The Health Care Facilitator Program is a free and confidential service available to faculty, staff, retirees, survivors and eligible family members. They can help you solve complex problems with your medical, dental or vision plan. Health care facilitators are best used to handle complex problems that you can’t solve on your own.
Areas of assistance
They are trained to handle issues such as:
- Helping with billing problems for services which are covered by the health plan
- Providing a detailed comparison of your benefit options when you have a complex medical condition
- Intervening on your behalf with health plan representatives
- Explaining how Medicare benefits coordinate with UC-sponsored medical plans
Before you get in touch with your facilitator, try these other avenues first:
- Call the number on your ID card when you have questions about coverage, authorization requirements and provider networks.
- If you receive a bill, contact their office directly to verify they have your correct insurance information.
- Review the Evidence of Coverage (EOC) booklet for detailed information of what’s covered and not covered. For more information, click here: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/health-plans/medical/index.html
The Health Care Facilitator Program does NOT assist with the following and should be directed to your Benefits office:
- Adding or removing dependents from your benefits
- Enrollment or eligibility issues
- Retirement, disability, life insurance, AD&D, legal plan, pet insurance or Flexible Spending Accounts questions
Eligible participants
- Faculty and family members
- Staff and family members
- Surviving spouses
- Beneficiaries
- Retirees
Cost
The program is offered at no charge to eligible participants.
Location
Torrey Pines Center South
10280 N. Torrey Pines Road
Suite 270
La Jolla, CA 92037