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Retirees have a wide range of healthcare and insurance needs. Whether facing a serious health problem, transitioning to a new plan, or dealing with a confusing bill, members need experienced support to navigate the many questions that arise when it comes to retiree health benefits.
Creating a positive experience through retiree healthcare advocacy is our priority—and it starts with people. Our Retiree Advocacy Services are at the heart of everything we do. We deliver on the promise of improving the health and happiness of the people we serve. Retirees talk to a live Advocate based in the U.S.—no chatbots or call hold times—who helps to proactively resolve any healthcare benefits challenge they face.
Navigating retiree healthcare benefits is challenging. Let us be your guide. Helping retirees successfully find their way through the complicated Medicare landscape is our passion—and our involvement doesn’t stop there. We pride ourselves on providing support through their entire benefits journey. Our Advocates are dependable, compassionate, and focused on creating meaningful, lasting impacts on retirees’ lives.
Wading through retiree healthcare benefits can be daunting for plan members. There can be multiple plans and confusing language—and things can change annually. Our Advocates offer a guiding hand to help members fully understand their benefits, options, and resources. They proactively help retirees with everything from formulary, tier, and copay assistance, to educating seniors about their network and doctors that are available to them, to calls with Medicare, Social Security, healthcare providers, and pharmacies, to understanding prior authorizations, generic availability, and other pharmacy-related questions.
Administrative details can be the most frustrating part of healthcare benefits. We take care of that too. Our Advocates can update personal information, obtain ID card replacements, assist with claims, billing, and payments, and help file applications for various programs. The list goes on and all retirees need to do is ask.
Most members can’t keep up with all the programs available to them. We proactively reach out to retirees to educate them on available wellness, clinical, and other preventative care benefits through our Gaps in Care program, connecting them to resources that can help reduce gaps in care and improve their health.
Providing retirees with personalized support throughout every phase of their healthcare journey means going the extra mile. Unlike traditional call centers, we don’t use call menus. We believe in direct, human-to-human communication, with an average speed of answer from a live Advocate at 17.33 seconds. All of our 160+ Advocates are based in the United States. We don’t focus on call handling times; our sole focus is on meeting our members’ needs with quality interactions, no matter how long it takes.
With Retiree Advocacy Services, all member cases are assigned a dedicated Advocate as first point of contact. Advocates develop a one-on-one relationship with members and take responsibility for follow-up calls and end-to-end issue resolution of retiree needs. Unlike any other advocacy programs, our Advocates proactively reach out to provide status updates, ensuring members know we are working on a resolution. RetireeFirst’s proven, human-centric approach is the cornerstone of our members’ satisfaction and it’s why we receive a 90+ Member Net Promoter Score (NPS) from members surveyed every month.
Through trusted relationships with individual retirees, Advocates proactively engage members around additional benefits available through their plans. Connecting members with programs and initiatives focused on mental health, fitness, nutrition, and other benefits leads to happier, healthier retirees, resulting in lower overall costs, a significantly reduced administrative workload for plan sponsors, and greater satisfaction for all.
Connect with our team to learn how our Medicare experts can maximize group benefits and get your retirees the care they deserve.