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Help is on the way. SENIORx Patient Advocates helps patients and families answer questions, coordinate care and make sense of their healthcare options through:
Coordination and communication:
- Identifying key concerns, issues or questions that families have with providers, insurance and care options
- Accompanying patients to doctor appointments, and debriefing after appointments
- Identifying resources and serving as a liaison to establish services and hold providers accountable
- Helping during a healthcare crisis, major change in health or lifestyle due to surgery, illness or a move
- Filing or fighting insurance claims, understanding coverage and explanation of benefits, reviewing annual changes to coverage
Insurance claims and coverage:
- Filing or fighting insurance claims, understanding coverage and explanation of benefits, reviewing annual changes to coverage-Medicare, Medicaid, prescription, employer group or retiree, VA, long-term care policies.
- Understanding complex coordination of benefits, situations with multiple insurance coverage insurers-Medicare, Medicaid, VA, supplements, employer, retiree, prescriptions, car/home insurance where an accident may have occurred and other payers are involved
- Licensed insurance consultant expertise to guide through insurance process for patients and employers
- Establishing or updating critical documents including durable power of attorney, advance directives, healthcare power of attorney or trusts
- Annual health policy reviews for all health related policies-Medicare, Part D Prescription Drug, employer, retiree, long-term care, etc.
Research:
- Understanding coverage benefits, and costs-New to Medicare, retirees, employed group policies, loss of coverage, changes in coverage, prescription and long-term care
- Offering annual Medicare benefit reviews-Medicare Part D, prescription coverage, supplements, employer, retiree
- Providing cost/benefit analysis to quantify options for coverage decisions
- Investigating options for disability benefits-Social Security, short/long-term group or individual disability, Medicare or non-Medicare.
- Appealing denied claims, out-of-network coverage issues, out of state coverage due to a move or relocation, COBRA
Relocation:
- Helping you move in or out of state to be closer to family or better care while coordinating insurance coverage, benefits and provider options
- Offering assistance during a healthcare crisis or difficult transitions following an illness, surgery or change of health or lifestyle
Health crisis management:
- Successful transitioning from hospital to home, facilities, levels of care or hospice
- Access to extensive resources to help you manage a crisis
- Identifying options including respite for a caregiver, or transitioning to higher levels of care, changes in insurance
- Helping employers who have employees caring for a sick parent
Senior care management:
- Attending care planning and transition meetings to ensure continuity of care. We stay with the patient through all transitions.
- Non-clinical/non-medical "common sense" approach to understand the senior's perspective
- Ensuring patients have input and that their understanding of the situation is communicated with the caregiver
- Making sure the patient's voice, goals and wishes are recognized and appreciated
- Serving as a liaison to streamline communications among all caregivers
- Developing geriatric care plans with individuals, families and providers
- Helping you use health insurance and long-term care policies effectively to ensure coverage benefits are maximized and claims are paid
Prescription financial assistance programs:
- Identifying resources that help reduce or eliminate the cost of expensive medications and/or insurance
- Assistance with submitting applications for resources
- Helping you gather and submit financial information required to support your need and get lower cost medication
