Healthcare Advocacy, Solving health benefit issues
12120 State Line Road, Suite 276, Leawood, KS 66209, 816.268.0334
12120 State Line Road, Suite 276, Leawood, KS 66209, 816.268.0334
Evaluating Your Health Plan
Our most popular package is the Personal Healthcare Coverage Review.
We help you explore your benefit alternatives from private health plans (e.g.,
employer-sponsored coverage, COBRA, individual insurance), foundations,
public programs, free and/or discounted healthcare. This involves a
personalized assessment of your goals, issues, and concerns to help find best
plan to address them.
Our staff has written 100’s of insurance contracts and negotiated 1,000’s
more. We evaluate:
How does the HMO or insurance company compare?
Do costs and coverage meet your needs?
Your Costs
Your Coverage
Additional health plan questions.
We offer this service on the basis of a flat-fee-per-project of $500. Other
payment arrangements may be available.
Our most popular package is the Personal Healthcare Coverage Review.
We help you explore your benefit alternatives from private health plans (e.g.,
employer-sponsored coverage, COBRA, individual insurance), foundations,
public programs, free and/or discounted healthcare. This involves a
personalized assessment of your goals, issues, and concerns to help find best
plan to address them.
Our staff has written 100’s of insurance contracts and negotiated 1,000’s
more. We evaluate:
How does the HMO or insurance company compare?
- Is it accredited? (This goes beyond being merely licensed by a state.)
- How strong is it financially? Will it be around when you need it?
- What grade does it get from consumers for service and quality?
Do costs and coverage meet your needs?
Your Costs
- Premium.
- General out-of-pocket expenses (deductibles, coinsurance, co-pays).
- Limits/ extra out-of-pocket costs for specific conditions/ diseases.
- Life-time, calendar-year, and other benefit maximums.
Your Coverage
- Primary care and preventive care.
- Emergency services.
- Medical / surgical care.
- Physician services.
- Hospitalization.
- Outpatient services.
- Day surgery and related anesthesia.
- Diagnostic imaging and screenings, including x-rays.
- Maternity and newborn care.
- Prescription drugs.
- Radiation and chemotherapy.
- Mental health and substance abuse services
Additional health plan questions.
- How long must your family wait for benefits to begin?
- Do you have special medical needs, such as a chronic condition?
- Are there restrictions on access to doctors, hospitals, other providers?
- Are referrals required for specialists, surgery, lab or X-ray?
- What procedures are required for a referral?
- Is there coverage for out-of-network care?
- Are there additional out-of-pocket expenses for out-of-network care?
- Do you have access to after-hour and emergency care.
- Exclusions and limitations.
- What benefits are not covered?
- For which conditions are benefits limited?
- What is the plan's appeal procedure?
We offer this service on the basis of a flat-fee-per-project of $500. Other
payment arrangements may be available.
- Copyright © Healthcare Advocacy. All rights reserved.
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| Personal Healthcare Coverage Review |