Hands On Support

The Horizons Research experience is enveloped in our “hands on approach” to on-site education, claims administration and our direct involvement from plan managers to employees by a select group of advisors to help throughout the year.  It is absolutely vital, if one wants a health plan to succeed, to provide a familiar name and even a face to help at every turn.

A Personal Health Advocate

HRI designates a personal named insurance advocate at the TPA (“insurance company” to your employees) to help solve billing/coverage questions and issues and to answer general health insurance questions.  Not just an 800 number with an automated voice response or international call center but a person with an extension and an actual email address.  A familiar voice to guide employees throughout the year.

The Medical Concierge

The Medical Concierge (Medical advice and management at your fingertips): With a single phone call or email your Personal Medical Concierge will start by providing general information and guidance about the medical condition, procedure or services you need. Then they will search for providers, that meet your criteria in addition to meeting acceptable standards of various quality factors. They also review cost factors that may affect the deductible or co-insurance and in many cases will negotiate with the providers to obtain the best rates. You will then receive a summary outlining their recommendations of providers based on the various factors. It is always up to you which providers you choose. However, the Medical Concierge empowers you to take control of your healthcare decisions by obtaining the best and most cost effective care. They speak all languages and true to form with any concierge will even set your appointments.

On Site Presentations

At open enrollment, at every location, wherever in the USA we will send our enrollment team to hold on-site group presentations.  This includes providing enrollment and communications material printed by us with your edit approval.  English and Spanish fluent (other languages with translators) these enrollers will also make themselves available to any individual, one-on-one, who needs additional assistance or guidance.  At every employment level, employees need to be educated in understanding “ good risk” in the health insurance world.  We make it entertaining and informative.  This is the moment to make the health plan shine.

Account Manager Access

Year round access to account managers at HRI not just for plan mangers, but also for employees.  When things don’t get done right after calling the TPA, Concierge, or even your doctor’s billing department then what?  Every employee has our direct phone line and email address.  This is not a general email box but direct access to the managers on the account.  If and when a problem escalates beyond the norm we step in and help resolve the problem, review for an exception, and find a way to resolve the issue and educate.  That is our level of commitment.

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