Sun Life Health Navigator provides health advocacy and care navigation services. By helping our members navigate the complicated healthcare system, they can feel confident in their diagnosis and get access to the right care for their needs—leading to a better experience and improved health outcomes.
At Sun Life, we are committed now—more than ever—to our purpose: helping people live healthier lives. Across our entire portfolio, we offer innovative solutions to help employees access the healthcare and coverage they need. And we continue to invest in technology that makes offering benefits less complicated, provide extra support for people with health conditions, and advocate for better public policies to improve healthcare access.
Sun Life makes health and benefits easier.
With Sun Life Stop-Loss and Clinical 360, our clinical experts utilize our data-driven approach to act as a second set of eyes for our Clients, reviewing claims to identify care optimization and cost savings opportunities.
One of the largest dental PPO networks in the U.S.1, Sun Life's Dental Network Optimization Program works to recruit additional dental providers our members see.
Members can utilize the convenience of retail locations or purchase glasses and contacts online without having to leave their home.
Digital solutions that transform the way you access, manage and deliver benefits. With Sun Life you get a seamless experience at every step in the benefits journey from onboarding, education and enrollment to benefits administration, integrated absence and claims management.
Our Critical Illness, Cancer, Hospital Indemnity and Accident plans offer benefits for numerous covered conditions. These plans bridge coverage gaps to make member out-of-pocket costs more manageable and are supported by simple claims processes.
Informed by our clinical claims innovation lab, Sun Life offers:
- Eligible members receiving benefits for cancer access to AbleTo virtual behavioral health therapy and coaching.
- Eligible members receiving benefits for neck or back pain/MSK or long covid access to Goodpath digital whole-person care and coaching.
These services are provided at no additional cost to the member or employer.
In addition to our clinical interventions, Sun Life offers:
- AbleTo Self Care, available as an option to Life clients, to provide members and their families access to digital tools that help build resilience and improve mental health.
- Health Navigator members have access to mental health guidance and care navigation.
- Employee Assistance Program.
The implications of not having access to care are significant
Access can be challenged when treating providers are unavailable in a timely manner, when care is not affordable, when employees don’t have a treatment plan or are unaware of their options.
Employees can experience:
- Presenteeism or being less productive at work if they’re in pain, sick, or they are not confident in their care decisions
- An unwanted trip to the emergency room, creating more costs and stress
- Return-to-work delays after an absence
- Missed opportunities to improve health outcomes and live their lives fully
- Mental distress for themselves and their families
Access to Health: Will care be there when we need it?
Our complex U.S. healthcare system is experiencing access challenges, a situation that is becoming increasingly pervasive across the U.S. This concern impacts employers who are called upon to advocate for employees, and whose businesses are impacted by reduced productivity, prolonged absences, and increased medical costs.
“Good solutions to a very important problem. What resonated was the access to care, which I'm already seeing as a problem with employees.”
“With all the changes that the pandemic has forced on care givers, patients, medical staff, etc., it is truly wonderful to see how Sun Life is working to help find answers for each of the sectors that make up the 'health care universe'. THANK YOU!!!!”
“Very timely topic. I don't think enough thought is given to the provider shortage and access issues we will experience as the result of covid and the aging population.”
Ready for a better benefits experience?
McKinsey & Company
"Employers are increasingly interested in benefits solutions that include components—for example, health management and member advocacy—that simultaneously improve member satisfaction and help manage costs. This balanced approach is likely to endure after the pandemic ends.“
1 Zelis Network Analytics data as of January 2023 and based on unique dentist count. Each dentist is only counted once.
2 Zelis as of April 2022.
PinnacleCare is a member of the Sun Life family of companies. PinnacleCare and its employees do not diagnose medical conditions, recommend treatment options or provide medical care, and any information or services provided should not be considered medical advice. Any medical decisions should be made only after consultation with and at the direction of your medical provider. Any person or entity who provides health care services following a referral or other service provided does so independently and not as an agent or representative of PinnacleCare.
Sun Life is not responsible or liable for the care, services, or advice provided by Goodpath or AbleTo, and reserves the right to discontinue either service at any time. Read the linked documents for member eligibility criteria for each of these services.
Group insurance policies are underwritten by Sun Life Assurance Company of Canada (Wellesley Hills, MA) in all states, except New York. In New York, group insurance policies are underwritten by Sun Life and Health Insurance Company (U.S.)(Lansing, MI). Product offerings may not be available in all states and may vary depending on state laws and regulations. The group insurance policies described in this advertisement do NOT provide basic hospital, basic medical, or major medical insurance.
Not approved for use in New Mexico.
©2023 Sun Life Assurance Company Canada, Wellesley Hills, MA 02481. All rights reserved. The Sun Life name and logo are registered trademarks of Sun Life Assurance Company of Canada. Visit us at www.sunlife.com/us.
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