Health Service Navigator
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1 Health Service Navigator G R O U P B E N E F I T S
2 Introducing Health Service Navigator Manulife Financial understands the complexity of the Canadian health care system and the impact that a personal or family member health event may have on an employee s productivity. Health Service Navigator is a unique solution that will help employees take control of the health event and resume their role as productive contributors to their organization. An innovative health service, Health Service Navigator provides plan members with integrated health tips and tools, medical condition information, resources on how to navigate the Canadian health care system and access to world-class doctors for second opinions all together, all the time. It s easy to access, reliable, current and available with the click of a mouse or a simple phone call. Is this just another second opinion service? There are currently no other offerings like Health Service Navigator in the Canadian group benefits marketplace. It is a unique product, offering comprehensive health information for all health related concerns not only serious or life threatening conditions, and a second opinion service that provides assistance for a number of serious conditions. For a minimal cost, you can provide plan members with access to a premiere service. Health Service Navigator is a valuable tool for plan sponsors who are: Concerned with escalating benefit costs. Health Service Navigator augments a traditional health benefits program by giving plan members tools and resources to become better health care consumers. It s an inexpensive but extremely valuable addition to any benefits program. Interested in wellness promotion. Health Service Navigator provides a unique solution in Canada that s based on Canadian health care options and solutions. No other service provides the extensive health care navigation component in an integrated manner that leverages well respected information resources. The second opinion service is unlike that of other carriers, with a collaborative approach that uses physician specialists from world-class hospitals and institutions. Concerned about lost productivity. With the support of credible information, Health Service Navigator helps employees gain a better understanding of their situation. This can aid them in working through personal health challenges, and relieve them of stress and distractions that may affect their performance or personal lives. Looking for something new. If you re looking for something new and different, Health Service Navigator is the one-of-a-kind option that adds real value to any benefits plan.
3 While some services feature only a second opinion, or an online health resource, Health Service Navigator delivers more, providing members with access to a member care centre to further assist them when they or their eligible family member experience a critical, chronic or episodic health event. The highly trained member care centre representatives are knowledgeable, supportive and provide compassionate assistance during a time of need. They equip plan members with the knowledge to make informed decisions about managing and responding to their health event. Trusted, reliable information resources You ll find an extensive amount of information, accessible through our Plan Member Secure Site or via an easy toll-free number. You can be sure that the tools and resources found with Health Service Navigator are aligned with credible and trustworthy sources. Here s a glimpse of what plan members will find both online and over the phone: Health Service Navigation - Find a health care provider or health care facility - Tips on navigating the health care system - Provincial health guides Health and Drug Library - Health channels - Conditions database - Prescription drug library - Health news - Health tools Chronic Conditions Centre - Community support groups - Disabilities - Diabetes - Cancer - Asthma - Cardiac - Mental Health Second Opinion Services - About the second opinion services - Why get a second opinion - How the service works - How to obtain a second opinion - Covered conditions - Second opinion provider hospitals - Frequently asked questions
4 Medical Coordination Services As part of the second opinion offering, WorldCare Inc. will provide a number of services for plan members or any eligible dependants wishing to travel to the United States at their own expense for medical treatment. These services include: Assistance identifying and selecting a WorldCare Consortium hospital or specialist Arranging appointments Coordination support for any specialized transportation needs Meeting any special requirements, such as cultural considerations or language issues Assistance with discharge planning and return travel home for the patient Health Service Navigator Integrated Health Resource Centre Quick and easy access to health resources and tools featuring topics, such as: Finding a family doctor Finding a specialist The best way to communicate with your doctor Locating hospitals Checking procedure wait times Locating resources to address mental health concerns Learning how to build your health care and support team Resources on senior care Information on children s health Determining expenses covered by your provincial health plan Education on safe medication use Maintaining your health record Accessing tips for patient advocacy Understanding your illness Managing chronic disease Dealing with cancer Coping better with disability
5 World-Class Second Opinions Health Service Navigator offers access to a second opinion service because when anyone is facing a serious illness, they want answers fast. Our second opinion provider, WorldCare Inc. specializes in medical advisory assistance, providing plan members and their eligible dependants with the ability to have their diagnoses and treatment plans evaluated confidentially and securely by world class physician specialists all without having to leave their home, and all within days. At the plan member s request, the second opinion service provided by WorldCare Inc. includes an independent review, diagnosis and treatment recommendations from leading licensed medical physicians. These physicians are recognized as top medical diagnosis specialists and are associated with some of the foremost teaching and research hospitals in the United States, known collectively as the WorldCare Consortium. The WorldCare Consortium is a provider network consisting of some of the top academic medical institutions in the United States. These institutions deliver expert medical consultations as part of the WorldCare Inc. second opinion service, and are committed to the highest quality patient care and medical services. WorldCare Inc. will coordinate working with physicians to obtain the paperwork and information needed for the appropriate specialists to evaluate and communicate their findings. While other second opinion offerings develop a network of physicians to provide second opinions, WorldCare Inc. offers this service through hospital groups. Each second medical opinion is coordinated through a case manager and consists of a confirmed diagnosis and treatment plan. This helps both patients and their doctor access the latest in medical advances from leading medical institutions, including: Children s Hospital Boston Duke University Health System Partners HealthCare System, Inc. which includes: - Massachusetts General Hospital - Brigham and Women s Hospital and - Dana-Farber/Partners Cancer Care UCLA Healthcare Covered Second Opinion Conditions The Health Service Navigator second opinion service covers the following conditions and treatments AIDS Alzheimer s Disease Any Amputation Any life threatening Illness Benign Brain Tumor Cancer (all types) Cardiovascular Conditions, includes Heart Attack (Myocardial Infarction), Coronary Bypass Surgery, Aortic Surgery Chronic Pelvic Pain Coma Deafness Emphysema Hip and Knee replacement Loss of Speech Major Organ or Bone Marrow Transplants Major Trauma Multiple Sclerosis Neuro-degenerative diseases Paralysis Parkinson s Disease Renal Insufficiency or Kidney Failure Rheumatoid Arthritis Severe Burns Stroke (Cerebrovascular Accident) Sudden Blindness due to Sickness Thrombophlebitis and Embolism
6 For more information... Please contact your Manulife Financial representative for more information about Health Service Navigator or to request a quote. Our providers: Health Service Navigator is powered by AccelMD, Novus Health and WorldCare Inc. About AccelMD AccelMD strives to raise health awareness by providing an exceptional portfolio of results-driven health care and wellness solutions to improve health and enhance the quality of life for individuals, groups and organizations. Our products help manage and reduce health care costs while increasing organizational health and employee productivity. In addition to larger groups, AccelMD also offers innovative health memberships for individuals and families, ready to assist members who choose to pursue timesaving condition diagnosis or treatment options in the United States, regardless of age, health history or present state of health. We invite you to learn more about us by visiting About Worldcare Inc. WorldCare s mission is to improve the health of all people by giving affordable, timely access to quality health care services through a global network. A leader in the field of global e-health services, WorldCare offers highly specialized second medical opinions from the best medical centers in North America to local doctors for their patients. Over the past 12 years, WorldCare has handled over 16,000 Second Opinion studies worldwide. About Novus Health Novus Health provides personal, knowledgeable and compassionate assistance to help Canadians navigate the health care system and access the trusted health information they need for healthier living. Novus Health provides premium content and personal assistance to help members achieve that goal. Novus Health solutions are complementary to the Canadian health care system, and are available in English and French. Limitations and Exclusions Any medical conditions that are a direct result of either of the following events are excluded from coverage for Health Service Navigator: (a) Radioactive Contamination that is not associated with one s occupation; or (b) War or warlike operations (whether war is declared or not), invasion, act of foreign enemy, hostilities, mutiny, riot, civil commotion, civil war, rebellion, revolution, insurrections, conspiracy, military or usurped power, martial law or state of siege, or any events or causes which determine the proclamation or maintenance of martial law or state of siege. Furthermore, Manulife Financial shall not be liable for any expense incurred by the plan member or their eligible dependent which is not specifically described and covered under this Health Service Navigator benefit or the Group Benefits Policy, including but not limited to the cost of treatment, travel costs, fees, medical expenses, appointment cancellation charges and other expenses. Health Service Navigator is offered through Manulife Financial (The Manufacturers Life Insurance Company). Novus Health is a Trademark of Health Care Services International Inc. Manulife Financial and the block design are registered service marks and trademarks of The Manufacturers Life Insurance Company and are used by it and its affiliates including Manulife Financial Corporation The Manufacturers Life Insurance Company. All rights reserved. GC2260E (11/2007)
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