Amberwell’s Medicare Optimize is a free service that provides a healthcare benefits navigator whose goal is to help those eligible for Medicare to:
- Understand their options,
- Choose appropriate coverage,
- Resolve issues,
- Receive the maximum benefits from Medicare plans
Amberwell’s professional healthcare benefits navigators provide education, guidance, and support throughout the enrollment process and beyond, ensuring that Medicare beneficiaries can make informed decisions about their healthcare.
How Medicare Optimize from Amberwell helps you:
If you are Medicare eligible navigators can help you understand the different parts of Medicare (Part A, Part B, Part C, and Part D) and assist you in choosing the best options based on your personal healthcare needs. They can explain the coverage, costs, and enrollment requirements. Healthcare navigation professionals at Amberwell can help you to understand your choices and to make informed decisions.
Medicare beneficiaries have various options, including Original Medicare, Medicare Advantage (Part C) plans, and standalone prescription drug plans (Part D). Navigators can compare different plans, helping you to understand the benefits, limitations, provider networks, drug formularies, and costs associated with each option. This allows you to choose the plan that fits with your healthcare needs and budget.
Navigators can also assist you in understanding and selecting supplemental insurance, such as Medigap policies. They can explain the benefits of supplemental coverage, compare different plans, and help you choose a policy that provides additional financial protection and broader coverage alongside your Medicare benefits.
Medicare can be complex, with various rules, coverage limitations, and out-of-pocket costs. Amberwells Healthcare benefits navigators can provide education on what Medicare covers and doesn’t cover, including preventive services, hospital stays, doctor visits, and prescription drugs. They can help you to understand deductibles, copayments, coinsurance, and any limitations or restrictions on coverage.
Navigators often assist Medicare patients in resolving issues related to claims, coverage denials, billing disputes, or grievances. They can help patients navigate the appeals process, communicate with insurance companies, and escalate concerns to the appropriate authorities, if necessary.
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 you ongoing support, assisting you with plan renewals, changes in healthcare needs, and updates to your coverage. They can answer questions, address concerns, and help you to navigate any changes or transitions within the Medicare system.