to virtual support groups and live education webinars for a range of topics 
  • Keep track of appointments and medications using the interactive calendar
  • Securely store documents and information in the alska vault, including prescriptions, advance directives, biometrics, insurance cards, lab results, and directions for care after a surgical procedure

 

Caregiver Support - LawAssure 

Need a will, power of attorney or living trust? Save hundreds of dollars in attorney's fees with LawAssure, an online service making personalized legal document creation easy and accessible. Create high-quality documents to protect your family and assets. LawAssure will guide and support you every step of the way.

  • Save hundreds of dollars by using LawAssure to create your will, living trust, power of attorney, healthcare directive, and other important legal documents
  • Deal with legal matters wherever it's most convenient for you - even on your tablet or phone
  • Securely share your documents with trusted advisors or an attorney 
  • Safely store and edit your documents, or export them for printing and signature
 

FAQs

Answers about the plan, including eligibility, options, enrollment, customer service and more.
  • Does Papa perform background checks on senior members?

    At Papa, our biggest concern is security for everyone on the platform. We interview everyone who joins the platform, both members and service providers (Papa Pals). However, we only perform background checks on our Papa Pals.
  • How are Papa Pals vetted?

    Papa performs a comprehensive application process that begins online and executes on the following steps:

    • Personality assessment
    • Phone interview
    • Vehicle inspection
    • Identity verification
    • Background check
    • Orientation
    • Training

     

    Only 15% of Papa Pal applicants are hired as a result of this stringent process.

  • What services do Papa Pals offer?

    Papa Pals are encouraged to offer a wide range of services:

    • Transportation (to doctor’s appointments, the bank, pharmacy, grocery store, run errands, etc.)
    • Household chores (light cleaning, meal prep, laundry, organizing)
    • Socialization (good conversations, play board games, go to a restaurant)
    • Technology lessons (teach how to use a computer or smart phone, help with social media, install hardware)
    • Pet help (walk, feed, and play with pets)
  • What languages do Papa Pals speak?

    Currently, we have Papa Pals who speak English, Spanish, Russian, Portuguese, Italian, French, and Creole.
  • Are Papa Pals’ vehicles handicap-accessible?

    Papa Pals’ vehicles accommodate individuals who use walkers, canes, and foldable wheelchairs.
  • Can I request the same Papa Pal to visit every time?

    Yes, you may request the same Papa Pal for every visit. Papa recommends that you build a relationship with several Papa Pals for scheduling purposes.
  • Who can schedule Papa Pal visits?

    Papa Pals can be requested by the person desiring the visit or anyone listed under the account.

 

This program is NOT insurance coverage, not intended to replace insurance, and does not meet the minimum creditable coverage requirements under the Affordable Care Act or Massachusetts M.G.L. c. 111M and 956 CRM 5.00. It contains a 30-day cancellation period, provides discounts only at the offices of contracted health care providers, and each member is obligated to pay the discounted medical charges in full at the point of service. For a complete list of disclosures, click here. Discount Plan Organization: New Benefits, Ltd., Attn: Compliance Department, PO Box 803475, Dallas, TX 75380-3475.

Mercer's Role & Compensation

Details of Mercer disclosure of the compensation.