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How it works:

Care Guide employs experienced nurse advocates available to provide patients and their families with:

  • Research and information on disease and illness as well as available treatment options.
  • Assistance in obtaining services, appointments, travel needs at Centers of Excellence.
  • Coordinate treatment plans and necessary services with physicians and health plans  to ensure compliance.
  • Assist in obtaining referrals and insurance authorizations for specialized care at Centers of Excellence.
  • Assitance with insurance claims and appeals.

Care Guide supports the consumers growing demand for information and support to improve  their health care outcomes and control cost.

Who benefits:

Patient – assistance with educational material and information, obtaining services, appointments, travel needs and coordination of care.

Health Plan – cost savings through management of specialized medical services provided to members seeking treatment with several physicians or Centers of Excellence.

Physician – improved coordination of care for their patients needing specialized services and treatments.

 

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