Why Insurance Covers Solace Advocates

Yes, Solace Is Covered by Insurance

The healthcare system asks patients to carry too much on their own. Maybe you've had a hard time finding the right doctors after a tough diagnosis. Maybe you've struggled to build an appeal when insurance denied something important. Or maybe you've waited on hold for 45 minutes to book an appointment.

Solace advocates are trained healthcare experts who takes on the hardest parts of healthcare so you don't have to do the work on your own. And they're covered by insurance nationwide.

Here's how it works.

What Is a Solace Advocate?

Solace advocates are experienced healthcare professionals who work entirely on your behalf. They research treatment options, keep providers coordinated, manage scheduling, fix insurance roadblocks, and make sure your concerns are heard and taken seriously.

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

Why is Solace covered by insurance?

For many patients, the healthcare system feels like something they’re constantly battling. Insurers deny care, delay decisions, and bury you in paperwork. So it's fair to ask: If insurers helped break the system, why would they cover the advocates helping to fix it?

Because disorganized care is expensive.

Missed diagnoses, preventable hospitalizations, duplicate tests—these drive up costs for everyone. When a Solace advocate keeps care coordinated and catches problems before they spiral, outcomes improve and costs come down. It's one of those rare situations where what's genuinely good for you turns out to be good for your insurer too.

Everyone benefits when care is:

• Less fragmented, with fewer gaps between visits, tests, and treatments
• More efficient, with timely access to providers and follow-ups
• More successful, with higher treatment adherence and fewer preventable hospitalizations

From the insurer’s perspective, that means lower long-term costs. From yours, it means a safer, more manageable healthcare journey.

When Do Patients Need a Solace Advocate?

Patients don't really give up on better care—it just feels like the system gave up on them first. Maybe a claim got denied and nobody could explain why. Maybe you're seeing multiple specialists and receiving conflicting advice. Maybe you can't find the right doctors in the first place.

"People are just kind of thrown to the wolves and told to figure the system out alone. They don't know who to call, what questions to ask, or how to make doctors take them seriously." — Jodie, Solace Advocate

With an advocate, roadblocks don't become dead ends. Your advocate takes on the work and keeps your care on track.

Which means the only thing standing between you and better care may be a quick eligibility check.

How Does Solace Work?

Getting started is simpler than most people expect.

• Step 1: Check your eligibility. Visit this page and answer a few quick questions. Solace checks your coverage online, usually within seconds. (Our platform is entirely HIPAA compliant, so your confidential health information stays protected.)
• Step 2: Complete your physician intake. Your first Solace appointment is a short virtual visit with a Solace physician. It takes about 20 minutes. There's no physical exam, nothing to prepare, and it doesn't replace your current doctor. It's just a focused conversation about what you need. At the end of the call, your physician will match you with an advocate whose background fits your specific 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. From there, they get to work for you.

Your advocate stays with you as long as you need them. We pair you with one person who gets to know your health needs, your goals, and your unique situation, and 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, whenever something comes up. If you need an unscheduled call, they’ll make it happen.

What Can a Solace Advocate Help With?

When insurance 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're trying to understand a diagnosis

A new diagnosis—and the treatment plan that follows—can feel like a wall of information. Your Solace advocate helps you translate your doctor's instructions into plain language. They research your options, find the right specialists, and make 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.

"For the first time, I felt like someone actually listened and stayed with me until things got better. I finally understand what's happening with my care." — Susan G., Solace Patient

Your care is split across multiple providers

When doctors don't communicate with each other, important details fall through the cracks. Your Solace advocate becomes the connective tissue between your providers. They coordinate record-sharing and make sure everyone is working from the same information. They prevent duplicate tests, explain why recommendations may conflict, and get your doctors talking to each other.

This is especially important for patients managing chronic conditions like heart disease or diabetes, where fragmented care and miscommunications can lead to medication mismanagement and other dangerous outcomes.

"When doctors stop communicating, patients get caught in the middle. My job is to make sure that never happens." — Maria, Solace Advocate

Insurance is blocking your care

When insurance denies your claim, overbills you, or refuses to cover medication or equipment you need, your advocate clears the roadblocks. They sit on hold, craft the appeals, and negotiate directly with providers and insurers. They know what it takes to get things covered and put money back in your pocket.

"After a coverage mix-up left my patient facing a devastating five-figure bill, I negotiated with his provider to reduce the total, then worked with a nonprofit to get the claim re-filed. This time, it was approved. In the end, his bill was zero dollars, and now he's cancer-free.” — Teresa, Solace Advocate

You can't find a doctor or get an appointment

Finding the right doctor is hard enough. Getting in to see them in a timely way can be its own battle. Your advocate researches in-network providers who are well-suited to your specific condition. Then they endure all the phone menus and hold music, and push to get you seen as soon as possible.

"After I relocated, I couldn't find the doctors I needed. Within a couple of weeks, my advocate found all the right specialists and even booked the appointments. She broke through the barriers that had been holding me back for months." — Linda A., Solace Patient

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—transportation to appointments, financial assistance for housing and medications, mental health support, 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, and I truly believe she saved my life." — 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 care, your advocate takes on the tasks that are consuming your time so you can focus on being there for the person you love.

"Jane has been a lifeline for my brother since he's been in assisted living. She listens to him and works with his carers to come up with real solutions. Thanks to Jane, he's feeling better about his care and has access to community resources." — Melissa G., Solace Patient

Behind every one of those calls, appeals, and hours spent on your behalf, there's a Solace advocate. You may already be covered for this kind of help.

Are Solace Advocates Qualified Professionals?

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

Solace advocates are registered nurses and other healthcare professionals, hired for their expertise and their ability to solve complex problems. They have an average of 16 years of experience in healthcare, from hospitals to home care.

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

Your advocate doesn't diagnose you or make treatment recommendations, but they make sure you’re not 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 insurance companies, and while they can be helpful, they're employed by the institution and their priorities aren't always the same as yours. Solace advocates are unique: Their only priority is your care:

The Bottom Line: Solace Is Covered Because It Works

When it comes to healthcare advocacy, the shift toward insurance coverage signals something bigger: a recognition that advocacy isn’t an "extra." It’s a necessity that makes the system work better for everyone.

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

Solace is covered because it makes healthcare safer, more connected, and less overwhelming. By preventing delays and helping patients get the right care at the right time, Solace improves outcomes for everyone involved.

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

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FAQ: Frequently Asked Questions About Solace Advocates and Insurance Coverage

Does Insurance cover Solace advocates?

Yes. Solace advocacy is covered by commercial plans in all 50 states, including major insurers like UnitedHealthcare, BCBS, and Cigna. Solace is also covered by Medicare. Coverage varies by plan, but 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 video visit—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.

How do I know if I'm eligible? 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.