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System and method for providing healthcare-related services

  • US 8,150,714 B2
  • Filed: 11/16/2007
  • Issued: 04/03/2012
  • Est. Priority Date: 11/17/2006
  • Status: Active Grant
First Claim
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1. A system comprising:

  • a health insurance benefit card that evidences health insurance benefits for a client of a health insurance company, the health insurance benefit card comprising;

    a wallet-sized card; and

    a peel-off label coupled to the wallet-sized card; and

    one or more instructional messages to the client,wherein the one or more instructional messages are printed on the peel-off label so that the peel-off label is disposed between the one or more instructional messages and the wallet-sized card and thus the one or more instructional messages are visible to the client,andwherein the one or more messages comprise an instructional message directing the client to use a remote user interface to take an affirmative action to initially activate the health insurance benefits evidenced by the health insurance benefit card,the remote user interface comprising at least one of a telephone and a computer, andthe affirmative action comprising initiation of a communication by the client, the initiation of the communication by the client comprising a telephone call by the client, an e-mail message from the client, and a website access by the client;

    at least one other computer, the at least one other computer comprising;

    at least one processor;

    a computer readable medium operably coupled to the at least one processor; and

    a plurality of instructions stored in the computer readable medium, the plurality of instructions being accessible to, and executable by, the at least one processor;

    wherein the at least one processor is configured to perform the following steps;

    initially activating, during the communication initiated by the client, the health insurance benefits evidenced by the health insurance benefit card, comprising;

    verifying, during the communication initiated by the client, name and contact data specific to the client;

    explaining, during the communication initiated by the client, the health insurance benefits to the client, comprising at least one of the following;

    explaining the existence and selected aspects of a medical plan to the client;

    determining whether a dental plan is available to the client;

    if the dental plan is available to the client, then explaining the existence of the dental plan to the client;

    determining whether a prescription drug plan is available to the client;

    if the prescription drug plan is available to the client, then explaining the existence of the prescription drug plan to the client;

    determining whether a vision plan is available to the client; and

    if the vision plan is available to the client, then explaining the existence of the vision plan to the client;

    explaining to the client, during the communication initiated by the client, how the client can take advantage of the health insurance benefits before the client has ever used any of the medical, dental, prescription drug, and vision plans;

    andinitially activating, during the communication initiated by the client, the health insurance benefits before the client has ever used any of the medical, dental, prescription drug, and vision plans;

    conducting, during the communication initiated by the client, a healthcare-related survey with the client, the healthcare-related survey being configured to collect survey data specific to the client, the survey data comprising at least one of the following;

    smoking habit data specific to the client'"'"'s smoking habits;

    family history data specific to the client'"'"'s family history;

    diet data specific to the client'"'"'s diet;

    exercise data specific to the client'"'"'s exercise;

    prescription drug use data specific to the client'"'"'s prescription drug use;

    andseat belt use data specific to the client'"'"'s seat belt use;

    creating a client health profile specific to the client in response to conducting the healthcare-related survey with the client, the client health profile specific to the client comprising the survey data collected during the healthcare-related survey conducted with the client;

    sending risk-assessment data to the health insurance company, the risk-assessment data being at least partially dependent upon the survey data collected during the healthcare-related survey conducted with the client;

    providing healthcare-related services after initially activating the health insurance benefits evidenced by the health insurance benefit card, comprising one or more of the following;

    providing healthcare-related education services to the client;

    providing healthcare-related marketing services;

    providing healthcare-related incentive services; and

    providing healthcare-related follow-up services with the client;

    wherein one or more of the education, marketing, incentive and follow-up services are at least partially dependent upon the client health profile and thus are specific to the client;

    andsending one or more program response reports to the health insurance company.

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