A Smarter Way To Help Employees Navigate Their Health Insurance Benefits

Mar 19,2026

Read Time 2 Minutes

Navigating healthcare and its costs can be confusing. No one wants their healthcare journey to feel like a complicated maze where information and answers are hard to find. Employees want a health plan that is easy to understand, with clear information about coverage and costs, especially when care is needed. Employees might not know what benefits cover, leading to dissatisfaction and even delayed care. In fact, 56% of patients say they need help from their care provider to understand what their insurance covers.

Delaying care can worsen symptoms and lead to more serious health concerns. Missed work from illness also impacts productivity, affecting both employees and employers. Helping employees understand and use their available health benefits and resources can improve outcomes and create a more positive healthcare experience.

 

Empowering Employees With Digital Healthcare

 

The rise of telehealth and mobile apps has enabled employees to take a more active role in their health and has helped simplify access to benefits information. Digital tools make it easier to find care providers and avoid unnecessary out-of-network expenses. In fact, 3 in 5 adults in the U.S. say they’ve consulted AI tools for healthcare-related information in the past three months. 

 

Resources like the Sydney® Health mobile app give Anthem members convenient access to their important health insurance information. The Virtual Assistant in the Sydney app simplifies their experience even further by directing employees to personalized details and answers regarding their coverage, care providers, costs, and claims.

 

Personalized Care With The Virtual Assistant 

 

The Virtual Assistant elevates the Sydney Health experience by giving employees a way to quickly get answers and personalized benefit information at any time — all within the secure Sydney app, 24/7.

 

Employees can type a question or select a prompt to receive answers and insights tailored to their health plan information. The Virtual Assistant also offers guidance and suggestions to help them take confident next steps with their benefits.

 

For example, if an employee needs surgery, they can ask the Virtual Assistant about benefits and estimated costs for an in-network procedure.

 

The Virtual Assistant can provide additional information like:

 

  • A list of nearby surgeons within their plan’s network.
  • The estimated cost of the procedure for each surgeon.
  • Plan progress details, including deductible and out-of-pocket spend.
  • An explanation that the surgery is covered at 30% coinsurance after the deductible is met.

 

A Supportive Digital Healthcare Experience

 

Healthcare shouldn’t feel like a maze with dead ends and confusing turns. The Virtual Assistant in the Sydney Health app offers clear directions, timely answers, and personalized guidance  every step of the way. 

 

Make digital healthcare guidance part of your organization's benefits strategy to increase engagement, improve outcomes, and help lower the overall cost of care. 

 

 

Sydney Health is offered through an arrangement with Carelon Digital Platforms, a separate company offering mobile application services on behalf of your health plan.