Member Story: Compass Helps Member Navigate the Complicated Healthcare System During Healthcare Crisis
Compass Professional Health Services helps people like Vasanth Sekar, a program delivery manager for NTT Data, by simplifying healthcare and making it easier to get the answers and care they need. Vasanth really saw the value of Compass’ healthcare navigation services when he faced a major healthcare crisis in late 2017.
Thirty-four-year-old Vasanth has worked for the international IT services provider for 13 years and lives in Montpelier, Vermont with his wife and 5-year-old daughter. There, he has 50 people who indirectly report to him and is responsible for managing program development for a client in the financial services and insurance industries.
Vasanth began using Compass in August 2016, when he moved to Vermont. Initially, his healthcare needs were fairly simple; he reached out to Lindsey, his Compass Health Pro, to help him select a primary care physician, dentist and eye specialist for himself and a pediatrician for his daughter.
Compass removed the hassles of healthcare for Vasanth. Because Compass loads health plan information for every member, all he had to do was let Lindsey know what he needed and she could immediately go to work on his behalf. For each request, Lindsey recommended three in-network healthcare providers, who were highly-rated and were known for their cost-effective care management practices and met Compass quality standards. These standards include that doctors are board certified, have clean medical records, have courteous staff and are accepting new patients.
Compass takes it even a step further and provides last-mile support. It will actually schedule the doctor’s appointment for members, making it easier for people like Vasanth to take action.
Cost Estimates and Bill Reviews Provide Even More Value
However, Vasanth gained a new appreciation for Compass when he was in excruciating pain and found himself making repeated visits to the emergency room. An ultrasound revealed that he had multiple, large kidney stones. Over the next 1.5 month period, Vasanth went to the ER five times, had two ultrasounds and three surgeries to break up the stones.
And his Compass Health Pro, Lindsey, was there every step of the way, helping him identify a highly qualified urologist closer to home in Montpelier, providing cost estimates for procedures and reviewing all the medical and ER bills that were piling up to make sure he wasn’t being overcharged.
Since no two bill reviews are the same, the bill review process can take anywhere from one week to months to complete. Compass Health Pros help eliminate the headache of bill reviews by doing this time-consuming task for members. They not only know how medical procedures are coded, but they also know the right questions to ask when calling insurance companies and doctor’s offices and follow-up with all parties on a regular basis to ensure the process moves forward.
Selecting the Right Health Plan Saves Money
Vasanth and his family accumulated more than $100,000 in medical expenses last year and maxed out his out-of-pocket spend in 2017. So, going into the next plan year, he was more concerned about selecting the right health plan for him and his family.
Vasanth uses one of NTT Data’s four high-deductible health plans (HDHPs) and regularly contributes to his Healthcare Savings Account (HSA), which is a personal savings account that lets people save money for their healthcare expenses.
When Open Enrollment came around, he was tempted to select a health plan with a higher premium and a lower deductible. However, before he made a decision, he reached out to Lindsey for advice. She used Vasanth’s projected 2018 healthcare spending to help him understand the pros and cons of each available health plan and explained the financial advantages of selecting a health plan with a higher deductible and lower premium because it allowed him to make a larger contribution to his HSA.
“Throughout my healthcare crisis this year, Compass has been tremendously helpful, and I’ve told my colleagues about my experience,” Vasanth said. “I can’t thank you enough.”