What you need to know about insurance benefits

Eligibility and benefits are two fundamental concepts that often arise in the world of insurance. Although they are sometimes used interchangeably, there are distinct differences between them that are important to understand. Verifying member eligibility is crucial to confirm a patient's insurance coverage and it ensures the provider is accurately reimbursed for services rendered. On the other hand, benefits refer to the specific services that are covered under an insurance plan including the amount and type of services that are reimbursable by the payer. It is important to understand the specific benefits of each patient's insurance plan to provide accurate information about their coverage and potential out-of-pocket costs.

Verification of benefits is an essential step to ensure that the provider has accurate information about the member's coverage. It goes a step further, detailing what treatments are covered and any associated costs, such as co-payments, deductibles, and other out-of-pocket expenses. Benefits verification also helps patients better understand the types of healthcare options available to them, their associated costs, and whether they qualify for certain services. Now that you understand what benefits are and why verifying them matters, let’s explore how to easily check your insurance benefits using the Be.Well by Slade360° app.

Verifying insurance benefits via Be.Well by Slade360°

Recently, Alyssa visited a hospital for a follow-up appointment after a minor surgery. She assumed her insurance would cover the visit, like it did for the surgery. However, when the hospital submitted the claim, it was delayed because her policy had changed at the start of the month. She was unaware of the policy change. The hospital spent days going back and forth with the insurer to clarify her coverage because her benefits hadn’t been verified ahead of time. Left in the dark, Alyssa worries that she might have to pay out of pocket. A quick benefits check on the Be.Well by Slade360° app before her visit could have eased the confusion by showing what was covered, what wasn’t and what her co-pay would be.

A delayed insurance claim doesn't have to be the end of your story. It can be the beginning of a more informed, empowered insurance journey. Here’s a simple guide on how to check insurance benefits via Be.Well by Slade360° app:

1. Create your Be.Well account and sign in

Easy steps to help you create a new Be.Well account

Download the latest version of Be.Well by Slade360° app from the Play Store or App Store. Open the Be.Well app and tap ‘Create Account’. After accepting the terms and privacy policy, tap ‘Continue’. A form will appear; fill in the form with your details and tap ‘Create Account’. Enter the OTP sent to the phone number you provided and tap ‘Verify Phone Number'. Set a 4-digit PIN that you will remember and tap ‘Confirm PIN’. After successful account creation, you will be prompted to sign in. Tap ‘Explore Be.Well’ to continue. Log in with your phone number and PIN and tap 'Login’. You will be directed to the Home page after successful sign in.

If you have already registered for a Be.Well account, sign in with your existing credentials.

2. Link your medical cover

The covers section of the Be.Well app

To access your medical cover, you need to link it from the covers section of the app. From the home page, tap on the ‘Covers' at the bottom of your screen. Tap the ‘Add Your Cover’ button to link your cover. Select your Insurance Company and enter your member number then tap ‘Link My Cover’. Once successfully linked, your wellness card is listed on the next page. Proceed by tapping on the 'View Details’ button. Your covers are now listed in the covers page. You can link more than one cover from more than one insurance provider.

3. View your medical cover details

Viewing your utilization reports

From utilization reports and authorizations to preauthorization and invoices, you can access all the information about your medical cover on Be.Well after linking your cover.

4. View your dependent's medical cover details

Viewing your dependant’s utilization reports

You can access all the information about your dependants’ medical cover utilization on Be.Well after linking your cover. From the cover details page, view your dependants and tap on any section to view their utilization.

Conclusion

Be.Well by Slade360° makes understanding your insurance benefits simple and stress-free. Designed with ease of use in mind, the digital companion streamlines the process and provides you with quick access to your coverage details. Ready to join the Be.Well community?

The latest version of Be.Well by Slade360° app is available on iOS and Android devices.

Download Now:

🔗 Google Play (Android) - https://shorturl.at/wll5t 

🔗 App Store (iOS) -  https://shorturl.at/b7lSi 

We would like to hear from you. Please provide feedback on your experience with Be.Well by Slade360° app. You can contact us through our customer support phone line (0790360360) or via email at our support address: support@slade360.co.ke.