Advocate Health Care
Benefits
Advocacy Administration Services (AAS)

 
Resources Forms

Associate Contributions Dental HMO Dental HMO Copayment Schedule MetLife PDP MetLife PDP with Orthodontia MetLife Dental ID Card MetLife PDP Dental Nomination Card
Disability Certification Disability Council Eligibility Requirements Limited Hours Program Long Term Disability Plan Short Term Disability Plan Social Security Disability Benefits   Vocational Rehabilitation Services   
Affidavit of Domestic Partnership Dependent Coverage    Eligibility    Enrollment Process    Estimated Imputed Income Paying for Benefits   
Account Rules    Eligible Dependent Day Care Expenses    Eligible Health Care Expenses    Reimbursement Process    Tax Advantages   
ActiveHealth® HealthMedia® Healthe You Goes RED Healthe You Awards Healthe TRENDS Know Your Numbers    Questions & Answers    Start! Walking
Coming Soon! Healthe Actions Healthe Breathing Healthe Care Healthe Champion Healthe Eating Healthe Path Healthe Vending
Covered Services FAQs
FAQs  
Optional AD&D Insurance    Optional Life Insurance   
Associate Contributions Deductible Reimbursement Account (DRA) Health Maintenance Organization (HMO) Health Reinbursement Account (HRA) Health Savings Account (HSA) Healthe Futures Account (HFA) High Deductible Health Plan (HDHP) Medicare Part D   Non-Duplication of Benefits   Physician Search PPO/Deductible Reimbursement Plan (PPO/DRP) PPO/DRP and HDHP Covered Services Woman's Health and Cancer Rights Act of 1998  
PTO Sharing/Donation  
Investment Options Vesting Loans and Withdrawals Other Information
Condell Health Network Retirement Plan- Form 5500 Portable Pension Plan    Benefits Update
Primary Benefits   Secondary Discounts Rates  

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AAS is a special service that is designed to support you and/or your family members when you have a question or issue regarding your medical benefits that you've been unable to resolve with the benefits vendor (e.g., CoreSource or Humana).

AAS is an advocacy, mediation, education, resource and research tool that provides support, guidance and assistance to our associates and their families. The AAS team works directly with our health plans, providers and vendors to resolve issues such as:

Plan Enrollment Conflicts
Medical/Prescription/Dental Claim Disputes
Ancillary Service Denials
 
  Ambulance/Transportation Payment Disputes
  Home Health/Skilled Nursing/Long Term Care Issues
  Urgent Care Claims or Referral Issues
  Claims, Fees or Referral Disputes
  Authorization and Certification Issues
Billing Issues: Out-of-Pocket, Out-of-Network, Reasonable and Customary Disallowances
Plan Policies and Procedures Research and Education
Medical Necessity Justifications
 
  Durable Medical Equipment
  Maximum Benefit Exhaustion
  Continuity/Quality of Care
  Infertility/Mental Health/Substance Abuse

You should contact Advocacy Administration Services at 800.422.9306 if:

You have exhausted all available options with a medical benefit-related dispute
You cannot obtain required information/documentation from your plan administrator, or
You have received a formal denial of benefit from your insurance carrier.

To facilitate the review and negotiation of the issue, you will be asked to authorize AAS, in writing, to obtain all necessary documentation from health plans, Advocate Health Care, providers or other third party vendors.

If you have any questions about the services provided by the AAS team, call 800.422.9306 and ask to speak with an Advocacy Administration Services team member. You can also contact them by email at: advocate@adp.com.