Accessing and understanding healthcare benefits can often be a daunting task. Amberwell understands the complexities and challenges you face when navigating the healthcare system.
That’s why we’re thrilled to introduce a valuable resource designed to assist you and your family on this journey—Medicaid Optimize at Amberwell.
Amberwell’s healthcare benefits navigator is a knowledgeable and compassionate professional dedicated to helping you make informed decisions and maximize your healthcare benefits.
This invaluable service will help with:
Amberwell’s Navigator can help determine eligibility for Medicaid by assessing income, assets, and other qualifying factors. The navigator then guides clients through the application process and helps to gather the necessary documentation to support eligibility.
Amberwell’s navigator can assist Medicaid patients in completing and submitting their application forms accurately and efficiently. The navigators help explaining application requirements, assisting with gathering supporting documents, and ensuring that all necessary information is provided often increases the chances of a successful application.
Medicaid offers multiple managed care plan options to beneficiaries. Amberwell’s navigator can explain the differences between these plans, including provider networks, benefits, and coverage limitations. This helps with understanding choices and selecting a plan that best meets individualized healthcare needs.
Amberwell’s navigator can explain the scope of Medicaid coverage, including preventive care, doctor visits, hospital stays, prescription drugs, mental health services, and more. Our navigator wants to ensure understanding of benefits and that each person who needs care knows how to access necessary healthcare services.
In cases where challenges with Medicaid benefits, such as claim denials or coverage disputes have been encountered, Amberwell’s navigator can act as an advocate. Our navigator excels at helping to navigate the appeals or grievance process, liaising with the Medicaid agency or managed care organization, and working to resolve issues and ensure patients receive the benefits they are entitled to.
Amberwell’s navigator is familiar with other healthcare and social service programs that may benefit Medicaid patients. They can refer to community resources for additional support, such as transportation assistance, housing services, food assistance programs, mental health counseling, or substance abuse treatment.
Medicaid coverage typically requires periodic renewal. Amberwell’s navigator can help with the renewal process, ensuring understanding of the requirements and deadlines. They provide guidance on completing renewal forms and assist with any necessary documentation, helping clients to maintain continuous Medicaid coverage.
Medicaid patients may need help finding healthcare providers who accept Medicaid. Our Navigator can provide a list of participating providers in the community and assist in scheduling appointments with Medicaid-accepting doctors, specialists, hospitals, and clinics. This helps clients connect with appropriate healthcare providers who can deliver needed services.
