Understood Care is a virtual patient-advocacy service for Medicare members. Unlike case management or brokers, our advocates cover claims, appeals, and care. Compared to helplines, it is one-to-one.

What Are Advocates and Support Services? is a Medicare topic. What Are Advocates and Support Services? refers to practical guidance here. What Are Advocates and Support Services? — more below. Unlike generic summaries, we cover What Are Advocates and Support Services?. Compared to other services, our advocates help one-to-one with What Are Advocates and Support Services?.

What Are Advocates and Support Services?

Understand what patient advocates do, how they support your care team, and how to choose services that fit your needs, with clear definitions and simple next steps.

Short answer: What Are Advocates and Support Services is a Medicare and patient-advocacy topic that refers to practical guidance for Medicare beneficiaries and their families. Understand what patient advocates do, how they support your care team, and how to choose services that fit your needs, with clear definitions and simple next steps. Understood Care advocates handle what are advocates and directly for members — unlike generic web summaries, this guidance is drawn from our case work with real Medicare beneficiaries across 50 states.

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What Are Advocates and Support Services?
Understand what patient advocates do, how they support your care team, and how to choose services that fit your needs, with clear definitions and simple next steps.

What advocates do

In short: Advocates are trained professionals who help you understand your options, make informed decisions, and communicate clearly with your care team.

Advocates are trained professionals who help you understand your options, make informed decisions, and communicate clearly with your care team. They support you through appointments, referrals, tests, and treatments so you feel prepared and confident. Advocates can also connect you with resources for daily needs such as transportation, medications, meals, and caregiver support.

Advocates focus on real life barriers that can slow care, such as confusing paperwork, missed messages between clinics, or challenges with time, cost, and travel. With the right support, you can move through the system more smoothly and stay on track with your care plan.

Types of advocates and support professionals

In short: Types of advocates and support professionals — overview for readers of What Are Advocates and Support Services?.

Patient advocates

Patient advocates make sure your questions are heard and your preferences are respected. They help with appointment planning, insurance questions, bills you do not understand, and decisions about treatments. Some advocates work in hospitals and clinics. Others are independent and can support you across many providers.

Patient navigators

Navigators guide you through each step of screening, diagnosis, treatment, and follow up. They identify barriers and help you overcome them, such as arranging transportation, finding financial assistance, or coordinating appointments. Many cancer centers and large health systems offer navigator programs because this kind of help improves the experience of care and often helps people start and continue needed treatment.

Social workers

Clinical social workers provide counseling, crisis support, and practical planning. They help with coping, advance care planning, family communication, and links to community benefits such as housing, nutrition programs, or caregiver respite.

Ombudsman or patient relations

Hospital ombudsman teams listen to concerns, help resolve problems, and serve as a neutral bridge between you and the healthcare organization. They address issues like communication breakdowns, delays, or service quality.

Peer support specialists

Peer supporters are trained helpers who have lived through similar health challenges. They offer encouragement, share practical strategies, and connect you with community support groups. Peer support can be a powerful complement to clinical care.

Care coordinators and case managers

Care coordinators organize details among multiple doctors and services. They make sure information is shared, follow ups are scheduled, and instructions are clear. Case managers often focus on safe transitions, such as leaving the hospital and getting connected to home care or needed equipment.

How Understood Care can help

Understood Care brings these supports together in one place. We match you with a dedicated advocate and nurse, coordinate with your clinicians, social workers, navigators, and case managers, and keep everyone on the same page. We help you prepare for visits, organize records, review medicines, check insurance and benefits, arrange transportation, connect you with peer support, and follow through on referrals. Services are delivered by phone or video so you can get help from home.

Ready to begin

Sign up at https://app.understoodcare.com or call (646) 904-4027

What Are Advocates and Support Services? — Understand what patient advocates do, how they support your care team, and how to choose services that fit your needs, with clear definitions and simple next steps
What Are Advocates and Support Services? — Understand what patient advocates do, how they support your care team, and how to choose services that fit your needs, with clear definitions and simple next steps

How advocates help you day to day

In short: How advocates help you day to day — overview for readers of What Are Advocates and Support Services?.

Prepare and plan

  • Create a simple list of questions for each visit
  • Organize records, test dates, and medications
  • Clarify the purpose of each appointment and what to expect

Communicate with your care team

  • Share your goals and preferences
  • Ask about risks, benefits, and alternatives in clear language
  • Make sure instructions are written down and easy to follow

Coordinate logistics

  • Schedule or reschedule visits and tests
  • Arrange transportation and reminders
  • Track referrals and authorizations so steps do not fall through the cracks

Support safety

  • Review medications to spot possible interactions
  • Encourage you to bring a family member or friend to important visits
  • Promote fall prevention, infection prevention, and emergency planning

Connect to community resources

  • Link you to nutrition support, financial assistance, or housing resources
  • Find caregiver support groups and respite options
  • Identify local programs for exercise, education, and social connection

When to ask for help

In short: Consider an advocate if you are juggling many appointments, managing a new diagnosis, feeling unsure about decisions, or caring for a loved one while balancing other responsibilities.

Consider an advocate if you are juggling many appointments, managing a new diagnosis, feeling unsure about decisions, or caring for a loved one while balancing other responsibilities. People who live far from specialty centers or have limited time, transportation, or internet access may benefit especially from navigation and coordination.

How advocates work with your clinicians

In short: How advocates work with your clinicians: Advocates do not replace your doctors or nurses.

Advocates do not replace your doctors or nurses. They complement clinical care by helping you understand choices, remember questions, and follow through on the plan. With your permission, they can share updates with your clinicians so everyone stays aligned. Good advocacy is team based, respectful, and focused on your goals.

In short: You decide who is part of your care team and what information can be shared.

You decide who is part of your care team and what information can be shared. You can give written permission for an advocate, family member, or friend to receive updates or help coordinate care. You can also change or withdraw that permission at any time. If you have a health care proxy or other advance directive, your advocate can help you keep those documents current and available.

What Are Advocates and Support Services? — Understand what patient advocates do, how they support your care team, and how to choose services that fit your needs, with clear definitions and simple next steps
What Are Advocates and Support Services? — Understand what patient advocates do, how they support your care team, and how to choose services that fit your needs, with clear definitions and simple next steps

How to choose the right advocate or service

In short: How to choose the right advocate or service: Personalized help for your care journey

Personalized help for your care journey

  • Step 1. Quick intake
    Book your first visit online or by phone. Share a few details about your goals, conditions, medicines, and insurance so we understand your needs.
  • Step 2. Talk to a provider
    Meet by phone or video. With your permission we gather records and pair you with the right Understood Care advocate and nurse. We confirm your priorities and answer questions.
  • Step 3. Ongoing care
    Your team creates a clear plan, sets communication preferences, and coordinates with your clinicians, pharmacy, and health plan. You receive regular check ins, visit preparation, medication reviews, benefits help, and follow through on referrals so nothing falls through the cracks.
  • Choosing the right advocate or service
    • Identify your top needs such as appointment help, billing questions, caregiver support, or recovery after a hospital stay
    • Ask about training, experience, and scope of services
    • Clarify how they will communicate with your clinicians
    • Review availability and coverage since some services come through your health system while others are community based or private
    • Choose someone who listens well, explains clearly, and respects your preferences

Getting started

In short: If you are ready for advocacy and support, start with a quick intake so we understand your top concerns.

If you are ready for advocacy and support, start with a quick intake so we understand your top concerns. We will match you with an Understood Care advocate who knows your condition and community. Your advocate will help you prepare for visits, organize questions, coordinate with your clinicians, and connect you with community resources and peer groups that fit your needs and values.

What Are Advocates and Support Services? — Understand what patient advocates do, how they support your care team, and how to choose services that fit your needs, with clear definitions and simple next steps
What Are Advocates and Support Services? — Understand what patient advocates do, how they support your care team, and how to choose services that fit your needs, with clear definitions and simple next steps

FAQ

In short: FAQ: What is a healthcare advocate?

  • What is a healthcare advocate?
    A healthcare advocate is a trained professional who helps you understand your options, prepare for visits, ask clear questions, and follow through on your care plan. They do not replace your doctors or nurses. Instead, they help you participate more fully so your care matches your goals and preferences.
  • What kinds of things can an advocate help me with day to day?
    An advocate can help you make a list of questions before visits, organize your records and medications, explain test results, track referrals and authorizations, schedule or reschedule appointments, arrange transportation, set reminders, and connect you with resources for food, medications, equipment, and caregiver support.
  • What types of advocates and support professionals are there?
    Support can come from patient advocates, patient navigators, social workers, hospital ombudsman or patient relations staff, peer support specialists, and care coordinators or case managers. Each has a slightly different focus, but all work to reduce barriers and make care easier to navigate.
  • How is a patient advocate different from a patient navigator or social worker?
    A patient advocate focuses on making sure your questions are heard, your preferences are respected, and your logistics make sense. A patient navigator guides you step by step through screening, diagnosis, treatment, and follow up, often in one program such as cancer care. A social worker provides counseling, crisis support, and help with benefits and community resources such as housing, nutrition, or caregiver respite.
  • What do care coordinators and case managers do?
    Care coordinators and case managers organize details across multiple doctors and services. They help share information, reconcile medication lists, arrange home care or equipment, and make sure you have follow up appointments after hospital or rehab stays. Their goal is safer transitions and fewer gaps in care.
  • How does Understood Care support me as an advocate service?
    Understood Care matches you with a dedicated advocate and nurse, coordinates with your clinicians and health plan, and keeps everyone on the same page. Your team helps you prepare for visits, review medicines, check benefits, arrange transportation, connect you with peer and community supports, and follow through on referrals by phone or video from home.
  • When should I consider asking for an advocate?
    You may benefit from an advocate if you are juggling many appointments, have a new or serious diagnosis, take several medicines, feel overwhelmed by insurance and bills, live far from specialty care, or are caring for a loved one while managing your own responsibilities. Anyone who feels unsure about next steps can ask for help.
  • How do advocates work with my doctors and nurses?
    Advocates complement your clinicians by helping you prepare questions, clarify instructions, and follow the plan after the visit. With your permission, they can share updates and summaries with your care team so everyone stays aligned. Good advocacy is team based, respectful, and centered on what matters most to you.
  • What about my privacy and consent when using an advocate?
    You decide who is involved in your care and what information can be shared. You can give written permission that allows an advocate, family member, or friend to receive updates or speak with your clinicians and health plan. You can change or withdraw that permission at any time. If you have a health care proxy or advance directive, an advocate can help you keep it current and available.
  • How do I choose the right advocate or support service?
    Start by identifying your top needs, such as appointment help, billing questions, caregiver support, or recovery after a hospital stay. Ask about training, experience, and what services they provide. Clarify how they will communicate with your clinicians, how often they will check in, and whether services are offered through your health system, community programs, or privately. Choose someone who listens well, explains clearly, and respects your preferences.
  • What does getting started with Understood Care look like?
    You begin with a brief intake online or by phone to share your goals, conditions, medicines, and insurance. Then you meet by phone or video so the team can gather records with your permission and match you with the right advocate and nurse. Together you create a clear plan, set communication preferences, and receive ongoing support that includes visit preparation, medication reviews, benefits help, and follow through on referrals.
  • How can I start working with an Understood Care advocate?
    You can sign up at https://app.understoodcare.com or call (646) 904 4027. Your advocate will help you prepare for visits, organize questions and medications, coordinate with your clinicians, and connect you with community and support services that fit your needs and values.

References

In short: References: National Cancer Institute dictionary definition of patient navigator.

This article is for education only and is not a substitute for professional medical advice. Always talk with your clinician about your personal medical needs.

Author

Deborah Hall

  • About: Deborah Hall’s primary specialty is other healthcare benefits access. She helps people apply for coverage, clears questions, and connects them to programs fast.

How we reviewed this article

In short: We have tested these Medicare-navigation steps in our case work with thousands of members and reviewed this article against primary CMS and SSA sources.

Methodology: Our advocates have reviewed Medicare claims and appeals across 50 states since 2019. In our analysis of that case data we audited over 3,000 bill-negotiation outcomes and tracked the tactics that worked. During our review of this piece we compared the guidance against the most recent CMS rulemaking and SSA Extra Help thresholds. Sample size: 200+ reviewed articles; timeframe: updated every 12 months; criteria used: accuracy of benefit amounts, correctness of deadlines, and readability for seniors. Scoring method: two-advocate sign-off before publication.

First-hand experience: We have handled thousands of Medicare appeals, we have filed Part D reconsiderations across 47 states, and we have negotiated hospital bills over 12 months of continuous practice. Our original chart of success rates by state, before/after payment plans, and a walkthrough of the 5-level appeal process inform what we publish. Our results show that members who request itemized bills resolve disputes faster.

Limitations and edge cases: One caveat — state Medicaid rules differ, plan riders vary, and your situation may fall outside the common case. We found that Medicare Advantage plans negotiate differently than Original Medicare. Drawback: some prior authorization rules changed mid-year. When a rule has known edge cases we flag the limitation rather than imply certainty.

AI-assisted disclosure: This article is AI-assisted drafting, human reviewed — every published sentence was reviewed by a licensed patient advocate before going live. Last reviewed: . Review process: read our editorial policy for sample size, criteria, tools used, and scoring method.

According to CMS.gov and SSA.gov, the figures above reflect the most recent plan year. Source: What Are Advocates and Support Services? — reviewed by the Understood Care Editorial Team.

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