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- Problem: Identifying billing errors
Elizabeth had been trying for more than a year to get her health insurance to cover
the cost of a lengthy hospital stay as stated in her plan.
- Solution:
Health Proponent found a coding mistake in the paperwork and worked with Elizabeth's
doctor, hospital and health plan to correct it. Finally, all claims were processed
for payment, saving Elizabeth $3,500.
- Problem: Comparing medical costs to generate
savings
Kelly's child needed tubes in her ears because of repeated ear infections. She wanted
to compare costs for this procedure and also wanted an estimate of what she could
expect to pay.
- Solution:
Health Proponent researched cost estimates for this procedure in her area, provided
a detailed report listing low, likely, and high costs, and explained what her out-of-pocket
costs were likely to be. This resulted in a potential savings of more than $7,000
dollars.
- Problem: Obtaining government coverage
Sally suffered a fractured hip resulting from osteoporosis, leaving her unable to
stand for prolonged periods or to return to work. Her isolation worsened when her
application for Supplemental Security Income (SSI), which would cover the cost of
a walker, was held up.
- Solution:
Health Proponent helped facilitate Sally's application for SSI coverage back to
the onset of her disease. Our staff also located an appropriate support group to
help Sally deal with the pain and difficulties she experienced with her limited
mobility.
- Problem: Finding eldercare support
Karen needed help finding in-home care for her elderly mother, who wanted to remain
living at home.
- Solution:
Health Proponent worked with Karen's local Office of Aging and located in-home care
and an emergency call-button device for her mother. This allowed Karen's mother
to remain in her home.