White Glove Experience
Our team provides attentive, concierge-level service to guide you through the critical steps of your healthcare journey.
Collaborative Care
A clinically-led program that uniquely blends clinical and risk expertise to provide concierge-style care coordination and support — ensuring quality, removing access, administrative and financial barriers for members and aligned providers, and keeping the best outcome at the center of every decision.
Our team provides attentive, concierge-level service to guide you through the critical steps of your healthcare journey.
As long as the service is covered by the Health Plan, we don't limit what physician or facility you can go to. The same benefit applies.
Just because you can go anywhere, doesn't mean you should. Our Collaborative Care team gives you the expert support to find the right doctor, for the right care, at the right price.
Instead of shifting costs to members, Collaborative Care eliminates member out of pocket costs removing financial barriers and concerns keeping members healthy and well cared for.
For care needed outside of primary care, Collaborative Care does the deep research to create tailored Care Options highlighting the best treatment options and clinician for your specific symptoms and diagnosis.
Collaborative Care takes the lead working with plan administration, pharmacy benefits partners and treating physicians to ensure everyone is on the same page and focused on supporting the best possible member outcome.
We serve our clients, their team members, and our plan partners with empathy, humility, and a hand-on-the-shoulder level of care.Avergent
When you need non-emergent specialty care, reach out through text, app, or the phone number on your ID card.
Together we review your history and needs. We produce a Care Options Report highlighting the best clinician for your symptoms, diagnosis, and treatment options.
Pick our curated options at no cost to you, or choose your own path at affordable copays. The choice is always yours.
When you choose a curated path, we coordinate with the TPA and the provider. You focus on getting better.
Phil needed a routine cataract correction. His physician's health system had one price; Avergent's Collaborative Care team found a surgeon with thousands of these procedures under his belt — and the same procedure was delivered for 80% less. The plan covered the full cost.
Jill had a high-cost prescription that needed to be filled monthly. Together with several vendor partners, Avergent identified a patient assistance program suited for her situation — and she received the same medication at no cost.
Submit a request and the team responds within 2 business days with any clarifying questions. A full analysis and recommendation comes back in 2–5 business days. You decide the path; we coordinate the rest.
Every Collaborative Care Nurse and Care Coordinator on our team brings a clinical backbone, unparalleled billing & coding IQ, and decades of experience navigating the healthcare system on behalf of members and families.
Our specialist network covers virtually every area of non-emergent need:
Collaborative Care is a member advocacy benefit that couples cost and quality data from a number of sources to assist you in locating same or better quality care options at less cost to you.
Avergent partners with an ever-growing list of providers and partners to identify and direct you to the best in quality and cost for non-emergent medical care and prescriptions.
It could be the difference in you paying out-of-pocket expenses. Where it makes sense, your employer has agreed to waive any applicable deductible, coinsurance, and copays. We'll work with you to determine if it's an option for what you need.
As long as it's non-emergent, we'll research options for you. Examples include:
Our team will receive and respond within 2 business days. Any additional information will be requested in that initial response. Once we have what we need, we expect to have an analysis and recommendation between 2 and 5 business days. You will then determine the path you want to take.
Rest assured, your plan will then work the same as any other with normal benefit levels applying. If we don't have one available, together we will try to locate options and find quality providers willing to give better pricing than what is otherwise available to the plan.
They must demonstrate basic quality of care (board certifications, low infection and re-admission rates, etc.) for competitive, fair pricing and a willingness to establish a direct-pay relationship with the health plan. This combination is what then allows the plan to consider waiving normal plan out-of-pocket expenses.
Medical Example. Phil was a member on a health plan with Collaborative Care. He needed a fairly routine cataract correction. Prior to scheduling within his physician's health system, he reached out to Collaborative Care. Our team identified an eye care clinic and surgeon who had done thousands of these procedures, met the quality criteria, and could do the same procedure for 80% less. The plan coordinated care and covered the procedure in full at no cost to the member.
Pharmacy Example. Jill had a high-cost prescription that needed to be filled monthly. Together with Collaborative Care and Avergent pharmacy partners, we identified a patient assistance program specifically suited for Jill. She was able to receive the same prescription at no cost.
They are living up to their promises on helping to navigate these complex health situations. I'm not sure who found this company but know this change has had a profound impact on our family.Plan Member Avergent Health
Whether you're a member with a question, an employer exploring plan design, or a broker with a client in mind — one conversation is where this begins.