What Is Medical Advocacy?
Medical Advocacy is a service complimentary to all Zion HealthShare members. Our team of experts is here to help members find fair-cost providers and facilities in your area. The Medical Advocacy team is available to assist you with gathering good faith estimates for upcoming procedures, advocating for self-pay discounts, arranging pre-payments, and facilitating payment for therapy services after procedures. Review this video for an overview of Medical Advocacy:
What Does Medical Advocacy Do?
Our Medical Advocacy team goes beyond simply answering questions. Services offered by the Medical Advocacy team:
- Find Fair-Cost Providers: Since Zion HealthShare isn’t part of a traditional network, you have the freedom to choose any provider. The Advocacy team can help you find providers who meet your family’s needs and offer competitive rates, saving you and the community money.
- Cost Transparency: Need an upcoming procedure? We can help you gather good faith estimates beforehand, allowing you to make informed decisions.
- Prepayment Assistance: For eligible sharing requests, the Advocacy team can arrange pre-payments to help with upfront costs.
- Surgical Procedure Coordination: The Medical Advocacy team offers added support in coordinating surgical procedures.
- Member Guideline Assistance: Many members discover the intricacies of our guidelines when facing a medical need. The Advocacy team can help you understand the relevant guidelines applicable to your specific situation and walk you through the next steps of your sharing request.
Request Medical Advocacy
Zion HealthShare offers a straightforward process for accessing Medical Advocacy services through our member portal. Here’s how to get started:
- Log in to your Zion HealthShare Member Portal: Access the portal with your login and password.
- Submit a Sharing Request: Navigate to the sharing request section and provide details about your medical need.
- Indicate Your Need for Support: Within the sharing request form, you’ll find a question asking, “Do you need help locating a provider that offers fair rates for self—pay patients?”
- Select “Yes” for support: Choosing “Yes” connects you with the Medical Advocacy team. They’ll reach out shortly to discuss your needs and help you find suitable providers.
- Pre-payment Inquiry: For some medical services, the sharing request form may ask if pre-payment is required. You can select “Yes”, or “No/Unsure” based on your situation.
Alternative Contact Methods
If you prefer, you can also request assistance from our Medical Advocacy team using the following contact information:
Phone Number: 888-399-0017
Email Address: Advocacy@zionhealthshare.org
Medical Advocacy is available M-F: 8-4pm MST
In non-emergency situations, we recommend you contact Zion HealthShare before receiving a medical service.
*If you are experiencing an emergency, please seek immediate care. You are not required to contact Zion HealthShare prior to receiving medical treatment.
Member Guideline Notice
Notice
Please note all article sections formatted like this are official member guidelines and will be marked “*Official Member Guideline” when applicable. Anything else is simply helpful information to assist you in understanding the member guidelines and how to use your Zion HealthShare Membership.
Members who call the Zion HealthShare office asking about eligibility of medical expenses will be given an opinion, not a decision. Sharing Requests and medical expenses cannot be authorized over phone. For more information on submitting bills to Zion HealthShare, review the Member Guidelines or login to your Member Portal.
These guidelines are effective as of January 1, 2025.
Note
The Member Guidelines that go into effect January 1, 2025 will only be applicable to sharing requests that are submitted on or after that date. If a sharing request was submitted prior to January 1, 2025 the sharing request will be reviewed for sharing eligibility according to the Member Guidelines in effect at that time.