Does Insurance Cover Patient Advocates?

Navigating the healthcare system can feel overwhelming, but patient advocates simplify the process and support you every step of the way. Thanks to updated policies—especially Medicare’s expanded coverage in 2024—these services are now more accessible for Solace patients.

Does Insurance Cover Patient Advocates?

For Medicare recipients, the answer is a simple yes—Solace’s advocacy services are covered.

• **Original Medicare (Starting 2024):** Medicare now covers Solace's patient advocacy services, meaning eligible patients face little to no out-of-pocket costs.
• Medicare Advantage Plans: Many Medicare Advantage plans cover Solace advocates as well.
• Private Insurance: While coverage is currently available only to Medicare patients, access may expand in the future. For the moment, some employer-sponsored or marketplace plans may offer advocacy services like case management, but benefits vary.

Before matching you with an advocate, Solace verifies your coverage, so you’ll know what’s included from the start.

Not sure if you qualify? Verify your Medicare eligibility and get started.

Why Is Medicare’s 2024 Coverage a Game-Changer?

Medicare’s expanded coverage makes patient advocacy more accessible than ever.

• Comprehensive Support: Medicare-covered advocates handle tasks like care coordination, scheduling appointments, and appealing denied claims.
• Little to No Out-of-Pocket Costs: Medicare beneficiaries may have a co-pay, but nothing more.
• Better Access: More patients can now get personalized support without financial barriers.

If you’re a Medicare recipient, Solace can match you with an expert advocate—covered by your plan.

Learn how Solace can match you with an advocate.

Does Private Insurance Cover Advocacy?

It varies – and it depends on what you mean by advocacy. Let's break it down:

• Case Management Services: Many private insurers offer case management, where in-house nurses or case managers assist with coordinating care, especially for complex medical conditions.
• Hospital or Facility-Based Patient Advocates: Hospitals often employ patient advocates who provide support during hospital stays. These services are typically included as part of the hospital's offerings and can be covered by insurance.
• Looking Ahead: While Solace is Medicare-only today, access may evolve over time.

Have questions about your coverage? Solace can verify your Medicare eligibility and guide you through the process.

What If My Insurance Doesn’t Cover Advocacy?

If your insurance doesn’t include advocacy services, there may still be options for getting support.

• Facility and Insurer Resources: As already mentioned, hospital and facility-employed patient advocates may assist during a hospital stay, and some insurers offer case management for complex medical conditions—though these services often have limits.
• Community and Non-Medical Services: Some nonprofits and local programs help patients navigate health insurance coverage, though they may not provide the same hands-on support as an independent patient advocate.
• Private-Pay Advocacy: Some people seek advocacy through out-of-pocket services, but Solace focuses on helping Medicare patients access covered advocacy at little to no cost.

Solace is here to provide expert advocacy for Medicare beneficiaries.

Want to see if you qualify? We can check your Medicare eligibility today.

Why Should Medicare Patients Choose Solace?

From insurance companies to hospitals, many organizations and facilities offer some level of patient support. However, it's usually limited in both scope and duration – and your advocate may ultimately answer to the insurance company or hospital instead of you.

Your Solace advocate answers only to you – and they’ll work with you for as long as you need their support. They can help with wide-ranging tasks like scheduling doctor's appointments, coordinating care, and navigating insurance. And it's all covered by Medicare.

Interested in Solace? Don't wait – check your coverage now.

FAQ: Does Insurance Cover Patient Advocates?

Are Solace's patient advocates covered by insurance now?

Yes! As of 2024, Solace Advocates are covered by Original Medicare, as well as many Medicare Advantage plans.

What does Medicare’s new coverage mean for me?

Medicare recipients can work with Solace advocates at an affordable cost. You may have a co-pay, but Solace will never mail you a bill or send your bill to a collections agency. As a result, most Solace patients wind up paying nothing out-of-pocket.

How does Solace check if my insurance pays for an advocate?

We verify your coverage when you schedule your first call with one of our physicians, so you'll know you're covered before services even begin.

Does private insurance cover patient advocacy?

Solace is only available to Medicare and Medicare Advantage beneficiaries. Some private insurance plans may offer other limited advocacy through facility-employed advocates or case management services, but independent patient advocacy is rarely covered. We’re hopeful that access may expand in the future.