Municipal employees should receive the full benefit of their health insurance plan. Navigating that plan and understanding its benefits can be complicated and time-consuming. Health Advocate gives employees access to an experienced professional who can help them handle any issues or questions they may have about their health insurance. Health Advocate is not a medical provider or an insurance company: it is an independent voice for insured people who seek help with today's complex healthcare system. Employees call a single toll-free phone number to get answers to questions and assistance resolving issues, which saves a lot of time spent away from their work duties.
Health Advocate employees have experience in the medical and insurance fields and can answer questions and help resolve problems related to:
- Claims Assistance
- Covered Services
- Treatment Options
- Getting Appointments with Busy Specialists
- Coordinating Care Among Multiple Providers
- and much more!
Here's how it works: Trained advocates are available 24/7 by phoning 866-695-8622 or emailing email@example.com. If you are a subscriber, when you call with a question or problem, you are assigned a Personal Health Advocate (PHA) who begins helping right away and sees the issue through to completion. PHAs are typically registered nurses supported by medical directors and benefits and claims specialists. They’ll help you understand complex medical conditions, find medical specialists, address eldercare issues, clarify insurance coverage, look into claim denials, and help negotiate medical bills, among other things. Your PHA can cut through the red tape, talk to your doctors and insurance company, and quickly get to the heart of your issue.
During 2017, VLCT members can offer the Health Advocate benefit to their employees either by having been a Health Trust member before Vermont Health Connect ("The Exchange") existed or by purchasing the service à la carte. Starting on January 1, 2018, all groups that participate in any one program of the VERB Trust will receive the Health Advocate employee benefit at no additional charge!