Commercial Health Plans

Care Navigation

A prescription to end confusion

Hours spent trying to navigate today’s complex healthcare system increases member stress while decreasing quality time at home and work. Care Navigation helps members understand their coverage ultimately facilitating sound decisions, wiser spending and greater peace of mind.

Navigate Your Members Toward Better Health.

Call 800-809-7000 to learn more.

Available 24/7 by the web, chat, email, phone and SMS text, our care navigators provide a range of services, such as:

Eligibility verification
Program enrollment
Doctor and hospital referrals
Claim status
Benefits information

We encourage members to become more engaged in their well-being by promoting lifestyle management, disease management and employer-specific programs.

With Care Navigation, you will:

Elevate member engagement, satisfaction and health literacy
Minimize hidden costs associated with healthcare confusion
Reduce the high cost of employee presenteeism and absenteeism
Increase program enrollment rates

Commerical Health Plans - Care Navigation

Performance-Driven Solutions

Imaging Information Saves Members $11.5M

Proactive outreach guides members to lower-cost facilities saving an average of $400 per test.

Education Elevates Exam Compliance 160%

Personalized outreach by highly skilled engagement specialists elevates exam compliance, outcomes and rating.

Personalized Support Propels Enrollment

Expert engagement specialists enroll 45% of members in prescription drug mail-order service.

ER Use Down, Savings Up $3.25M

Clinical team minimizes nonurgent ER usage by 65% saving a premier plan $3.25 million.

Navigation Video - Carenet Healthcare Services