MemberFirst

Retiree Healthcare Advocacy at its Finest

Compassionate, Mission–Driven, Human. Here to Improve Retiree Lives.

MemberFirst is an advocacy program like no other. It’s a world–class service dedicated to helping members navigate the complex retiree healthcare landscape. Here, you’ll find Advocates dedicated to serving the needs of retirees, helping them understand their benefits and connect to programs that will improve their health and wellbeing, and providing them with a stress–free experience. We do this by delivering the most people–centric service model the industry has to offer.

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Retiree Healthcare is Complicated. Members Need an Advocate.

Medicare is complex, and retirees have a wide range of healthcare and insurance needs. Whether facing a serious health problem, transitioning to a new plan, or dealing with a confusing bill, members need experienced support to navigate the many questions that arise when it comes to retiree health benefits.

Creating a positive experience through retiree healthcare advocacy is our priority—and it starts with people. Our unparalleled MemberFirst service is at the heart of everything we do. We work every day to create a seamless benefits experience and deliver on the promise of improving the health and happiness of the people we serve. Retirees talk to a live person based in the U.S.—no chatbots—who help proactively resolve any healthcare benefits challenge they may face. RetireeFirst Advocates truly care about helping members navigate Medicare and improve their health and wellbeing, resulting in happier and more engaged members.

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Local 274

Eugene Digiovacchino

“I am very happy and satisfied working with my Advocate, Victoria. She answers all of my questions and goes out of her way to solve any issues I have. Thank you!”

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Los Angeles County Office of Education

Mildred Butler

“It is wonderful speaking with a human rather than a chat bot! I appreciated my Advocate’s thoughtfulness and sweet demeanor. This company is a breath of fresh air.”

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Community College of Baltimore County

Patricia Lavenstein

“My Advocate, Lily, at RetireeFirst always seems like she is smiling during our conversations. She enthusiastically and quickly helps me resolve my problems.”

We are Caregivers

Navigating retiree healthcare benefits is complex. Let us be your guide. Our Advocates are dependable, compassionate, and focused on creating meaningful, lasting impacts on retirees’ lives. 

Navigating Benefits
Navigating Benefits

Finding your way through retiree healthcare benefits can be daunting. There can be multiple plans and confusing language—and things can change annually. Our Advocates act as a guiding hand to help members fully understand their benefits, options, and resources. They proactively help retirees with everything from formulary, tier, and copay assistance, to calls with Medicare, Social Security, providers, and pharmacies, to understanding prior authorizations, generic availability, and other pharmacy–related questions.

Administrative Support

Administrative details can be the most frustrating part of healthcare benefits. We take care of that too. Our Advocates can update personal information, obtain ID card replacements, support with claims, billing, and payments, and help file applications for various programs. The list goes on—all retirees need to do is ask.

Administrative Support
Connecting to Health & Wellness Programs
Connecting to Health & Wellness Programs

Most people can’t keep up with all the programs available to them. We proactively reach out to retirees to educate them on available wellness, clinical, and other benefits through our MemberCare Connect program, which can help reduce gaps in care and improve their health.

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Retiree Healthcare Advocacy is our Hallmark

Retirees receive personalized support through every phase of their journey.

It means a dedicated phone line and a live human on the other end of it—including someone who understands their unique needs. Members never have to wait to speak with someone. All of our Advocates are based in the U.S., and they are never measured on call handling time. We’re focused on meeting member needs, no matter how long it takes.

All member cases are assigned a lead Advocate as first point of contact to develop a one–to–one relationship with the member, and take responsibility for end–to–end issue resolution and follow–up calls. Unlike any other advocacy programs, our Advocates proactively reach out to provide status updates, ensuring members know we are working on a resolution. It’s why we have a Member Net Promoter Score of 90+.

Through our trusted relationships with individual retirees, RetireeFirst has demonstrated success in providing proactive outreach to educate members on available wellness, clinical, and other benefits. Retirees are happier and healthier, resulting in lower overall costs, a significantly reduced administrative burden for plan sponsors, and greater satisfaction for all.

Our Advocates receive specialized geriatric training, ensuring they can provide the best retiree healthcare advocacy service possible.

A Personal Guide through the Medicare Maze

Members

Direct access to an Advocate for personalized support on all retiree healthcare needs

Plan Sponsors

Reduced administrative burden and happier members

Get Started Today

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