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Home » Services » Community Programs & Resources » Healthcare Benefits Navigation

Healthcare Benefits Navigation

  • Amberwell Health

MAKE AN APPOINTMENT TODAY!

HOW CAN A HEALTHCARE BENEFITS NAVIGATOR HELP YOU?

Healthcare navigators explore and discuss insurance options and benefits coverage. providing optimization services for Medicare, Medicaid, and Marketplace recipients.

OPTIMIZE YOUR HEALTHCARE INSURANCE COVERAGE with a Healthcare Benefits Navigator

PROVIDE INFORMATION

  • Discuss healthcare plans
  • Analyze coverage options
  • Discuss benefits

EVALUATE YOUR HEALTHCARE NEEDS

  • Recommend healthcare plans or programs that meet those needs

HELP WITH ENROLLMENT PROCESS

  • Medicare, Medicaid, and Marketplace

PROBLEM RESOLUTION

  • Liaise with insurance companies, healthcare providers, and regulatory agencies

PROVIDE ONGOING SUPPORT

  • Answer questions
  • Address concerns
  • Help you understand changes in coverage

MEDICARE OPTIMIZE

When beginning or renewing your Medicare coverage, contact our navigator to help you:

  • Understand your options
  • Choose the right coverage

SERVICES

  • Compare Medicare plans:
    • Benefits
    • Limitations
    • Provider networks
    • Medications
    • Costs
  • Eligibility determination:
    • Assess income, assets, and other qualifying factors
  • Enrollment assistance
    • Explain coverage, costs, and enrollment requirements
  • Supplemental insurance guidance:
    • Help with selecting supplemental insurance, such as Medigap policies

ONGOING SUPPORT

Medicare rules and benefits can change annually, and it’s important for you to stay informed about updates and make adjustments to your coverage if needed.

Navigators can:

  • Provide assistance with plan renewals
  • Help you choose the right plan when your healthcare needs change
Learn More

MEDICAID OPTIMIZE

Amberwell healthcare benefits navigators can assist you and your family on your healthcare journey with Medicaid.

With Medicaid Optimize, a personal healthcare benefits navigator helps you make informed decisions and maximize your healthcare benefits with Medicaid.

SERVICES

  • Eligibility determination
  • Application assistance
  • Plan selection
  • Coverage education
  • Provider network assistance:
    • Help finding healthcare providers who accept Medicaid
    • Assistance scheduling appointments with Medicaid-accepting doctors, specialists, hospitals, and clinics
  • Problem resolution
  • Renewal support
Learn More

MARKETPLACE OPTIMIZE

Our Marketplace Optimize service can play a vital role in helping you gain access to affordable health insurance coverage through the Health Insurance Marketplace.

SERVICES

  • Enrollment assistance
  • Plan comparison
  • Coverage education
    • Subsidy eligibility and application
    • Eligibility for premium tax credits and cost-sharing reductions based on income and household size
  • Problem resolution
  • Renewal support
  • Assistance with Special Enrollment Periods (SEPs):
    • Information about enrollment outside the regular open enrollment period
    • Explanation of the qualifying life events that make individuals eligible for an SEP
Learn More

CONTACT US

CALL

913-367-2650
8am-4:30pm
Monday-Friday

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