Blog categorized as Healthcare Navigation
A pre-existing condition is a medical illness or injury that you have before you start a new health care plan. Just about any health condition existing prior to the start of a plan could qualify, so be sure to check with your health insurance provider as each company decides what is considered a pre...
Is Your Medication Covered?
You can find out by calling your insurance provider and asking for your plan’s Prescription Drug List (PDL), also referred to as a formulary. A Prescription Drug List will list the most commonly prescribed medications, both brand-name and generic, that are approved by the ...
The world of health insurance is full of terms and acronyms that might have your brain buzzing. Knowing exactly what these terms mean can help you better control costs and make the most informed decisions for your health and wallet.
Let’s break down 10 common health insurance terms that you, as a hea...
Your health matters, and health insurance is a piece of the puzzle when it comes to protecting your health. Health insurance is not only for those at risk. It encourages those who are already in good health to stay healthy! So, yes, even young and/or generally healthy individuals need health insuran...
We asked our team of experts—who help individuals navigate the healthcare system every day—what it means to be a smart healthcare consumer. Here's what they had to say:
“A smart healthcare consumer takes responsibility for their health by knowing wh...
In an increasingly complex healthcare landscape, building a relationship with a primary care provider (PCP) can serve as a steadying influence, offering consistent, personalized medical care. From preventive measures to managing chronic conditions and coordinating specialized care, a PCP plays a cru...
Last Updated: June 17, 2026
What is a Healthcare Clinic?
A Healthcare Clinic is an organized medical facility often affiliated with a hospital that offers diagnostic, therapeutic, or preventive outpatient services. Healthcare clinics are a great care option for non-emergency, medical needs if you pref...
Last Updated: March 23, 2026
Prescription medications are a lifeline for millions of people, providing essential treatment for a wide range of health conditions. However, the rising cost of these medications can make them prohibitively expensive for many. If you're concerned about the impact of presc...
A healthcare claim is a request for payment that you or your doctor submit to your health insurance company after you receive care. The claim includes unique medical codes that have been interpreted from the healthcare providers notes during your visit. Using these codes, the insurance carrier will ...
What is Prior Authorization?
Prior Authorization is an approval from your health insurer or plan stating that a healthcare service, treatment plan, prescription drug or durable medical equipment is medically necessary.
As a member of your company’s benefit plan, you may need to get approval from...
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