I am frequently asked how much it “should” cost to work with a healthcare advocate. The honest answer is that it varies tremendously, depending on your part of the country. The range I have seen, in talking with advocates nationwide, is enormous, but most people fall in the $50-$200 range. What determines the cost?
* Geographic area. Where you live and the cost of living there will drive the cost of all of your advocates expenses. And your cost.
* How your advocate works. Healthcare Advocates who travel to see you in your home or the hospital (as opposed to having you see them in their office) will cost more. The advantage is that you don’t need to travel to them; they travel to you, but there are many costs (time, mileage) associated with that system.
* The amount of time your Advocate has been working. People frequently start out at lower rates and as they establish themselves, their rates go up. An exception could be businesses that are incorporated as a non-profit or Advocates that have a sliding scale for fees.
* The amount of training your Advocate has. As with many services, people trained or certified in that area will cost more.
What can you do to control your costs?
* Make sure you have a written agreement with your Advocate for the services you want. Your goals should be clearly spelled out by the end of the first meeting so you both know what you’re trying to accomplish.
* Divide up the tasks. Frequently, once we have the goals identified, my clients say “I can do these pieces and I want you to do these other ones. It’s a cost saver for them and helps them be more empowered in their on-going medical care.
* Keep communications clear. Your Advocate should be giving you–via phone or email–updates on what they are doing for you. If you’re in the hospital, they may be communicating with your family and friends. I frequently set up email groups with my clients so that everyone they want “in the loop” receives the same information from me at the same time.
* Trust your intuition. If it seems like it’s difficult to work with your Advocate–for whatever reason–talk with them to try to resolve it. If it still feels like it’s not a “good fit” with that particular Advocate, find another one. The idea is to assist you in your goals, and you need to be working with someone that can help you do just that!
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