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• Coordinate clinical service related to all aspects of medical care <br />• Identify top experts and Centers of Excellence across the country for initial consults and <br />second opinions <br />• Discuss the cost and quality of medical service to help members make informed decisions <br />• Help employee prepare for doctor visits, review results and plan future actions <br />• Provide ongoing assistance and support <br />Example of Administrative Support <br />• Explain coverage and coordinate benefits <br />• Research and resolve insurance claims and medical billing issues <br />• Identify leading in -network doctors using a proprietary MEDIS quality care evaluation <br />approach and make appointments <br />• Facilitate any required pre -authorizations for medical services, Durable Medical <br />Equipment and prescription drugs <br />• Research ways to reduce prescriptions drug and other costs <br />• Facilitate the transfer of medical records between physicals <br />Personalized Member Website and Mobile App <br />Health Advocate provides a secure member website and mobile app that will enable members <br />to view the status of Health Advocate cases in real time, upload documents and forms, and <br />connect instantly to live support. <br />Eligibility <br />The Health Advocate service is available to insured members under our group health plan and is <br />also extended to spouses, dependents, parents and parents-in-law of the covered member <br />regardless of whether the dependent is insured under the health plan. <br />Key Benefits of Health Advocacy <br />• Increases employee productivity by relieving employees of time-consuming <br />administrative tasks <br />• Saves employees time, money and worry <br />• Provides expanded support in a professional and compassionate manner to assist with <br />resolving complex issues <br />Provide decision making support for annual benefit open enrollment <br />• Maximizes appropriate benefits utilization <br />• Increases employee satisfaction <br />• Gets covered members to the right care at the right time <br />• Helps improve health outcomes and reduce medical costs <br />• Provides covered retirees with support and assistance <br />4 <br />