1.
Your HHA advocate can communicate with health plans to review and correct claim information
2.
Let HHA appeal health plan decisions to ensure coverage of the claim
Health Insurance Denials?
Case Study:
A client's doctor mistakenly thought that a $50,000 procedure was covered by the client's health plan. Houston Health Advocacy appealed on the basis of medical necessity and the health plan covered the claim.
Difficulty Assessing Benefits?
1.
Reviewing health plan certificate of coverage to medical care
2.
Your advocate will work with doctors, clinics, and hospitals for proper documentation, ensuring coverage
Case Study:
A client's claims were denied by their health plan. Houston Health Advocacy researched their health plan benefits and discovered that their claim had been denied incorrectly, notified their health plan and got their claim covered.
Confusion about your plan?
1.
We can review health plan choices during enrollment periods
2.
HHA will advise on selections of plan choices based on your needs
Case Study:
A client called Houston Health Advocacy when they were trying to decide whether to take a new job based on the benefits offered. Houston Health Advocacy reviewed the new job benefits and helped the client decide.