Title: Employee Healthcare Navigation and Advocacy Source: https://ethosbenefits.com/services/employee-advocacy Publisher: Ethos Benefits Summary: Ethos Benefits gives your employees real help with health care: choosing providers, understanding costs, fixing claims and bills, and financial assistance. 1. [Home](https://ethosbenefits.com/) 2. [Services](https://ethosbenefits.com/services) 3. Employee advocacy. # Employee advocacy. Help navigating care and bills. Your employees should not be sent to an insurance company's 800 number when something goes wrong. Ethos Benefits helps employees and their families choose providers, understand costs before care, file and fix claims, review medical bills, find hospital financial assistance, and move between providers without gaps in care. [Request a Strategic Analysis](https://ethosbenefits.com/strategic-analysis) ## What you get. Health care is confusing even for people who work in it. When an employee can't get an answer, the problem lands on HR, or it never gets solved. 1. **Choosing providers** Help finding providers in network, with cost and quality information where it is measured. 2. **Cost before care** What a service will cost before the employee receives it. 3. **Claim filing and problems** Claims filed, followed up and corrected when something goes wrong. 4. **Bill review** Medical bills reviewed for errors and resolved with the provider or the plan. 5. **Hospital financial assistance** Help applying for hospital financial assistance programs where employees qualify. 6. **Transitions of care** Support when employees change plans or providers, so treatment continues. ## Real help, _not a phone tree._ Your account manager is your employees’ first call for benefits problems: eligibility, claims, billing and finding care. Problems are tracked from received to resolved, and open service tickets are reported to you transparently, without sharing anyone’s health information. ## Why it _matters to the plan._ Advocacy is also how the plan saves money without cutting benefits: employees steered to better-value care, billing errors fixed before they are paid, and support in place for strategies like [reference-based pricing](https://ethosbenefits.com/services/cost-containment) that depend on it. ## Part of your Fiduciary Framework™. Every Ethos service reports to your benefits committee. The work is reviewed at your quarterly committee meeting, each decision is recorded with the reasoning behind it, and the record lives in your Ethos Fiduciary OS. That is what lets your committee show the plan was run prudently. [See the Fiduciary Framework™](https://ethosbenefits.com/fiduciary-framework) · [How fiduciary governance works](https://ethosbenefits.com/services/fiduciary-governance) ## Related reading. - [**What is reference-based pricing?** Benefits 101: How reference-based pricing works for self-funded health plans, why balance bills happen, where the No Surprises Act helps, and what employers need in place.](https://ethosbenefits.com/benefits-101/reference-based-pricing) - [**Medical vs. pharmacy benefits** Benefits 101: What counts as a medical benefit vs. a pharmacy benefit, why the same drug can be billed under either, and how that changes what an employer's health plan pays.](https://ethosbenefits.com/benefits-101/medical-vs-pharmacy-benefits) - [**Employee benefits management** Benefits 101: What employee benefits management covers, how it differs from strategy and administration, and a month-by-month calendar for overseeing your plan.](https://ethosbenefits.com/benefits-101/employee-benefits-management) [Browse everything in Learn](https://ethosbenefits.com/learn) ## Questions employers ask about this. How do employees reach Ethos? Through a two-way text and message line, by phone, and through the online benefits guide, with access around the clock to the guide and messaging. Does the company see employees’ health questions? No. Advocacy is handled by Ethos as a HIPAA business associate, and the company sees only combined, de-identified service reporting. Does advocacy cover dependents? Yes. Spouses and dependents get the same help as employees. ## Keep reading Related to this page. - [**Employee communications** Ethos Benefits runs year-round benefits communication and open enrollment: email, text, meetings, one-on-one enrollment help and a two-way message line. _Read more_](https://ethosbenefits.com/services/employee-communications) - [**Medicare coordination** Ethos Benefits helps your company and employees coordinate Medicare with the group plan: creditable coverage notices, secondary payer rules and timing. _Read more_](https://ethosbenefits.com/services/medicare-coordination) - [**Cost containment** Ethos Benefits evaluates and contracts cost containment for your plan: reference-based pricing, direct contracts, direct primary care and pharmacy programs. _Read more_](https://ethosbenefits.com/services/cost-containment) - [**Benefits administration and technology** Ethos Benefits builds and audits your benefits administration platform, sets up carrier and payroll file feeds, and manages carrier transitions. _Read more_](https://ethosbenefits.com/services/benefits-administration) - [**HR support** Ethos Benefits gives your HR team access to an HR hotline, handbook help, document review and training, alongside your benefits support. _Read more_](https://ethosbenefits.com/services/hr-support) ## See what your plan is really costing you. A Strategic Analysis starts with your plan documents and your broker agreement, then shows you what your plan costs, where the risk sits, and what a committee would decide with the full picture. [Request a Strategic Analysis](https://ethosbenefits.com/strategic-analysis) [Call (407) 803-4710](tel:+14078034710)