Advocacy Services

The landscape of Healthcare is changing so quickly that it is almost unrecognizable from twenty years ago, and with the recent implementation of the ACA (Affordable Care Act), it has resulted in more personal responsibility for patients and how they seek and receive care.

QUEST GLOBAL BENEFITS realizes the importance and critical role ADVOCACY SERVICES plays in saving money and ensuring the proper medical services are utilized at the appropriate time.

ADVOCACY SERVICES can help employees and their eligible family members navigate healthcare and insurance-related issues.

  • Find the right doctors, hospitals, including specialists
  • Clarify insurance coverage and benefits
  • Coordinate Care and schedule follow-up visits
  • Gap in Care coaching
  • Arrange specialized treatments and tests
  • Help resolve claims issues
  • Help negotiate medical bills
  • Coach employees with chronic conditions
  • Assist with preventive care
  • Address eldercare issues

YOUR PERSONAL ADVOCATE:

  • Access to a Registered Nurse with over 10 years of experience in clinical care, case management, nursing education and administration
  • Benefits Expert with over 5 years of experience in benefits administration, claims management and group provider administration
  • Trained clinical professionals; social workers, behavior change counselors, nutritionists, dieticians, dental and pharmacy management.
  • A single contact person—DIRECT DIAL PHONE NUMBER and Email.
  • Problem solving and communication skills that resolve issues

ABOUT OUR PROVIDER:

  • A Leader in healthcare advocacy and engagement solutions
  • A Distinguished roster of 9,500+ nationwide clients, serving over 40 million members
  • Outstanding, experienced management team
  • Expert staff of healthcare, benefits and insurance professionals
  • Powerful and proprietary infrastructure
  • Strong brand recognized as objective and well-respected
  • Integrated, multi-solution platform designed to reduce medical costs and improve healthcare outcomes
  • Recipient of major awards including Deloitte’s North America Technology Fast 500™, Best Places to Work, Healthiest Companies

BROAD COVERAGE, INCLUDING:

  • Employee
  • Spouse
  • Dependent Children
  • Parents and Parent-in-law

FOR EMPLOYERS:

  • Receive program utilization information
    • ROI
    • Trending Solutions
    • Identify opportunities
  • Identify productivity and medical cost savings
  • Utilize comparative information
  • Receive member feedback
  • Identify opportunities for improvement

FOR SENIORS:

  • Assist in transition from traditional coverage to Medicare HMO
  • How to Enroll in Medicare
  • Utilize comparative information
  • Clarify Medicare A, B, D and supplemental plans
  • Inform about pre-existing conditions
  • Locate elder care services
  • Facilitate elder care management intervention

ADVOCACY SERVICES are one of the most critical benefits outside of Health Insurance itself—it provides assistance when and where it is needed to ensure the best care is provided at a competitive price, and it gives the patient important and convenient options.