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Wellness and Work/Life Support
Wellness Advocate TM
Our Wellness Advocate offers a broad spectrum of integrated solutions that leverages the important role of our Core Personal Health Advocates. The solutions provide a personalized, action-oriented approach that helps employees make healthy lifestyle changes to reduce risks of costly disease and take an active role in their health. Healthy employees have lower healthcare costs, fewer injuries and absences and are more productive.
- Health Risk Assessment (HRA). Online tool for identifying risks for diseases with a personalized summary.
- Wellness Coaching. Unlimited one-on-one, telephonic or online guidance for reaching health goals enhanced by a robust website of health information.
- Personal Health Record (PHR). Electronically stores medical history, insurance coverage, medications, etc., in one secure place.
- Management Reports. For HRAs and coaching to help identify workplace needs, participation, etc.
- Turnkey installations. Customized electronic and print communications to launch Wellness Advocate and promote maximum utilization. We also offer incentive design and planning.
Health Advocate EAP and Work/Life Program™
The Health Advocate EAP and Work/Life program features short-term, telephonic professional counseling and work/life support through a single phone number. Counseling focuses on coping skills to help employees manage personal problems, such as emotional issues, depression, marital/family problems and substance abuse. Referrals are provided for long-term counseling or specialized care. Work/life experts help locate support services such as eldercare, childcare, legal and financial counseling. A companion website and webinars are available. The goal is to resolve issues in early stages, decreasing absences and turnover.
Health Advocate NurseLine™
The Health Advocate NurseLine provides after-hours access to registered nurses for advice, referral and self-care information, backed by a state-of-the-art clinical health database. Employees receive answers about symptoms and medications, home-care methods for non-urgent conditions, and can be transitioned to a PHA for in-depth help. NurseLine can reduce costly emergency room visits and help employees become informed healthcare consumers.
Benefits Gateway
Health Advocate Benefits Gateway™
Benefits Gateway provides a single, toll-free number and live experts to efficiently connect employees to the right benefit, including all healthcare and retirement plans offered. Powerful Health Information Dashboards collect and organize employee benefit utilization, health and wellness metrics and key productivity benchmarks. The Dashboards enable both the Personal Health Advocate and employer to easily pinpoint areas for improvement, and leverage teachable moments in real-time to impact behavior, increase productivity and lower costs.
Cost-Saving Solutions
Health Advocate Medical Decision Support™
Health Advocate's Medical Decision Support is a self-directed, interactive tool that compares the pros and cons of dozens of tests, treatments, procedures and medications. The tool provides guidance through key decision-making steps to help employees make informed decisions about appropriate care.
Medical Bill Saver™
Medical Bill Saver provides highly specialized, skilled negotiators to help reduce post-claim bills for healthcare services rendered, resulting in substantial savings. At no upfront cost to the member, the expert negotiation team works with the providers and insurance companies to secure pricing discounts on uncovered medical and dental bills with a balance of $400 or more. Successful negotiation results in the member sharing a percentage of the savings.
HR Solutions
Enrollment Advocate™
Health Advocate’s Enrollment Advocate offers trained benefits specialists to answer employee questions, typically during the open enrollment period, to help them make cost-effective decisions about electing their benefits. Experts explain the details of each benefit, including new benefits and changes, and answer questions regarding Medicare, special individual circumstances, coverage for pre-existing conditions and other issues. Employees also receive guidance on how best to use benefits, and learn about Health Savings Accounts, Flexible Spending Accounts and Health Reimbursement Accounts.
Independent Appeals Administration TM
The Independent Appeals Administration service offers objective, independent analysis to help self-funded companies who retain fiduciary responsibility manage the appeals process. An expert team researches and analyzes employee benefits and medical records, and addresses complex claims and medical issues. The program ensures full compliance with ERISA and other regulations, and makes certain that member appeals are properly reviewed and that your organization is protected.
FMLA Support TM
Health Advocate's FMLA Support program provides seasoned medical experts to review and verify the validity of employee leave requests to help make Family Medical Leave Act (FMLA) implementation easier. The program provides accurate, up-to-date information about medical conditions covered by the FMLA, and ensures compliance with FMLA and HIPAA regulations. Our staff can interpret regulations, protect health information, and recommend second opinions, when needed. The program is designed to ease the burden on the Human Resources staff, simplify FMLA implementation and protect your organization from invalid claims. |
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