What We Do

If you suddenly receive a devastating medical diagnosis, how do you cope? What happens if your parent suddenly becomes disabled and can no longer live independently? Is there money for supportive living arrangements? How do you know if you are eligible for Medicaid? When should you ask for a second opinion, and from whom? What can you do if your insurance claim is denied? How do you learn of the best treatment for a medical condition? Which hospital provides the highest quality of care? Have you documented the kind of crisis care you wish in a worst-case scenario? What if a loved one experiences a medical emergency and you must immediately apply for Medicaid, Social Security disability benefits, and/or veterans’ benefits? How do you help an aging parent transition to a less independent life style? How can you talk to them about the possibility? How do you get copies of your medical records? What if they contain errors? How do you make sense of the ACA? How can you negotiate the costs of medical treatment? If you are a veteran, how do you know which benefits are available to you? Why might you need to consult an estate planning attorney even though you are not wealthy?

There are just a few of the challenges you can face with no warning.

Pilot Health Advocates, Inc. ® is a full-service firm providing individuals and families with healthcare navigation. Our mission is to compassionately support and optimize your choices through education and planning, as well as comprehensive assistance including hospital bedside service, coaching you to advocate for a loved one, monitoring your parents’ care from afar, or handling the seemingly endless, always confusing, paperwork that accompanies a critical medical condition.

11 Responses to What We Do

  1. Luke Casipe on January 15, 2015 at 10:02 pm

    Issues when applying for Healthcare

  2. Emily on March 27, 2015 at 6:10 pm

    Hi, my daughter is 45, on SSI for PTSD and lives in San Francisco. She needs a Medical Advocate/private case manager to assist her in getting to appointments, taking her medication and related needs. She has had some life threatening medical issues in the past but still manages to get around (on foot.) I live in Washington State and at this time she is not willing to relocate back here.

    Do you know of any private agencies in the area that provide this type of assistance ie; an individual to be there to advocate for her and help her get more stable? This would be a private pay on my part.

    Thanks much for any suggestions,

    Emily K.

  3. Jean on June 22, 2015 at 5:16 pm

    My son is 33 and is on SSDI for Bi-Polar Disorder and Schizoaffective Disorder. He was living with me near Seattle, Washington until the representative payee for his SSDI ROG Services gave him a enough money to rent a car and drive to California before his court-ordered restrictive order expired. His case manager and I had been trying to find housing for him in a facility here. The rep payee and I had agreed a few days before he left that $50 a week would be adequate for my son’s needs since I supplied everything else. At present, he has gotten enough money from his back SSDI award to buy a BMW SUV and is living in a motel in Roseville, CA. He is non-compliant with his medications and very delusional. No agency will reach out to him for an evaluation in either Sacramento or Placer County. I have called for welfare checks, but he is neither suicidal nor homicidal, so there is no help coming for him. Is there any way that I can help him? Do you have any suggestions?
    Thank you so much.

    • Claudia K. Nichols on June 23, 2015 at 11:25 am

      Dear Jean,

      I will respond to your comment privately by email.


  4. Liz on July 5, 2015 at 11:22 am

    my father has been transfered to a long term acute facility in another state he was sent from a hospital 7 days post surgery with several serious conditions he had tubes draining his liver and is not using a bathroom ,he cannot sit up and when trying to eat spills his food has just been on solid food for a week but is not eating he àlso has respitory issues he uses a cpap at home but they said they can’t make him use it he is sometimes confused mostly sleeping all day
    this facility has on call Dr.s and rotating staff I cannot be there to oversee his care and am reliant upon calling the nurses station who often cannot even tell me about his condition he has absolutely no one there to rely on I am the only family member and cannot travel there on a regular basis I spoke with the social worker and was told if his condition worsens they will call I have no poa any advice how I can find resources to advocate or oversee is healthcare would be greatly appreciated

  5. Camille Moore on October 4, 2015 at 6:16 pm

    I live several blocks from your front door on Webster in Pac Heights but note there is no SF office address for you…I need a medical bill negotiator to do a face to face informal settlement for me now….will provide facts when /if we meet….are you in san fran??? If so please advise your phone # or ring me to set up appointment…..Thx from Camille

    As I can’t tell what post comment means am reluctant to post my phone so I shall ask you to send yours if you have a local advocacy office or can refer me to one…….Thx Claudia p

  6. Camille Moore on October 5, 2015 at 4:56 pm

    My logistical questions were answered by your outstanding links…such rich and moving stories…I believe I rang a 415 number last night but can’t find it…so called your 978 number and left a message including my local phone # 415 922-2216..good call times 4pm-10 pm…Could we set a time to talk via phone..like tonight or tomorrow after 4pm… Best to you…Camille Moore

  7. Kathy Jennings on November 29, 2015 at 1:57 pm

    My story is so bad I really can’t post it. But, basically, I had an upper/lower osteotomy in “99. The original TMJ specialist I saw in Roseville, CA, upon seeing me said “Oh my God HFM” That would be the last time I would hear that term for many years.
    The next thing I know I am seeing a Surgeon in Oakland who diagnosed me with Cranial Malocclusion with TMJ. I remember looking all over that paperwork for “HFM” (I figured it was some king of acronym.-Nowhere. Had the surgery (Upper AND Lower) jaws, and sent on my way assured of a full recovery? I never recovered… What I know now is that Kaiser did not have the Medical Surgical Protocol Facilities to work on HFM, that they should have immediately referred me into the UC system who did.
    I went on to finish the mid-life degree/career change I had been working on, taking low rent jobs till I healed, because my surgeon had said I would…
    About 2.5 years of this and my Medicaid Doctor threatened pulling Medicaid unless I applied for ssi/sdi. Because he didn’t know what I had and knew I needed Medicare.
    Upon getting Medicare I went back to Kaiser-What went wrong? Apparently know one knew and no one had ever seen my situation before… I jumped out of Kaiser after being threatened by my Primary…Try anything Legal and Kaiser will squish you like a bug” Time to go…

    I went into the UC system after hearing they did a lot of soft tissue work. I was initially given a diagnosis of Goldenhar, Should have been referred at that time to a HFM speacialist-HFM being an umbrella term for a whole lot of nasty myofacial diseases. I wasn’t. I asked the Neurologist about some facial exercises since this causes allot of stress and pain on facial muscles-O.K. Just don”t do anything that hurts. DUH

    Even though the exercises caused no pain they made a passive Goldenhar syndrome into an active. Now I am fighting to keep attack away, these two Neurologists are just evil and have threatened to get me banned from any type of Neurological help ANYWHERE-INDEFINATELY? I don’t even know how that can be done to someone with a rare neurological disease…Oh, and when she realized he mistake-she changed my diagnosis.

    I could go on-what is the point. I jumped from the pan into the fire. Kaiser was doing a lot of Medical no-no, and UC is covering. I need help on so many standpoints, I don’t even know where to start. I will be at Medicare in Auburn this week/complaints and legal aspects-denials , etc.

    I am in a dangerous life threatening situation caught in an interfaculty political nightmare-I need a genetics blood-test which Medicare doesn’t cover because these two Neurologists just change my diagnosis to meet their agenda-its Unbelievable, the type of situation people die from in America. Please get back to me and let me know if you can assist me with any of this.

    Please Help!
    K. Jennings

  8. Jan on February 13, 2016 at 11:13 am

    My 62 year old sister has been hospitalized for almost 3 months with complications from a major surgery. Her 90 days of Medicare hospitalization will soon be exhausted and the hospital is likely to try and move her to sub-acute (not ready) which is more than 7-9 hours away from home. Can you please contact me so we can discuss how your firm might be able to advocate for her? I left a message yesterday on your 928 number.

    • Claudia K. Nichols on February 22, 2016 at 2:49 pm

      Jan, we have since corresponded and I will follow up with you as to what has transpired since we last spoke.

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