You have questions about a bill or statement
If you receive an Explanation of Benefits (EOB) statement from an insurance carrier or a billing statement
from a physician’s office or hospital that you do not understand, get help by contacting Advocacy Services
and having an expert look into your situation. In order to reach a quicker resolution, you may also want
to get a basic explanation from your health plan as well.
You need to locate a provider in your plan
There are a number of ways you can find a physician or specialist who participates in your health plan network.
You can contact an Advocate, visit your insurance carrier’s website, or call the insurance carrier’s
customer service department
When you make an appointment with a medical professional, remember that it’s always a good idea to verify
that he or she participates in your health plan network.
You don’t understand a diagnosis
Understanding health explanations, diagnoses, and treatments can be very difficult. That’s why it’s always
a good idea to ask your physician questions about things you don’t understand. Still, there are things
you may need to research and questions you may not think to ask until after you’ve left the office.
That’s where Advocacy Services comes in. If you received an explanation of a diagnosis and don’t fully understand
it, contact an Advocate to help you.
You need a second opinion
If you or someone you love is facing a major medical procedure and is not confident in a diagnosis, it’s
always a good idea to get a second opinion from a respected source. Contact Advocacy Services to have
an expert look into your situation. An Advocate can provide you with information on the latest treatment
options, and help to arrange a second opinion from a physician in your network.
You don’t understand how your benefits work
Contact Advocacy Services when available plan information is not helpful and you need help understanding
how your benefits work.
You want to prepare for a visit with your health care provider
Contact Advocacy Services to speak with a clinician who can help you understand what to expect during the
appointment, prepare questions to ask your health care provider, and follow up after the appointment
to ensure you understand your diagnosis and treatment options.
You have a question about medication options, treatment options, or tests
Contact Advocacy Services to discuss your medication and treatment options, test results, diagnosis, and
any other health-related questions with a clinician (typically a Registered Nurse) who has access to
information on the most up-to-date medical education and guidance. Your Advocate can also refer you to
applicable resources–such as wellness programs, community resources and support groups–to help you manage