Health Insurance Navigation
- Guiding families through the complexities of health insurance, including screening for, and enrolling in eligible products such as Medicare (A, B, C, D), Medicare Savings Programs, Medicaid, Employer Plans, and Marketplace.
- Advocating for coverage of prescribed treatments and helping with appeals and denials.
- Offering evaluation, comparison, and enrollment support for various insurance products.
- Assisting with prior authorization delays or denials for prescribed care.
- Providing help with the health insurance appeal process at all levels and resolving coding and billing issues.
- Conducting health insurance benefit reviews for second opinions and network providers, facilities, and coverage.
Financial Barrier Mitigation
- Mapping available financial assistance and resources to alleviate the burden of medical costs, income reduction, and other financial stressors experienced by patients.
- Identifying and assisting patients in enrolling in local, regional, and national programs offering financial assistance for cost-of-living needs like transportation, housing, food, and utilities.
- Helping patients enroll in programs that assist with out-of-pocket medical costs, including charitable co-pay programs, manufacturer-patient assistance, discounted, free drug programs, and charity care.