|[February 18, 2013]
Patient Advocate Foundation, Aetna Offer Program to Help Members Navigate the Most Complex Access and Coverage Issues
HARTFORD, Conn. & HAMPTON, Va. --(Business Wire)--
Patient Advocate Foundation (PAF) and Aetna (NYSE:
AET) announced today a joint effort to help members navigate the
sometimes unavoidable complexities of the health care system.
Personalized information and resources offered through the Aetna
Clinical Appeals Care Line help members with complicated health care
cases and, most importantly, get them needed care.
The Care Line is part of Aetna's commitment to give members support,
when they need it, to make confident choices and live a healthier life.
"We are proud that nearly 92 percent of our group medical members are
satisfied with the service they get from Aetna. But sometimes they need
financial support and assistance to supplement what their health plan
covers," said James D. Cross, M.D., Aetna's head of National Medical
Policy and Operations. "We are glad to offer a resource that helps
members maximize their coverage, connect to community support and make
informed health care decisions."
Aetna members who may benefit from the services are referred as part of
Aetna's appeals process. Members can access PAF through the Care Line.
This dedicated phone line is staffed by professional case managers from
PAF's Mission Delivery team. They use their knowledge of coverage
issues, health care resources and clinical experience to independently
find solutins when members face challenges. Their patient-focused
approach assists members with:
Research and resolution of claims pending coverage
Screening and enrollment for Medicare, Medicaid and Disability
Referrals to local, state or federal resources
"We are pleased to help Aetna members when potential barriers to the
health care system can't be overcome through a health plan alone," said
Beth Patterson, PAF's president of Mission Delivery.
Aetna and PAF began working together last year. Their relationship has
benefitted members by making health care easier to understand, access
"Aetna members now have another dedicated support team for clinically
complex issues. They will appreciate the attention, expertise and
guidance of PAF," said PAF Founder and CEO Nancy Davenport-Ennis.
About Patient Advocate Foundation (PAF)
PAF is a national non-profit organization, established in 1996, that
seeks to safeguard patients through effective mediation assuring access
to care, maintenance of employment and preservation of financial
stability relative to their diagnosis of chronic, life threatening or
debilitating disease. Patient Advocate Foundation has been consistently
rated as a 4-star "exceptional" charity by Charity Navigator, the
foremost independent evaluator of charities in the United States. For
more information about Patient Advocate Foundation, please visit www.patientadvocate.org.
Aetna is one of the nation's leading diversified health care benefits
companies, serving approximately 37.3 million people with information
and resources to help them make better informed decisions about their
health care. Aetna offers a broad range of traditional, voluntary and
consumer-directed health insurance products and related services,
including medical, pharmacy, dental, behavioral health, group life and
disability plans, and medical management capabilities, Medicaid health
care management services and health information technology services. Our
customers include employer groups, individuals, college students,
part-time and hourly workers, health plans, health care providers,
governmental units, government-sponsored plans, labor groups and
expatriates. For more information, see www.aetna.com.
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