CLIENTS

Serving America

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• The nation’s leading Healthcare Advocacy and Assistance Program• A distinguished roster of more than 6000 clients across the nation• An outstanding management and team with unparalleled experience in healthcare and health insurance benefits• A full-time staff of clinical and health benefits professionals who are objective and competent• Powerful and proprietary infrastructure and systems to support our clients• A privately-held company founded in 2001• Financially strong, profitable and debt-free• Directly penetrated a broad cross section of employers, unions, governmental entities, and insurance carriers • Enjoys established relationships with brokers, consultants and other distributors

throughout the country

An Overview of Health Advocate

OVERVIEW

SOLUTIONS

HealthAdvocate

A Complete Spectrum of Business Solutions

Complementary Solutions

Wellness andWork/Life Support

BenefitsGateway

Cost-SavingSolutions HR Solutions

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Medical Bill Saver™Wellness Advocate™

EAP and Work/Life™

NurseLine™

Enrollment Advocate™Benefits Gateway™

Health InformationDashboard™

Medical DecisionSupport™

Independent AppealsAdministration™

FMLA Support™

Chronic CareManagement™

Core Health Advocacy

Core Health Advocacy Solution Close-up• Highly personalized

• We do the work for the member

• Helps members navigate healthcare and insurance-related issues

• Experts who know the ins-and-outs of the healthcare system

• Saves time and money

CORE HEALTH ADVOCACY

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Addresses the entire family’s needs

• Employee

• Spouse or Domestic Partner

• Dependent Children

• Parents and Parents-in-law

ELIGIBILITY

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What is a Personal Health Advocate?• Typically a registered nurse with considerable

experience in the medical delivery system

• Supported by physicians and specialists in claims management, behavioral health, social work and other specialties

• Single, ongoing contact person

• Chosen for medical expertise, commitment to service excellence and strong problem resolution skills

PERSONAL HEALTH ADVOCATE

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How We Help• Find qualified doctors, dentists, hospitals,

other healthcare providers anywhere in the country

• Expedite appointments including thosewith hard-to-reach specialists; arrange for specialized treatments and tests

• Provide comparative health cost estimates

• Help resolve insurance claims

• Negotiate billing and payment arrangements

• Assist with eldercare such as finding adult daycare, assisted living and other related issues facing parents, parents-in-law

• Work with insurance companies to obtain appropriate approvals for needed services

• Obtain unbiased health information about complex medical conditions to help make informed decisions

• Answer questions about test results, treatments and medication prescribed by the physician

• Assist in the transfer of medical records, X-rays and lab results

• Locate and research the newest treatments for a medical condition

• Explain benefits and help facilitate access to appropriate care

HOW WE HELP

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• Plan savings –

i.e. less ping ponging around system, guidance to more appropriate services, pre treatment health cost estimator, wrong charges

• Member savings –

i.e. forgiveness of provider charges, negotiation of out of pocket, correction of wrong coded claims

• Time savings for HR Staff and Employee

• Peace of mind which leads to better focused employee

• Greater value and use of other benefits provided by you

• Health Advocate coordinates and facilitates as appropriate during course of assisting employee

Business Rationale for Health Advocate

BUSINESS RATIONAL

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Business Rationale for Health Advocate continued…

• Buffer for company on all issues

• Support for increasing employee/consumer role– Facilitate where needed– Pre Treatment cost estimator may reduce claims– Negotiate down remaining out of pocket by as much as 50%

• Easy access and support for decentralized workers on job sites

• Proven resource for catastrophic or unexpected situations ( i.e.- Hurricane Katrina Victims )

• Provide information and perspective to employer on any plan policy issues

• Assist with acquisitions and benefit platform changes

• Great resource for suspect disability cases

• Wellness solutions including personal one on one coaching

BUSINESS RATIONAL CONTINUED

Thank You

For more information contact:

Bowie Hogg

Assistant Vice President, Sales

817.962.0207

bhogg@healthadvocate.com

CONTACT

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