How We Help

Patient Advocates do not provide medical services or medical, legal, or financial advice and are not a substitute for medical or other professional care.
If you believe you are having a medical emergency, please call 9-1-1 or go to the nearest emergency room.
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With 30 years of experience working inside our healthcare system, we help our clients to:

  • Understand their diagnosis and treatment options
  • Make informed decisions for their care
  • Create and/or strengthen support systems, including medical teams
  • Provide research and sourcing for providers, including facilities
  • Assist with navigation and selection of employment and health insurance benefits, including Medicare, employer, and Marketplace plans.
  • Explain and negotiate insurance denials and provider bills

Some Examples

Newly diagnosed with cancer, John wanted to continue working while he was going through treatment. He wasn’t familiar with his disability benefits and his employer’s approach to FMLA so he could plan financially if he needed to take time away to focus on his health. John also wanted to research alternative medical treatments that he could safely use while undergoing traditional treatment. He wondered about when/if to consider clinical trials.

  • After reviewing John’s job description, disability policies, and medical coverage, Pathfinder was able to work with John’s physicians to complete FMLA paperwork so that John could continue to work but clearly address his needs for time off for treatment.
  • Research on herbal and other non-traditional treatments provided John information he needed for effective communication with his oncologist to utilize both traditional and alternative treatments.
  • Pathfinder also advised John on how his insurance coverage dealt with clinical trials and kept him abreast of new trials as they came up for which he might be a candidate.

Rachel had recently moved to an assisted living facility and needed to access her long term care insurance benefits to afford her fees there. She'd purchased her policy many years ago and was unclear what it covered and how to file a claim. In addition, Rachel didn’t know how to monitor what her insurance would pay and what was her responsibility to pay.

  • After reviewing Rachel's policy, Pathfinder laid out clear steps to activate policy coverage.
  • Pathfinder provider guidance to Rachel's doctor as to how to document her needs for assistance to comply with her plan requirements.
  • After the claim was approved, Pathfinder helped Rachel file her monthly invoices for reimbursement.
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Brad was eligible for Medicare, but wanted to continue working for a few more years. His wife was covered by her employer's health plan but changed jobs a year before she would be eligible for Medicare.

When Brad retired, Pathfinder did a financial evaluation of his costs under Medicare, as well as his costs under his wife's new employer coverage to help determine the optimal coverage and costs for them both.

Elena had twin sons who had been covered under her ex-husband's health insurance until they were turning 26. Both had chronic health conditions and were residing in different states. Pathfinder researched available plans on each state's individual insurance marketplace. Based on the family's budget and provider preferences, Pathfinder provided financial analyses for the plans that best aligned with Elena's goals and supported each young adult's enrollment.

*These are composites of actual patients. Details have been modified to protect patient privacy.

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