The Member Advocate Program is available to eligible members who were recently hospitalized and are covered under Medicare, Medicare SNP and Medi-Cal SPD only. Program services may vary depending on where members live — not all services are offered in all areas.
The Member Advocate Program provides support for eligible members who need extra help with their healthcare. Member Advocates are the non-clinical health professionals on our expert care team. They work closely with doctors, nurse case managers, pharmacists and other healthcare staff, connecting members to the clinical and support services they need.
The period immediately after a hospital stay is a critical time for health, and our Member Advocates help make sure eligible members have everything they need to recover safely at home. A home visit with a Member Advocate can help them access healthcare services and valuable resources for more personal care.
Our dedicated Member Advocates are committed to getting eligible members back to their regular routines and enjoying the things they love most. This program helps with access to resources that can make all the difference:
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Home Visit
A Member Advocate will visit eligible members soon after they return home from the hospital. The home visit may include:
During the home visit, the Member Advocate will make sure eligible members are connected with their entire care team, including a nurse case manager, pharmacist, primary care physician and others.
Read what other
members are saying.
“I’ve had a wonderful experience with the Member Advocate Program. I first met my Member Advocate [Grace] when I wasn’t feeling well. Even when I didn’t want to see anyone, she was there for me. The amount of care and concern she had shown made me feel so much better. I also enjoyed receiving the care packages she would bring that had lotion to help care for my dry skin. It also included bandages and medical supplies. I cannot say enough positive things about the program. When you’re sick, you have enough to worry about. Having this lovely lady come to visit and care for me made a big difference and brought me joy.” -Josephine Flora, member
“My husband and I both thought the Member Advocate Program was a positive experience. We had no idea there was such a service offered to members. It was so nice to have our Member Advocate [Myra] come by to help us with any problems we had, such as filling a prescription or just answering our questions. It was comforting to know that someone cared. With my husband being in and out of the hospital and nursing homes for the last eight or nine years, it was refreshing that, for the first time, someone was there to come visit and check on us. We keep our member advocate’s number close by and know she is always here to help any time we need it. It gives us peace of mind.” -Mary Morstad, member
Jorge and Amada's Story
Jorge was diagnosed with congestive heart failure and required to undergo triple bypass surgery. Later, his doctors discovered that a second surgery was inevitable. The struggles he and his wife, Amada, faced as he recovered were overwhelming. When it seemed that all hope was lost, they met Member Advocate Grace. Grace immediately connected Jorge to helpful programs and services and introduced him to his nurse case manager, Maricela. Together, they made all of his doctor’s appointments, coordinated his medication plan with the pharmacist, organized home health services, and got him a much needed blood pressure monitor. The support Grace provided was instrumental in Jorge’s recovery. “Grace’s tenacity and immediate impact saved Jorge’s life. She was amazing. My daughters |
If you are interested in more information about this program, click here to access our Member Advocate brochure. You can also call us at (844) 734-2563 Monday - Friday, 10:00 a.m. - 4:00 p.m. to learn more about the Member Advocate Program.
TTY users dial 711.
If you are a provider and would like to learn more, click here.