Members who use Advantage Care Solution (ACS) experience a number of perks, including quality healthcare, out-of-pocket savings, and a simplified experience.
But what do we mean by simplified experience? What does the process look like?
Making surgeries easier for members
ACS is available for members who have a diagnosis and a surgery recommendation. If you have a diagnosis and surgery recommendation, here’s what you’ll do next:
- 1Contact the Advantage Care Team
Email the Advantage Care Team at [email protected], and they—with the help of our nurse navigators—will research the best healthcare provider options. Before offering you a recommendation, they’ll assess the provider’s success rate for your specific medical condition, the provider’s education and years of experience, and your location and preferences.
- 2Submit your medical records
Once provider options are determined, we’ll ask you to collect medical records from the physician who diagnosed you and submit them to CHM along with a completed Sharing Request Packet. These medical records are necessary to determine eligibility and give the ACS provider a clear picture of your surgical needs.
- 3Connect with your ACS provider
Once we’ve received the necessary information and eligibility is determined, we’ll connect you with one of the high-quality providers available to complete your procedure. You’ll be able to coordinate directly with your provider on a surgical date that works for you, and we’ll check in with you before surgery to offer encouragement and prayer.
- 4Receive travel accommodations
If travel is necessary to receive your procedure, the Advantage Care Team may arrange and manage travel accommodations for you. You don’t have to arrange or mange anything. Just show up with your already-booked reservations!
- 5Focus on healing!
And that’s it! You only need to receive your medical care, and we’ll pay your provider directly on your behalf.* You won’t need to submit any bills for services included in the ACS process. You just focus on getting better and let us take care of the rest.
*CHM Bronze and CHM Silver participants may have additional Personal Responsibility (PR) amounts that they’ll need to pay directly to their provider after the $1,250 PR reduction is applied.
ACS may or may not accommodate follow-up care. Any eligible follow-up care not processed through ACS will need to go through the regular CHM sharing process.
Want to learn more about Advantage Care Solution and its perks?
