Member Advocate Program

The Member Advocate Program is available to eligible members who are covered under Medicare, Cal-MediConnect and Medi-Cal SPD (Seniors and Persons with Disabilities).

Member Advocate Program

 

The Member Advocate Program provides non-clinical support for seniors, Medi-Cal and Cal MediConnect members who have recently been hospitalized and need extra assistance with their healthcare. Member Advocates are the non-clinical health workers of our expert care team. They work closely with doctors, nurse case managers, pharmacists, and other healthcare team members who are involved in our members’ care.

The period immediately following a hospitalization is a critical time for our health, and our Member Advocates help to make sure that members have everything they need to recover safely at home. A visit with a Member Advocate can help members to navigate the healthcare system, and get connected to the comprehensive and personal care they need.

Member Benefits

Our dedicated Member Advocates are committed to getting you back to your regular routine and enjoying the things you love most.

This program helps you access the resources that will make all the difference in the world:

  • Primary Care
  • Specialty Care
  • Pharmacists and Medication Support
  • Transportation
  • Nurse Case Management
  • Social Services
  • Behavioral Health Services
  • In-Home Support Services
  • Medical Equipment
  • Community-Based Services

What We Do

Your Member Advocate will visit you soon after you return home, and may even be able to visit you briefly at the hospital to set up your home visit in-person. Here’s what you can expect:

Hospital Visit

During your hospital stay, the Member Advocate will:

  • Explain all of the ways they can help you
  • Make sure we have your correct contact information
  • Schedule a time to visit you in your home after you are discharged from the hospital 

Home Visit

To provide you with continued support when you are home, the Member Advocate will

  • Review your discharge instructions from the hospital
  • Connect you with your nurse case manager, who is your main clinical resource for health-related questions and navigating your care with our Regal doctors
  • Connect you with a pharmacist, who will review all the medications you’re currently taking, and make sure they align with all the medications you’ve been prescribed by your team of doctors
  • Set up doctor appointments for you
  • Arrange transportation to and from your upcoming appointments
  • Help you obtain any other health services you may need

Your Member Advocate is part of an entire team of healthcare professionals working with you. During their visit, your Member Advocate will ensure you are connected with your entire team, including your nurse case manager, pharmacist, primary care physician, and others.

What Our Members Say

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
and I call her ‘Amazing Grace,’” Amada said.

 

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.