Page 14 - 2018 Turnberry Associates Guide Boston

DirectPath

At no cost to you, Turnberry provides this advocacy program to assist you in locating specialists, dealing with claim issues,
and providing clear, objective health information so you can make informed decisions. A Personal Advocate will assist you
with identifying the cost of services and medications, issues related to clinical insurance matters, serve as a liaison with
healthcare providers, insurance plans and health-related community services. Contact DirectPath at 1-866-253-2273.

DirectPath’s services are available to all employees and dependents enrolled in a Turnberry Medical/Rx plan.

What are the features of the Core Advocacy service?

Advocacy Transparency

• Answer benefit questions • Review benefits for a health care test and/or procedure

• Resolve claims and billing issues • Research in-network physicians and facilities
• Clarify out-of-pocket costs for services • Compare cost and quality between providers
• Assist with referrals and prior authorization • Explain impact (savings) for member choices

• Coordinate appeals • Educate members about their options
• Research in-network physicians/facilities • Track savings made by members

• Identify a primary care physician (PCP)
• Make doctor’s appointments
• Arrange for mail order prescription services

Call DirectPath at least seven days prior to the procedure or test. Your Advocate will contact two to three network
providers to compare cost and quality information.

Sample: MRI Cost Comparison Employer estimated responsibility Your estimated responsibility

$2,400
$737
$2,000

$1,600 $205

$1,200
$800 $0

$400
$600 $1,092 $1,225
$0

You would save $625 by choosing the lowest cost option!

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