Your Health Plan Should Have Your Back — Here’s How

Today’s health insurance plans can support you in staying healthy in many ways that make a big difference. We do this by working with your care providers to help you take care of your whole health. We aim to simplify your experience with the healthcare system, help you access high quality, affordable care, and connect you with community resources that you may need for your well-being.

Your Whole Health Matters

In the past, health insurance plans primarily focused on helping you find a doctor and pay for doctor visits and hospital stays, while also advocating for affordability, quality, and safety.  We now know that to truly improve health outcomes and affordability, we must address your physical, behavioral, and social needs together — your whole health.

If you are discharged from the hospital but aren’t able to pick up your medications because you don’t have a ride, you may end up back in the hospital. Or, if you have diabetes but can’t get nutritious food, your symptoms could worsen. Good relationships and coping skills can be just as important to your health as controlling your blood pressure. Why? Because good health isn’t just about one test or one visit — it’s about your whole life.

Support — When You Need It

Maybe in the past you considered reaching out to your health insurance only to discuss a claim related to a doctor’s visit. Their customer service hours were limited, and you couldn’t get your schedule to match theirs. You wanted your health plan to operate like your favorite meal delivery service — simple, fast, convenient — but it just didn’t.

Today’s health plans should be easier to use and offer options that help you understand and manage your benefits, like the Sydney Health app. You can search for a doctor, start a telehealth visit, even check prices for common procedures. Case managers – people who support members with complex illnesses – are also available by phone or chat to help answer questions, connect you with doctors, and even remove any roadblocks. Many health plans also offer programs with extra support for people with specific health conditions, such as concierge care, a digital service that supports people with chronic conditions. 

Making It Easier to Find Quality Care

One of the biggest frustrations people have with healthcare is how hard it can be to understand and figure out. When you aren’t sure whether you need a referral or if you should head to the emergency room or urgent care, we’re here to help. Our digital resources and member services help ensure you get the right level of care at the right time for you.

Better for You, Better for Your Community

Health doesn’t happen in a doctor’s office alone — where we live, learn, and work plays a part. We partner with community organizations so people who are experiencing food insecurity have access to nutritious food, and people who are experiencing housing instability can get connected to housing or transportation, and we even support access to local fitness and wellness spaces. These investments broadly support the health of your community, which also helps your well-being.

Bottom Line: Your Health Plan Should Be on Your Side

There’s a lot more backing up that health plan membership card than you might realize. Health plans should partner with you to take care of your whole health and get healthcare with confidence, while also making a complex system simpler.