How is Solace covered by Medicare? Here's what you need to know.

Is Solace Really Covered By Medicare?

The answer is yes—Medicare covers Solace advocates in all 50 states and Washington, D.C. You’ll typically pay nothing beyond your standard deductible or coinsurance.

Here’s what that coverage includes:

• Coordinating care between doctors or facilities
• Getting equipment and treatment approved, crafting appeals, and resolving billing errors
• Helping you understand your treatment options after a complex diagnosis
• Finding the right doctors and scheduling appointments
• Finding and arranging resources linked to your health, like transportation, food, or housing

Solace advocates communicate with you remotely, by phone, video, text, and email. They can even join your doctor's appointments by phone or video to take notes and help guide the discussion.

For every hour your advocate spends helping you, they spend an average of three additional hours coordinating your care behind the scenes.

Which Plans Are Covered?

Solace is covered nationwide by Original Medicare and many Medicare Advantage plans. Let’s break that down.

Original Medicare refers to the traditional government-run program, which includes Medicare Part A (hospital insurance) and Part B (medical insurance). But about half of beneficiaries choose private Medicare Advantage plans (Part C). Many of those plans cover Solace as well, including those offered by insurers like UnitedHealthcare, Blue Cross Blue Shield, Cigna, and many others.

It takes just a minute to see if you’re covered.

Why Does Medicare Cover Solace?

The answer is partly financial, partly clinical.

For both Original Medicare and Medicare Advantage, there’s real value in helping patients stay healthier, avoid preventable complications, and follow through on care. When patients get the right meds on time, have timely follow-ups, and address serious health issues before they turn into hospital visits, they have better health outcomes and the insurer often spends less.

It's one of those rare situations where what's good for you is also good for your insurer.

It’s a win-win model

Disorganized care is dangerous. It can lead to missed diagnoses, medication mistakes, delayed follow-ups, and hospitalizations that might have been prevented with better coordination.

Solace reduces those breakdowns before they get worse. That matters to Medicare.

With Original Medicare, coverage is generally tied to medically necessary services covered under Part A and Part B, and patients can usually see any doctor or hospital that takes Medicare. Original Medicare often gives patients broader provider choice than Medicare Advantage plans, and in most cases it doesn't require prior authorization for covered services.

With Medicare Advantage, plans must cover everything Original Medicare covers, but they can also offer extra benefits. They often manage care more tightly through plan networks and prior authorization rules.

With both Original Medicare and Medicare advantage, the logic is the same when it comes to covering healthcare advocacy: Better coordination prevents expensive complications. Everyone benefits when care is:

• Less fragmented with fewer gaps between visits, tests, prescriptions, and treatment plans
• More timely with faster follow-ups and fewer missed next steps
• More successful: with better adherence, fewer preventable setbacks, and a lower risk of avoidable hospitalization

From Medicare’s perspective, this can mean lower costs. From yours, it can mean better outcomes and easier, more manageable healthcare.

How Does Solace Work?

Getting help from an advocate starts with one simple question: Does your Medicare plan cover Solace? You don’t need a referral and you don’t need to wait on hold.

• Step 1: Check your eligibility. Start on this page and answer a few quick questions. Solace can usually verify your Medicare or Medicare Advantage coverage online in seconds. Your information stays protected on a fully HIPAA-compliant platform.
• Step 2: Complete your physician intake. Your first Solace appointment is a short virtual visit with a Solace physician. It takes about 20 minutes. This call doesn't replace your regular doctor, and there’s nothing you need to prepare. Your physician will listen to you goals and challenges. At the end of the call, they’ll connect you with an advocate whose background fits your unique healthcare needs.
• Step 3: Meet your dedicated Solace advocate. When you meet your advocate, they'll start by listening to your history, your concerns, and what matters most to you right now. Then they’ll get to work on your behalf.

We pair you with one dedicated advocate who stays with you. You’ll set regular check-ins with your advocate at a pace that works for you, but they’re also available in-between by text or email in-between calls. If you need an unscheduled call, they’ll make it happen.

If your Medicare plan covers Solace, an advocate can often begin working on your behalf within days.

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What Can a Solace Advocate Help Medicare Patients With?

When Medicare covers Solace, it's covering something specific: an experienced professional who takes on the most complex and time-consuming parts of your healthcare.

Here's what that looks like for patients:

You've received a new or complex diagnosis

A new diagnosis—and the treatment plan that follows—can feel overwhelming. Your Solace advocate researches your options, finds the right specialists, coordinates referrals, and makes sure you go into every appointment prepared with the right questions. They can even join your appointments remotely to take notes and keep things on track.

"My advocate got me referrals to neurology, an oral surgeon, and pain management. By myself, I couldn’t get my PCP to contemplate any of it. I was able to get a very much needed oral surgery, and now I’m waiting on my first visit with the neurologist and with a rheumatologist to get testing and, hopefully, answers.” —Billie V., Solace Advocate

You're managing multiple conditions or providers

Lets’ say you're seeing a cardiologist, an endocrinologist and a primary care physician all at the same time. All too often, each doctor focuses on their own piece of the puzzle without seeing the full picture.

Your Solace advocate becomes the connective tissue between your providers. They coordinate record-sharing, make sure everyone is working from the same information, and prevent the duplicate tests and medication conflicts that happen when doctors aren't talking to each other. If you receive conflicting recommendations from different doctors, your advocate will help explain your options.

“Helena has helped me so much by coordinating care with my specialists and helping to get me the things I need to live here at home and function day to day. If not for my advocate, I would be fighting losing battles with doctors who don’t listen, and I wouldn't be getting proper care.” — Frederick A., Solace Patient

Medicare is blocking your care

Prior authorization denials, coverage disputes, surprise bills—these are exhausting to fight alone. Your advocate clears the roadblocks. They sit on hold, craft the appeals, and negotiate directly with providers and Medicare. They know what it takes to get things covered and put money back in your pocket.

"I called my advocate, Wendy, the day before my surgery because my insurance had denied my prior authorization again. Wendy contacted both my doctor and insurance and figured out the issue. She had it resolved by the end of the day, and my surgery happened as planned." — Molly R., Solace Patient

You're transitioning between facilities or levels of care

Care transitions—from hospital to rehab, from rehab to home, from one specialist to another—are some of the most dangerous moments in healthcare. Sometimes medication lists aren’t transferred, critical details get lost, and nobody calls to follow up. 80% of major medical errors involve care transitions.*

Your advocate makes sure providers share accurate, up-to-date information at every handoff. They clarify conflicting instructions, flag missing records, and make sure your new care team has everything they need to continue your treatment safely.

"I worked with an older patient being transferred to a larger hospital for surgery. I noticed her records didn't mention her severe heparin allergy. I quickly contacted the second hospital and sent them the right information in time." — Mary W., Solace Advocate

*According to Joint Commission patient safety data

You need more than medical care

Healthcare doesn't exist in a vacuum. Your Solace advocate can find and arrange resources beyond the doctor's office, like transportation to appointments, financial assistance for housing and medications, support groups in your community, and more.

"My advocate, Leah, connected the dots between medicine and other resources. She found no-cost transportation so I could get to my dialysis and connected me with a kidney care specialist. She even found a nearby support group. She knew that health isn't just about medicine." — Sally L., Solace Patient

You're taking care of a loved one

Solace advocates take the pressure off families. They coordinate care, handle insurance, and keep loved ones in the loop. If you're supporting a spouse through treatment or managing a parent's Medicare plan from afar, your advocate takes on the tasks consuming your time so you can focus on being there for the person you love.

"When my mom was diagnosed with late-stage dementia, I didn't realize her advocate, Kim, could join her appointments. Kim asked questions I wouldn't have thought of, translated the doctor's instructions, and helped us arrange hospice care. I finally felt like I wasn't handling it all alone." — Julie B., Verified Solace Patient

Behind every one of those calls, appeals, and hours spent on your behalf, there's a Solace advocate whose work is covered by Medicare. You may already be covered.

Are Solace Advocates Qualified Professionals?

They are—and they wouldn't be covered by Medicare if they weren't.

Solace advocates are registered nurses and other healthcare professionals who’ve spent years supporting patients through complex care. They average 16 years of experience in a wide variety of healtchare settings, from hospitals to home care. Every advocate is hired for their expertise, empathy, and ability to solve real problems.

They're also not working alone. Advocates are supported by Solace's team of physicians.

Your advocate doesn't diagnose you or make medical decisions. But they make sure you're never carrying responsibilities you were never trained to handle on your own.

It's worth noting that certain types of advocates and case managers do exist outside of Solace. Some work inside hospitals or for insurance companies, including those that offer Medicare Advantage plans. These advocates can be helpful, but their priorities aren't always the same as yours. With Solace advocates, your care is the only priority:

The Bottom Line: Medicare Covers Solace Because Advocacy Works

Medicare doesn’t cover new services lightly. Advocacy is now covered because it lowers costs and helps patients get better care.

Studies show that 98% of patients feel more in control with a patient advocate, and 92% report better health outcomes.**

Solace is covered because it helps keep your care organized, reduces the risk of missed steps or delays, and makes it easier to follow through on what your doctors recommend. It brings consistency to a deeply fragmented system, and it can help you avoid a genuine crisis.

For Medicare, that means more efficiency and lower costs. For you, it means better healthcare and an expert in your corner.

If you’re eligible, there’s usually no cost after deductible and coinsurance.

See if you’re covered and find your advocate.

**Based on a 2023 report by the Coalition of Healthcare Advocacy Organizations

FAQs: Frequently Asked Questions About Solace Advocates and Medicare Coverage

Does Medicare cover Solace advocates?

Yes. Solace is covered under Medicare and many Medicare Advantage plans in all 50 states, including plans from major carriers like UnitedHealthcare, Humana, Cigna, and Blue Cross Blue Shield. It takes only a minute to find out if you're eligible—and you can do that here.

What do Solace advocates do?

Your Solace advocate is your strategist, your care coordinator, and your voice in the system. Advocates provide personalized, ongoing support. They schedule appointments, coordinate care between specialists, help with insurance denials, manage medical records, and more. They can also join your doctor's visits by phone or video, secure approvals for important medication or equipment, and work behind the scenes to prevent delays.

Can I keep the same advocate over time?

Yes. We match each patient with one advocate based on their needs, communication style, and care goals. You can work with your advocate for as long as you need them. And if you take a break or need support again later on, you're always welcome to come back and work with the same advocate. If for any reason you do need to switch advocates, we'll make that process as quick and easy as possible.

Do I have to give up control of my own healthcare?

No, certainly not. Healthcare is a lot of work, and you shouldn't have to do it all alone. That said, you're always in charge. Your advocate is your partner in care. If there's something you want to handle yourself, they'll follow your lead and step in where you want help.

What happens at the physician intake?

It's a short call—about 20 minutes—with a Solace physician. These are licensed physicians, but this is not a medical visit, and they don't replace your doctor. There's no paperwork and no physical exam. It's a focused conversation about your situation, and it's how Solace connects you with the right advocate.

What if I have a non-Medicare commercial insurance plan?

Solace now covers commercial insurance plans nationwide, including employer-sponsored health plans. If you have a non-Medicare insurance plan, see if you qualify for an advocate here.

How do I know if I’m eligible for an advocate?

Check at find.solace.health. It only takes a minute.

This article is for informational purposes only and doesn't replace medical advice. Information is subject to change. For medical guidance, consult your healthcare provider.

Eligibility varies by plan. Advocates do not provide medical or legal advice or services.

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