Advocacy that sees the big picture
Healthcare is complicated. No one should have to go it alone. Because we know the system better than anyone, we can help you and your employees navigate it—with advocacy solutions designed to help save you money that may help lead to better outcomes and improved experiences.
We’ll take care of it, so you don’t have to.
Advocacy that delivers for employers
Lower cost
We’ll help save you and your employees money. You may save up to 2-4%1 in medical total cost of care.
Better outcomes
Our results may deliver up to 4% lower inpatient admissions, up to 10% lower ER visits, and on average a 7% increase in clinical program enrollment.1
Satisfied members
We'll give your employees a better experience, resulting in a 10%2 Improvement in NPS.
Advocacy that delivers for employees
Proactive guidance
Our data and insights help us identify when members may make suboptimal choices, helping them avoid unnecessary costs.
Compassionate service
Knowing that someone is looking out for them in every interaction, serving with empathy and a personal touch.
Simplified experience
Because we manage multiple parts of the health care ecosystem, we can connect the dots across every touchpoint to streamline the benefits experience.
Guidance at every step
Advocacy program highlights
Digital engagement
Our digital tools help members make better decisions, connect with relevant clinical programs and reduce their costs.
Personalized member view
Our Advocate dashboard helps us know members, find engagement opportunities, and offer faster, personalized support.
Social determinants of health
Our Advocates use integrated tools to help find resources and connect members to organizations that can help meet the needs of the whole person.
Active member intercept
We help members avoid unnecessary costs through near real-time guidance that may lead to more cost-effective choices.
Custom high need member management
We use analytics to identify families of children with complex healthcare needs to help them navigate a system that may not always be set up to support them effectively.
Point of care support
Physician solutions designed to help members when they may need them most—which may lead to more efficiency, lower costs and better health outcomes.
The right expert for any situation
One person doesn’t have all the answers. A caller’s needs are anticipated leveraging deep analytics and we connect them with the right resource from our team-based model to help quickly resolve issues and find the help they need.
Making a Difference
Barb’s Story
Barb’s* high blood pressure put her at risk for diabetes. This was exacerbated by the recent deaths of her father and two sons that left her overcome with grief, unable to maintain a regular diet and skipping doctor visits.
*Name has been changed to protect patient privacy.
Eli’s Story
Eli* and his provider were planning for "top" surgery (double mastectomy for female-to-male transition) and had submitted a prior authorization. The procedure initially wasn’t approved because of a missing therapist letter (a necessary part of the clinical documentation). Eli called his Transgender Benefits Specialist.
*Name has been changed to protect patient privacy.
Kassidy's Story
At the age of four, Kassidy* was diagnosed with a rare condition causing muscle weakness and skeletal abnormalities. She had to rely on family to help her perform simple tasks. Her mother, Kaitlin*, recognized that a powered wheelchair would significantly improve Kassidy's quality of life and enable her to be more mobile, but the process wasn’t simple.
*Name has been changed to protect patient privacy.
Advocacy you can rely on
Named “World’s Most Admired Company” in Insurance and Managed Care by Fortune, 10 years running.3
3 Million
members in our enhanced advocacy products.4
$3 Billion+
annual investment in data, technology, and innovation.5
750 Billion+
digital transactions processed annually (including 2 billion claims).
$1 Billion
in health-related incentive rewards earned since 2016 through Rally Health.
91%
member satisfaction with Advocate4Me.6
23%
of clinical program enrollments are Advocate4Me initiated.6
50%
of clinical programs offered in Advocate4Me are accepted.7
80%
shifts of tier 3 prescriptions using PreCheck MyScript.8
COVID-19: Taking care of our members
Coronavirus continues to profoundly impact the health and finances of people around the world. As a global leader in health care, we immediately understood that our members would need unprecedented support throughout the pandemic. And UnitedHealth Group has responded with the full force of our organization in a number of ways to help.9
- Waive cost-sharing for testing-related telehealth visits through the national public health emergency period
- Develop online symptom checker for members to assess their risk and get treatment options
- Ensure members know there is $0 cost-share for their vaccination through the national public health emergency period, and provide resources to help members find vaccine information
- Support initiatives focused on helping vaccinate the vulnerable and underserved through our STOP COVID-19 program and the health insurance industry’s Vaccine Community Connectors pilot initiative
- Offer a vaccine record and vaccine pass (with QR code) to help members conveniently show proof of vaccination while on the go
- Expanded assistance for socially isolated members, coordinating access to medications, supplies, food, care and support programs
- Opened a special enrollment period to allow commercial customers to add employees who previously declined health benefit coverage
- Provided $1.5 billion in direct customer and consumer support through premium credits, cost-sharing waivers and other efforts
The scale of the challenges that COVID-19 brings is enormous. The safety and health of our members and the communities we live in will continue to receive our focus and resources for the duration of this pandemic.
Different plans for different needs
Core
A proactive, highly-personalized experience helping members make informed choices and employers manage costs.
- Predictive Personalization
Robust data and technology to help guide members to the right resource. - Proactive Outreach
Outbound calls and emails to educate members about their care options. - Improved Engagement
Active referrals of members into appropriate clinical and wellness programs.
Elite
Increased employee engagement and a higher-touch experience, with a designated team of Advocates who are specifically trained on your company’s benefit plan and priorities.
- Everything in Core
All of the features from the Core plan are included.
- Virtual Customized Care Team
Advocacy, wellness, and clinical teams operate as a virtually connected team for members, with Advocates’ direct extensions and voicemail available to members.
- Expanded Advocate Role
Advocates offer enhanced services, including outbound call, and are empowered to engage an expert in real time.
Premier
Our most sophisticated package, with a co-located service team that includes dedicated Operations and Medical Directors, as well as clinicians who focus on quality and cost opportunities specific to your employee population.
- Everything in Elite
All of the features from the Elite plan are included. - Co-located Customized Team
Team is located together with Operations and Medical Directors leading real-time coordination (replaces the Elite virtual team). - Medical Rounds
Clinicians conduct medical rounds to provide an escalated level of clinical engagement and oversight for acute and chronic members. - Actionable Insights
Employer-specific analytics are generated daily to enable the team to actively support your employees’ care and provide them with a top-notch experience.