FAQs

  • MyHealth is your personal healthcare partner. We provide personalized concierge support to help you navigate your health benefits, coordinate care, and access the services you need with confidence. Our goal is simple: to make healthcare easier to understand, easier to access, and less stressful for you “our member”.

  • Our Team is here to support You every step of the way. We can assist with:

    • Benefit questions and concierge navigation

    • Replacing a lost or missing member ID card

    • Finding in-network doctors and specialists

    • Scheduling appointments

    • Prior authorization (utilization management) support

    • Case management with a dedicated nurse

    • Support after a hospital stay or major procedure

    • Help managing complex or ongoing medical conditions

    • Billing and claims questions

    ALL MyHealth Services are provided at No Cost To You!

  • Concierge service means you have a knowledgeable, friendly team to call when healthcare feels confusing or overwhelming. We help explain your benefits in plain language, estimate potential costs, locate in-network providers, compare care options, and assist with scheduling appointments—so you can focus on your health, not the paperwork.

  • Case management offers additional support for members with ongoing or complex health needs. If you participate, a dedicated nurse will work with you to:

    • Understand your diagnosis and treatment options

    • Coordinate care between providers

    • Review test results and next steps

    • Arrange follow-up appointments

    • Support your recovery after a hospital stay

    Participation is Voluntary, Confidential, and Free.

  • Simply call or email us, and we’ll do the searching for you.
    Phone: 855-819-3336
    Email: MyBenefits@My-Health365.com

    Let us know your location, the type of provider you are looking for, and preferences (distance, provider network, etc.). We will provide options and can help schedule your appointment.

  • A prior authorization (PA) is approval some services or medications need before being covered. Your doctor usually submits the PA. Examples include MRIs, surgeries, hospital stays, and specialty medications.

  • Your provider will receive a notification by mail and sometimes by phone. If your request is denied, you will receive notification as well.

  • Your provider may schedule the service, and we can help explain any costs. Call us anytime with questions.

  • You have options. We can explain the denial in plain language, discuss next steps, and review your appeal rights. Your doctor can submit more information or request a peer-to-peer review. Call us and we will walk you through it: 855-819-3336.

  • The Member Portal lets you review benefits, check authorizations, view plan materials, and message support securely.

    To access it, go to Member Support → Member Portal in the site navigation at the top of the page, or click here.

  • Yes. The app allows you to view benefits, digital ID (if supported), review PAs, and message support. A QR code to download the app will be available soon on our website, simply scan and follow the prompts.

  • Phone: 855-819-3336

    Email: MyBenefits@My-Health365.com

    Hours: 8:00 AM – 8:00 PM ET

    After hours, leave a message, and we will call you back.

  • No. All services are included as part of your health plan.

  • Your information is protected under HIPAA. We keep your information confidential and do not share individual health details with your employer.

  • Call us when you need help finding a provider, were recently in the hospital, receive a denial or approval letter, need prior authorization, have billing or benefit questions, or feel unsure what to do next.

  • Call 911 or go to the nearest emergency room. Afterward, we can help coordinate follow-up care and answer benefit questions.