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Transition Care & Care Assist Programs

A new name for naviHealth in 2024:  Home & Community Care

The Fund is partnering with Home & Community Care (previously naviHealth) to provide a Transition Care Program and a Care Assist Program for participants who are scheduled for an outpatient procedure or have been admitted to the hospital. This new benefit helps you navigate the health care system and stay healthy to avoid hospital readmission.

Here’s How it Works

Transition Care Program: you will be contacted if you have been admitted to a hospital to assist with coordinating your post-discharge care. Or, if you know you are going to be admitted, call 304-316-2187 to arrange for assistance in advance. The team is comprised of experienced professionals—called Patient Navigators—who understand the Fund’s benefits and the complexities of the health care system. They advocate on your behalf to ensure your pathway to recovery is free of any obstacles.

Care Assist Program (CAP): If you are scheduled for an outpatient procedure, call 304-316-2187 for help with medications, coordinating your medical records between providers, scheduling check-ups and evaluations, and setting up durable medical equipment needed for the recovery process.

Overview of Services

  • General assistance with post-discharge needs. Navigation Specialists are available to answer questions and provide support.
  • Schedule medical appointments. The team can schedule your follow-up doctor visits, as well as facilitate communication and coordinate care with your providers.
  • Locate health care providers. If you need care your provider doesn’t offer, they can locate appropriate alternate providers.
  • Coordinate delivery of medical records. Your medical records can be delivered to your doctor for follow-up appointments.
  • Assist with community resources. A member of the team can connect you with community resources to facilitate your care and recovery.
  • Coordinate prescription fills. Discharged patients often require one or more medications. A Patient Navigator can help get your prescriptions filled and see that you receive them.

Frequently Asked Questions

  • Should I take the call? Yes. Home & Community Care will call you to assist with coordinating your post-discharge care. They will identify themselves as Patient Navigators calling on behalf of 4th District IBEW Health Fund. If you know you are going to be admitted, call 304-316-2187 to arrange for assistance in advance.
  • Are there nurses or doctors that can help me? We do not not provide medical care. We do assist patients in coordinating their care with doctors and other services that are available.
  • When should I contact Home & Community Care? You can contact them anytime, but especially if you have been, or know you are going to be, admitted to the hospital. This way they can help ensure you experience a smooth transition home.
  • What services are provided? Home & Community Care can help schedule medical appointments, refer patients to programs and resources, and find health care providers that suit your needs.
  • Will it cost me anything?  Home & Community Care services are free of charge for qualified hospital admissions and surgical procedures for all covered members and dependents of the 4th District IBEW Health Fund.