Testimonials
Welcome to our Testimonials page, where our clients share their experiences and success stories with Benefit Advocates.
Discover firsthand accounts of how our dedicated team has made a difference in navigating the complexities of healthcare and Medicare benefits. From resolving claim disputes to providing compassionate support, our clients’ feedback highlights the value of our services and our commitment to excellence. Read on to see how Benefit Advocates has positively impacted the lives of individuals and organizations alike.
Do you have any questions?
800-344-5677
When was the last time you called an insurance company, or just about any large business, and real person actually answered the phone?
When you call Benefit Advocates during regular business hours (8 a.m. – 6 p.m.), you will get to talk to one of our associates right away. No complex menus to sift through. No leaving a message for a call-back that may not come for several hours. Just a person who can help you work to solve whatever issue you may have with an insurance claim.
Think it’s impossible? Here’s is what one Benefit Advocates’ client recently sent to us in an email:
“It was so refreshing to speak to a real person. Not having to listen to recordings demonstrate a genuine caring for your business and your customers. In my opinion, our lives would be much simpler if more companies reverted to this philosophy.”
How can we help you?
A recent need came to our attention from Ms. C. She needed a new prescription filled that was costly and it was also difficult for her to regularly get to her pharmacy. Not only were we able to arrange mail order service for her, we also determined she was able to get a three-month supply of the prescription filled at a time, which translated into a fairly significant savings as well.
“Thank you so much. It may be a little more than I have been paying at one time, but will save so much time and money with the elimination of trips to the pharmacy!
Thank you so much for the always excellent and prompt service!”
MC
An individual was being billed over $12,000 for an air ambulance required for his son. The insurance company had denied payment to the provider saying it was medically unnecessary for the situation based on what the provider had indicated. Benefit Advocates realized the provider was not in compliance with the insurance company by billing the member. At Benefit Advocates’ prompting, the insurance company contacted the provider to advise that the charges must be written off. Once the provider was faced with this fact, they then provided the insurance company with the correct information in order to get the claim paid. And instead of paying $12,000, the individual ended up with a bill of around $100 to pay because an advocate got involved in the situation.
A Medicare Coordination of Benefits issue arose when a spouse who was on the actively working employee’s insurance plan was about to turn 65. An advocate determined which entity, the employer’s medical plan or Medicare, was the actual primary payer for any medical claims, and changes were made accordingly with the employee’s spouse’s Medicare plan to fix the problem. Benefit Advocates was able to cut through all the misinformation the employee and spouse had received and redirected them to the correct solution.
A sharp price increase in her daughter’s insulin caused an employee to reach out to Benefit Advocates to see if it was a mistake or the new reality. The advocate questioned the Rx insurance company and communicated with the employer’s HR department. The advocate’s steps led to the discovery that an overlooked plan benefit needed to be reinstated for the new plan year. In the end, the advocate was glad to let the employee know that the cost of her daughter’s insulin would remain at the same level they had been paying during the previous year.
A Benefit Advocates’ client, Mr. J., contacted us after spending months trying to resolve a claim issue. His health insurance denied his cardiac rehabilitation, and he was billed $5,000 by the care provider. The rehab was denied because the insurance required an inpatient admission due to a cardiac event prior to the rehab. Mr. J. was in fact admitted to the hospital from an emergency room visit for pneumonia. During the hospital stay he was also diagnosed with systolic heart failure and cardiomyopathy. The insurance denied the cardiac rehab because the initial diagnosis was pneumonia. Benefit Advocates filed an appeal to the insurance company, which included documentation from the cardiologist and discharge summary notes from the hospital. All documentation indicated Mr. J. was diagnosed with congestive heart failure during the hospital stay. Based on the documentation submitted, the insurance company overturned the denial of the cardiac rehab, and all of the claims were paid.
Mr. J. was ecstatic with the good news. He indicated he would have never been able to resolve the claims issue without our help. He was very impressed with the professionalism and the thoroughness of which we pursued the issue.
Unlocking the Power of Advocacy
Don’t let the complexities of healthcare impede your employees’ productivity. With Benefit Advocates by your side, you can trust that your employees have compassionate advocates with the expertise to navigate the challenges of health insurance claims. Whether it’s tackling issues with health, dental, or vision claims, educating about HDHP/HSA plans, managing annual enrollment, or providing guidance on Medicare, we’re here to advocate for your employees every step of the way.
