Concierge, Navigation & Copay Clarity
FiveStar Health: Concierge Program
When employers enhance their benefits with our FiveStar Health concierge program, members have a single point of contact for every aspect of their benefits plan. Members call a dedicated 800 phone number to speak with their FiveStar Health Navigator who simplifies the healthcare process, works with their Prairie States team, and provides guidance on making informed decisions.
- Answer questions on benefits,coverage, eligibility, and claims
- Hand-off to Prairie States’ in-house nurses
- Help members find in-network providers
- Connect members with external partner programs, staying on the phone through a warm call transfer
Navigation: Guiding Members to the Best Care at the Best Cost
When employers enhance their FiveStar Health concierge program with our Navigation service, they give members the guidance they need to make smart healthcare choices. It all starts with the employer-sponsored clinic that offers affordable access to preventive and diagnostic care. If you need to see a specialist or have an elective procedure, the clinic is in the best position to guide you to high quality, low cost provider options outside the clinic’s scope of services. Our FiveStar Health Nurse Coordinator works with the clinic and providers to help members choose top-rated, low-cost care!
Copay Clarity: Upfront Prices for All of Your Care
When employers elect our Copay Clarity variable copay health plan, their members have no deductibles and no coinsurance – only copays and out-of-pocket maximums. Copays cover 100% of what members owe per care visit and are set in advance. When members use high value providers, they are rewarded with lower copays! Plus, with the Copay Clarity online tool, members have the option to lock in exact copay amounts, which are based on provider value for quality and cost. Our FiveStar Health Concierge is also available to assist members with the online tool or can search for provider options on behalf of members.
