MPH Concierge Program

MetroPlusHealth’s Concierge Program is a comprehensive healthcare support service designed to enhance the member experience by offering a wide range of assistance services. Here’s an overview of the key services provided:

1. Recertification Assistance: The Concierge Program helps members with the often complex process of recertifying their eligibility for MetroPlusHealth plans. This ensures uninterrupted access to healthcare services.
2. Plan Benefit Information: Members can rely on the Concierge Program to provide detailed information about their plan benefits, including what services are covered and not covered, deductibles, and out-of-pocket expenses. This clarity empowers members to make informed healthcare decisions.
3. Provider Search and Appointment Booking: The program assists members in finding suitable healthcare providers and scheduling appointments. This service streamlines the process, ensuring that members receive the care they need promptly.
4. Primary Care Physician (PCP) Changes: If a member wishes to change their primary care physician, the Concierge Program facilitates this transition, ensuring continuity of care.
5. ID Card Replacement: Lost or damaged ID cards are no longer a hassle. The program can swiftly issue replacement identification cards to members.
6. Demographic Updates: Members can easily update their personal information through the program, ensuring that their records are accurate and up-to-date.
7. Explanation of Benefits (EOBs) and Invoice Explanation: The Concierge Program helps members understand their Explanation of Benefits and invoices, making it easier for them to navigate the financial aspect of their healthcare.
8. Payment Assistance: Financial concerns can be daunting. The program offers support in understanding and managing out-of-pocket expenses, potentially helping members with payment assistance options.
9. Transfer to New Lines of Business: If members need to transition to a different line of business within MetroPlusHealth, the Concierge Program facilitates this process, minimizing disruptions to their healthcare coverage.
10. Eligibility Information for Various Lines of Business (LOBs): Prospective members can access information about their eligibility for different lines of business offered by MetroPlusHealth, allowing them to choose the most suitable plan.

MetroPlusHealth’s Concierge Program is a dedicated service that goes above and beyond to assist members with their healthcare needs, from navigating insurance details to finding the right providers and ensuring a seamless healthcare experience.