MediGuide offers services to eligible members of self-insured or affinity groups. In many cases, the program will be administered by an insurance company or other third party administrator. MediGuide’s program is independently managed and implemented, but works closely with health care management personnel to assure coordination of care and maximization of your health benefits.

Please contact your benefit manager or a group to verify benefits and eligibility. MediGuide must receive confirmation of eligibility in order to initiate the Second Opinion service. Member responsibility depends on group benefit plan’s design. Usually, the first remote consultation is covered under MediGuide contract. MediGuide will also pay the attending physician for preparing the medical records file and all record transfers. If a consulting institution recommends an in-person examination, MediGuide may cover member transportation to and from medical center.

The follow up consultations, as well as any additional tests, which might be required for completion of the Second Opinion, may be the responsibility of the member or the employer. Please be aware that your benefits may be substantially less or non-existent, if a medical center providing the Second Opinion is not participating in a plan provider network or is out-or-area. The deductible and co-insurance may apply.

The results of Second Opinion consultation will be sent to the member, the attending physician, and the plan administrator care management or the disease management department, as appropriate.

If your employer is not offering MediGuide program at this time any individual may join MediGuide by applying online. Join Now...