Partners
Who we work with, and what we do for each.
MediSetGo works with physicians, hospitals, skilled nursing facilities, senior centers, shelters, and schools. A Community Health Worker assigned to your setting costs you nothing. Pick your setting below.
Physicians
A Community Health Worker assigned to your practice, at no cost to you.
Your practice tells us which patients need help and we take it from there. Covered patients can keep seeing you, and the enrollment work stays off your front desk.
Retain
Members who get help with their coverage are happier with their care and stay with your practice.
Renew
When a patient doesn’t renew Medi-Cal, they lose their coverage and they lose you as their doctor. We help them renew on time.
Re-enroll
If a patient has already lost coverage, we help them enroll in a plan your practice accepts so they can keep seeing you.
Re-engage
A CHW reaches the patients your office has trouble getting hold of and helps them back to their appointments.
Reduce
Enrollment, plan questions, and benefit problems come to us instead of your front desk.
Address
A disconnected phone, no ride, or a lapsed benefit can keep a patient from showing up. A CHW works on those problems directly.
For your patients
For patients who are uninsured or whose coverage is lapsing.
MediSetGo handles the enrollment so your staff does not have to. We help the patient enroll in Medi-Cal or a Medi-Cal managed care plan, or in Medicare with an Advantage, Supplement, or Part D plan.
After enrollment, a Community Health Worker from the same community helps the patient stay healthy and get the care they need.
What this covers
- Medi-Cal enrollment and member assistance
- Medi-Cal managed care plan enrollment
- Medicare enrollment, Advantage, Supplement, and Part D
- Community Health Worker follow-up
Hospitals
Someone to follow your patients home after discharge, at no cost to the hospital.
Once a patient leaves, the follow-up visit, the prescriptions, and the coverage that pays for them are hard for your team to keep track of. A Community Health Worker picks that up.
Follow up
A CHW contacts the patient after they leave and helps them book and get to their follow-up visit.
Enroll
Uninsured patients are enrolled in Medi-Cal or Medicare, and patients whose coverage is lapsing get help renewing.
Connect
Patients are connected with a doctor, so they have somewhere to go besides the emergency room.
Reduce
Coverage and benefit questions come to us instead of your case managers.
For your patients
For uninsured and underinsured patients at discharge.
MediSetGo enrolls patients in Medi-Cal or Medicare and helps them choose a managed care plan. Case management and patient access teams can refer directly.
A Community Health Worker from the patient’s own community follows up after they leave to help them stay healthy and get the care they need.
What this covers
- Medi-Cal and Medicare enrollment
- Managed care plan selection and member assistance
- Community Health Worker follow-up after discharge
- Community outreach programs
Skilled Nursing
Keep your residents’ coverage from lapsing, at no cost to the facility.
A resident whose Medi-Cal lapses at renewal puts the facility’s payment for their stay at risk. We help residents and their families keep Medicare and Medi-Cal in order.
Renew
We help residents renew Medi-Cal on time so their coverage doesn’t lapse.
Enroll
New residents who need Medicare, a Supplement or Part D plan, or Medi-Cal get enrolled.
Reduce
Families call us with their Medicare and Medi-Cal questions instead of your business office.
For your residents
For residents who need Medicare and Medi-Cal set up.
Residents and their families are often dealing with Medicare Parts A, B, and D, Supplement plans, and Medi-Cal at the same time.
MediSetGo helps residents and families understand the options and enroll, then provides member assistance once they are covered.
What this covers
- Medicare enrollment and plan options
- Supplement plans covering deductibles, copayments, and coinsurance
- Prescription Drug (Part D) plan selection
- Medi-Cal enrollment and member assistance
Senior Centers
Medicare and Medi-Cal help for your members, on site and at no cost to the center.
Your members already bring you their questions about Medicare and Medi-Cal. A Community Health Worker at your center can answer them and help members enroll, renew, and get to their appointments.
Enroll
Members get help choosing and enrolling in Medicare, Advantage, Supplement, and Part D plans, and in Medi-Cal if they qualify.
Renew
Members on Medi-Cal get help renewing on time so they don’t lose their coverage.
Connect
A CHW helps members find a doctor, book appointments, and sort out rides and benefits.
Reduce
Insurance questions come to us instead of your staff.
For your members
For older adults sorting out Medicare and Medi-Cal.
Medicare has Parts A, B, and D, Advantage plans, and Supplement plans, and some older adults also qualify for Medi-Cal.
MediSetGo helps members understand the options and enroll, and a Community Health Worker from the same community follows up.
What this covers
- Medicare enrollment and plan options
- Advantage, Supplement, and Part D plans
- Medi-Cal enrollment and member assistance
- Community Health Worker follow-up
Shelters
Health coverage and a Community Health Worker for your residents, at no cost to the shelter.
A CHW helps your residents get covered, find a doctor, and keep their appointments, so your staff can stay focused on housing and case plans.
Enroll
Residents without coverage get enrolled in Medi-Cal, and residents who have it get help keeping it.
Connect
A CHW helps residents find a doctor, book appointments, and get there.
Address
Missing documents, no phone, and no ride are the kinds of problems a CHW works on directly.
Reduce
Coverage and health questions come to us instead of your case managers.
For your residents
For residents who are uninsured or have lost their coverage.
MediSetGo helps residents enroll in Medi-Cal or a Medi-Cal managed care plan, and in Medicare if they qualify.
A Community Health Worker from the same community follows up to help them stay healthy and get the care they need.
What this covers
- Medi-Cal enrollment and member assistance
- Medi-Cal managed care plan enrollment
- Medicare enrollment for residents who qualify
- Community Health Worker follow-up
Schools
Health coverage and support for your students’ families, at no cost to the school.
When a family loses coverage or can’t get a child to the doctor, it often shows up at school as missed days and stress. A Community Health Worker works with the family directly.
Enroll
Students and their families get help enrolling in Medi-Cal and keeping it.
Connect
A CHW helps families find a doctor or dentist and book the appointments.
Support
Parents get one person to call about coverage, benefits, and community resources, which takes some of the stress off.
Reduce
Health and coverage questions come to us instead of your counselors and front office.
For your students and families
For students and families who need coverage and care.
MediSetGo helps families enroll in Medi-Cal and choose a managed care plan.
A Community Health Worker from the same community helps them use it, from finding a doctor to keeping appointments and connecting with resources.
What this covers
- Medi-Cal enrollment for students and families
- Managed care plan selection and member assistance
- Community Health Worker support for families
- Community outreach programs
Talk to us about your patients
Tell us what your practice or facility needs and we will walk through how the program works.
or call (833) 633-4738 · email info@medisetgoinsurance.com