Patient Advocates for GuideWell - Find one today.
Supporting and empowering GuideWell patients.
GuideWell offers comprehensive coverage through Florida Blue and Triple-S Management across Florida and Puerto Rico, but navigating their integrated healthcare ecosystem can feel overwhelming. When you're facing complex care coordination, referral requirements, or claim denials, your Solace advocate understands GuideWell's unique structure and policies—cutting through the red tape to connect you with the right specialists, secure authorizations, and resolve billing issues quickly.
Best of all, most patients pay nothing out of pocket.
.avif)
About
GuideWell Mutual Holding Corporation is a not-for-profit parent company to a diverse family of health solutions organizations, including Florida Blue (Florida's largest health insurer), Triple-S Management (Puerto Rico's leading health services company), and numerous care delivery organizations. With over 46 million people served across 45 states, GuideWell's expansive network includes specialized clinics, medical centers, and innovative care models. While their integrated approach aims to improve healthcare delivery, many members find themselves navigating a complex web of subsidiaries, networks, and authorization requirements. Their specialized programs like Sanitas Medical Centers offer valuable care options, but accessing these services often requires understanding specific referral processes and network limitations that can be challenging for patients to manage independently.
What problems can a GuideWell patient advocate help you with?
%20(1).avif){kind=small}
Get the clarity you need to make sense of your care and take charge of your health.
We’ll make the calls (and the callbacks) so you can spend more time doing what you love.
Keep your care affordable with lower medical bills and access to local financial help.
Advocates review coverage, handle preauthorizations, and even help with appeals.
Stay on top of the cutting-edge treatment options and leave no stone unturned.
Advocates coordinate your care team so your health never falls through the cracks.
Get the tools and answers you need to make informed decisions about your care.
Advocates help you overcome your healthcare hurdles—no matter how big they might be.
Solace has helped over 14,000 patients and families
Rose G.
04/01/2024
Eric H.
08/07/2024
Joan H.
05/01/2024
Stephen I.
04/27/2024
Jonathan J.
06/05/2024
Anne J.
07/27/2024
GuideWell Appeals with a Patient Advocate
GuideWell's appeal process spans across its diverse subsidiaries like Florida Blue and Triple-S, each with their own specific documentation requirements and review timelines. Your Solace advocate understands the nuances of each subsidiary's appeal procedures and can prepare comprehensive documentation that addresses GuideWell's specific clinical criteria. They'll track appeal deadlines, follow up with the appropriate departments, and ensure your case receives proper attention through each stage of review.
When facing a GuideWell denial, your advocate immediately identifies which subsidiary handles your specific coverage and tailors their approach accordingly. They'll work with your healthcare providers to gather supporting evidence for the appeal and leverage GuideWell's integrated care model to your advantage. By understanding how Florida Blue, Triple-S, and other GuideWell companies coordinate care, your advocate can navigate the system to secure appropriate coverage while minimizing your stress and administrative burden.
GuideWell's unique integration of insurance and direct care delivery creates a maze that only a specialized Solace advocate can help you successfully navigate.
The Solace care team model
With Solace, you get both a patient advocate and a supporting physician, which we refer to as your “care team”.
Your advocate will be there to manage the day to day aspects of your care: coordinating with doctors, researching potential solutions and communicating updates to you.
Your supporting physician can unlock resources for you and your advocate that might otherwise be out of reach.
We’ve Got Answers
Still unsure how an advocate can help? Explore these answers to the questions we’re asked the most.
How are Solace advocates qualified to help?
Advocates on Solace are experienced physicians, nurses, pharmacists, and other healthcare professionals from a wide range of backgrounds. 98% of Solace patients report better healthcare outcomes after working with an advocate.
What else can a Solace advocate help me with?
What can a Solace advocate not do?
We know our advocates sound like miracle workers, but they have limits. They can’t prescribe medications or diagnose an illness, for instance. They can’t replace your doctor, but they can break down the barriers standing between you and the quality care you deserve.