Health Advocacy

Your Trusted Support for All Things Medical

Members or employees and their families are provided with confidential, one-on-one help from an industry expert who knows the ins and outs of the complex healthcare system. A team of trained Personal Health Advocates is skilled at working with healthcare providers, insurance plans and other health-related organizations to resolve complex clinical and administrative issues. Whether it’s deciding the right course of treatment, understanding care options, or resolving a billing issue, there are experts that will help members or employees, no matter what the issue — saving time, money and worry.

Get improved health outcomes at lower costs. 

Clinical Support:

Explanation of diagnosis and treatment options

Support following a difficult diagnosis

Coordinated care for complex medical issues

Hospice arrangement and other services for terminally ill members

Coordinated benefits between doctors and insurance companies

Best-in-class providers researched and located for second opinions

Coordinated transfer of medical records, X-rays and lab results

Rehabilitation research, adult day care and homemaker services

Inpatient private duty nursing and home health aide services locater

Arrangement for home care equipment following discharge from the hospital

Help with Administrative Issues:

Assistance in finding the right doctors, hospitals and other providers

Help with scheduling tests and appointments

Support in untangling medical bills and resolving insurance claims and billing issues

Eldercare services and community resources locations

Answer benefit questions:

Explanation of benefits coverage and resolution of errors with providers and health plans

Locations of in-network providers

Resolution of eligibility issues and benefit/claim denials

Ready to get started with Prosper Benefits?

Ready to get started with Prosper Benefits?

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