Health Advocacy Services

Your Health Advocacy Services

 

Cigna offers health advocacy services to help faculty and staff—and their families resolve healthcare issues and health insurance challenges.

Personal Health Advocates are nurses with more than 10 years of experience in clinical care and case management; they are benefits experts with more than five years of experience in benefits administration and claims management; and they are trained clinical professionals (e.g., social workers, behavior change counselors, nutritionists, dieticians, dental care and pharmacy management).

How Personal Health Advocates Can Help

  • Find the right doctors, hospitals and other healthcare providers; expedite appointments
     
  • Explain complex medical conditions; research and locate the latest treatments
     
  • Coordinate care and schedule follow-up visits; facilitate second opinions; transfer X-rays and medical records
     
  • Arrange specialized treatments and tests; answer questions about results, treatment options and prescribed medications
     
  • Clarify benefits including copays; help facilitate access to appropriate care
     
  • Offer personal contact with nurses to support treatment decisions
     
  • Resolve insurance claims; negotiate billing 
     
  • Help locate eldercare services including assisted living and adult day care; address other issues facing parents and parents-in-law

Special Help for Seniors

  • Retirees transitioning to a new health plan
     
  • How to enroll in Medicare; dependents under 65
     
  • Clarify Medicare Parts A, B, D and supplemental plans
     
  • Locate eldercare services that fall outside traditional healthcare coverage
     
  • Assist with the transition from traditional insurance to Medicare HMO
Special Help for Children
  • Help locate providers and services, schedule appointments for medical tests, specialists or second opinions
     
  • Clinical experts answer questions about diagnoses, test results, medications and treatment options
     
  • Advocates find in-home care, special day camps, group homes and school-and community-based services
     
  • Get help to locate autism-spectrum disorder-friendly doctors, dentists, hair dressers and leading treatment centers

Medical Bill Saver

  • Negotiations for uncovered medical or dental bill with a balance of $400 or more 
     
  • Use of critical pricing trend information 
     
  • Easy-to-read Savings Result Statement that summarizes negotiation outcome 
     
  • Provider sign-off on payment terms and conditions 
     
  • Quick-Pay Fund available in applicable instances