MediGuide offers services to eligible health plans members. MediGuide program is independent from health plans, but we will work closely with its health care management personnel to assure proper coordination of care and maximization of your insurance benefits.

Please contact your health plan or benefit manager to verify benefits and eligibility. MediGuide must receive confirmation of eligibility in order to initiate Second Opinion service. Member responsibility depends on plan benefits 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 a member or a health plan responsibility. Please be aware that your benefits may be substantially less or non-existent, if a medical center providing Second Opinion is not participating in health plan provider network or 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 health plan care management or disease management department, as appropriate.

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