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1. What is Patient Care?. ► Here to help you navigate through the health care system and help you become a better health care consumer ► Totally independent – not affiliated with any insurance company ► Real people helping real people
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What is Patient Care? ► Here to help you navigate through the health care system and help you become a better health care consumer ► Totally independent – not affiliated with any insurance company ► Real people helping real people ► Headquartered in Milwaukee, Wisconsin ► Free and confidential
Patient Care Simplifies It! • Your Advocate will explain: • The basics of a health plan • What your plan covers • How best to use your plan 1 2 3 3
Using Patient Care Before Your Visit • ► Explain how health plans work • ► Help you find a Primary Care ffffPhysician • ► Research facilities in-network • ► Provide general education about FFwhat questions to ask your ffffdoctor • ► Provide cost and quality ffffinformation about tests and ffffprocedures 4
Using Patient Care After Your Visit ► Solving billing/claims issues ► Clarifying prescription drugs after a new prescription ► Assisting with follow up questions after a visit ► Finding Specialists in your network ► Locating providers for second opinions
How much will you pay for health care? Transparency of health care costs: Colonoscopy: $920 - $8,750 Mammogram: $110 - $2,900 MRI: $300 - $8,150 Ultrasound: $130 - $2,850 Delivery-Routine: $5,300 - $25,550 Bone Density Test: $210 - $3,900 CT Scan: $210 - $7,800 X-ray: $90 - $1,700 Vasectomy: $1,550 - $7,900 Sleep Study: $750 - $5,800
Comparing Cost This member had Patient Care compare prices for an upcoming radiology test. It would end up costing the member: $3,100 $1,584 $338 That’s a$2,762 difference!
How to be a better health care consumer 1. Call your Advocate 7 days before a test or elective procedure. 2. Your Advocate will research cost & quality of selected providers. 3. You make an informed decision about where to go!
Years in practice Number of procedures performed annually Accepting new patients Electronic medical records Electronic prescription ordering Important Quality Data Physician Quality Information Facility Quality Information Serious Complication Rate Blood Stream Infection Rate Blood Clot Prevention Rate Infection Prevention Rate
From members like you . . . “Through Patient Care I was able to obtain a very much needed form to approve something for my daughter. I would not have been able to get this form without the help of my Advocate.” “My Advocate was able to turn a$1,800 dollar MRI bill into an $85 dollar copay and dug deeply into a surgery my wife had and found an over payment of $80. You guys are great!” “LOVE PATIENT CARE. I call at least twice a month and am never disappointed!”
The missing piece of the health care puzzle Remember to contact Patient Care next time you have a question on your health care benefits!
866-253-2273 Monday – Friday 7am–8pm CT Saturday 8am–1pm CT patientcare4u.com Mobile app: patientcare4u.com/appy.pdf Se hablaespañol