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Apta Health Care Coordinators

We have chosen Apta Health to bring amazing benefits that are usually reserved for Fortune 500 Companies to its employees. Care Coordination is at the heart of our program. This unique approach to healthcare allows you access to a real, live person to talk to about your health concerns and is available completely free of charge whenever you need help. Think of your Care Coordinators as healthcare warriors that will fight for you to make sure you get the best care possible!

Available Monday through Friday, 7:30 AM to 9:00 PM by calling 1-877-610-8817. You can call them for anything from replacing a lost ID card, to help finding an in-network physician, to help with an upcoming medical procedure, and questions or issues with your medical bills. 

Apta Health – Pre-Certification and Emergency Admission Review

Some services provided by your medical plan must be pre-certified, such as non-emergency hospitalization and certain outpatient procedures.  A $500 penalty will be applied for all services that do not have a pre-certification completed.

Call Apta Health at least five days before a scheduled non-emergency hospitalization, or on the next business day following an urgent or emergency hospitalization.  

Contact Apta Health at least three days in advance of the following outpatient procedures which require pre-authorization:

  • Oncology Care and Services
  • Chemotherapy – Initial treatment and/or changes to treatment plan
  • Radiation Therapy – Initial treatment and/or changes to treatment plan
  • Dialysis
  • Durable Medical Equipment – Renting or purchasing if the cost exceeds $1,500
  • High Tech Radiology (included but not limited to MRIs, MRA's and PET Scans)
  • Home Health Care
  • Hospice Care
  • Outpatient Services performed at a Skilled Nursing Facility Admission
  • Colonoscopies 
  • Out-Patient Surgeries 
  • Genetic Testing
  • Transplants - Organ and Bone Marrow 

Medical services requiring pre-authorization can be authorized after the fact; however, when pre-certification is not obtained in advance, the participant runs the risk of a $500 penalty. 

Apta Cash

What is Apta Cash?
It’s a healthcare concierge service that helps employees lower their out-of-pocket costs by choosing high-quality providers who offer affordable cash prices.

When should I contact Apta Cash?
Whenever one of your doctors or medical providers recommend a major diagnostic test or surgery that can be planned in advance.

Why should I contact Apta Cash?
Your health plan has partnered with Apta Cash to help you and your employer save money. Your plan deductible and coinsurance will be waived when you use Apta Cash. If you are enrolled in a HDHP Plan, the minimum deductible may apply.

How does the program work?
When you contact Apta Cash, your coordinator will ask you questions to understand the procedure you need and help you choose a high-value provider. Next, they will attempt to negotiate a cash price for your procedure that is less than your medical plan's typical cost. When you, the provider, and the plan agree to the cash rate, Apta Cash will walk you through the steps to get the procedure scheduled, make sure any required pre-certification is completed, and prepare to pay the full cash price when you receive care.

Apta Cash Flyers: