Frequently Asked Questions

Find answers for benefits consultants, employers, public sector teams, and members. Pick a group below to jump to its questions.

Benefits Consultant

What is a healthcare cost containment system?

A cost containment system runs your health plan instead of adding one more tool to it. Most plans carry 35 to 40 point solutions and nothing coordinating them. Medefy aligns the three power players, the benefits consultant, HR, and the member, on the same cost problem, then proves the savings in your claims.

How does Medefy work?

Medefy finds the cost, acts on it, and proves it. It surfaces where your plan is leaking, routes the action to the benefits consultant and HR, guides the member to the lower-cost choice, and tracks the result in the claims. The benefits consultant plans, HR communicates, the member acts, and Medefy coordinates every turn.

Does Medefy replace my point solutions?

No. Medefy runs your point solutions and surfaces each one at the right moment for the member. It does not retire them. You get more use out of the tools you already pay for, and you can see what to keep, what to cut, and what to renegotiate.

How can a benefits consultant prove savings to clients?

You walk in with proof, not a projection. Medefy surfaces where the plan is leaking, moves members to the lower-cost choice, and shows the savings in the client's own claims. That keeps you in the account all year and wins the accounts your competitors cannot prove savings for. Gateway First Bank reached 9x ROI in two years.

What does Medefy cost?

Medefy pricing depends on your plan and your population. Reach out and we will put together a quote that fits your organization.

How does Medefy compare to other cost containment companies?

Most cost containment companies manage one piece, a navigation app, an analytics dashboard, or a single point solution. Medefy runs the whole system. It aligns the benefits consultant, HR, and the member on the same cost problem, then proves the result in the client's own claims instead of a benchmark. Clients stay at a 98% retention rate.

Does Medefy fit into a benefits consultant's existing workflow?

Yes. Medefy surfaces ranked avoidable spend and proof in the client's own claims, built to sit alongside the renewal and reporting work you already do. You do not add a new system for your team to learn. You add proof you can bring to the client.

What types of employers and industries does Medefy work with?

Medefy works across industries and company sizes, from 200-plus employee organizations to multi-state enterprises and large public-sector plans. Clients span state government, financial services, energy, trucking, retail, and manufacturing. Across the client base, Medefy manages $16.3 billion in annual health spend for more than 1,300 employers and brokers.

Employers

Why do point solutions fail to lower healthcare costs?

Point solutions each solve one piece and none of them run the plan. A member leaves one enrollment meeting and faces 35 to 40 tools with no guide. Analytics tells you what already went wrong. Navigation was blind to cost. Medefy does both, all year, and moves members to the lower-cost choice before the claim.

How does Medefy prove savings in claims data?

Medefy proves savings in your own claims, benchmarked to your history, not to market averages. The result is attributed down to the episode, so it survives a CFO conversation. A major state government employer verified more than $43 million in savings over five years across more than 94,000 covered lives, with no benefit cut.

What ROI do employers get from Medefy?

Results vary by plan, and Medefy proves each one in the client's own claims. Gateway First Bank reached 9x ROI in two years. The City of Claremore reached 3x ROI in year one at about 70% adoption. A national trucking group reached 3.4x ROI.

How much can an employer save on healthcare costs?

Savings depend on your plan, your population, and where the cost is leaking. Medefy finds the leak, moves members to lower-cost care, and proves the result in your claims. A major state government employer verified more than $43 million in savings over five years. Across the client base, Medefy manages $16.3B in annual health spend for more than 1,300 employers.

How can HR reduce healthcare costs without cutting benefits?

You do not cut benefits. You get members to use the plan well. Medefy shows where cost is leaking, then prompts members with the right money-relevant message and guides them to lower-cost care. HR approves the message, Medefy writes and sends it, and the savings post to your own claims.

Is Medefy HIPAA compliant and secure?

Yes. Medefy is built on enterprise security and HIPAA compliant data protection. Member health information and employer data are safeguarded across the system.

Is support available for members whenever they need it?

Members can reach a Care Guide any time and get a reply in under 60 seconds. Virtual care visits are available 24/7 through the Medefy App, so members get care when they need it.

Public Sector

How can public sector employers lower cost without cutting benefits?

Public plans lower cost by getting members to the right care, not by cutting benefits. Medefy proves the savings in your own claims, which is the only kind that survives a public audit. A major state government employer verified more than $43 million over five years with every benefit intact and more than 79,000 procedures redirected to lower-cost care.

Members/Employee

How do I download the app?

Search “Medefy” in the Apple or Android app store. If you use one of the branded standalone apps we power, search for the app name sent to you by your HR team.

How do I create an account and log in?

Tap “Create Account” on the app’s home screen. You’ll need an email address, your date of birth, and the last four digits of your social security number. Then, follow the prompts to set up a password and log in.

What if I forget my password?

On the login screen, select “Forgot Password.” Enter your last name as it appears on your health insurance card, date of birth, and the last four digits of your social security number. Then, follow the prompts to set up a new password.

How do I change my email or login information?

There are two ways to reset the email associated with your account:

  1. Send an email to support@medefy.com with what you need corrected.
  2. Go to the Profile page in the lower right corner of the app and choose “Contact  Support” to generate and send a ticket to our IT desk.

What if it won’t let me register?

Are you a new plan member? If so, there’s a waiting period for your information to pass through and for your benefits to show up as active on our end. Please check with your HR rep about the waiting period.

How can I enable my Face ID?

When you first register with the Medefy App, you’ll be asked to enable your Face ID. You can set it up anytime if you don’t opt in initially. Follow these steps:

For Apple Users:

  • Go to settings.
  • Scroll to the App section and find the Medefy App.
  • Once selected you can turn on the toggle switch for Face ID.

For Android Users:

If your Android device offers a biometric login and you do not opt in during registration, you will need to uninstall and reinstall the Medefy App.

How can I enable my notifications?

When you first register with the Medefy App, you’ll be asked to enable your push notifications. You can set it up later if you don’t opt in initially. Follow these steps:

For Apple Users:

  • Go to settings.
  • Scroll to the App section and find the Medefy App.
  • Click on “Notifications.”
  • Turn on the toggle switch for notifications and select what kind of alerts and announcements you would like.

For Android Users:

  • Go to Apps.
  • Scroll to the Medefy App.
  • Click on “Notifications.”
  • Select the “allow notifications” toggle     bar and select what kind of alerts and announcements you would like.

What can the Medefy App do for me?

Medefy simplifies your healthcare experience and saves you money in these great ways, all by chatting with a Care Guide or choosing from the in-app menu:

  • Connects you with high-quality, low-cost healthcare
  • Finds in-network providers near you
  • Helps you understand your health, dental, and vision benefits
  • Gives you access to your digital member ID card
  • Answers questions about medical bills 
  • Shows your current deductible and out-of-pocket spending 
  • And so much more!

How do I get personalized support or guidance about my benefits?

You can connect with a Care Guide anytime. Log into the Medefy App and choose "Chat with a Care Guide" to start a private chat with a Care Guide. Ask about finding a provider, medication and care coverage, and more.

How do I search for providers?

You can find in-network providers by opening the app's home screen and tapping “Find a Doctor or Facility.” A Care Guide will reply within 60 seconds or less and match you with high-quality, low-cost care.

Can my family members also access Medefy?

Yes. Employees and dependents 18 years and older can have their own account.

How can I share Medefy with my dependents?

Share the app with your dependents 18+ by going to your profile page and tapping “Invite Dependents.” Enter your dependent’s email address to send them an invitation. 

For privacy reasons, we recommend that each member who is 18+ years old has a personal account. 

Why can't I see my dependent's information?

Due to HIPAA (Health Insurance Portability and Accountability Act) regulations, any covered dependent 18+ is considered an adult, and their health information is protected unless they give explicit consent. If your dependent wishes to share their health information with you, they can complete a HIPAA release form that permits us to discuss protected health information with you.  

How does my digital member ID card work?

Use digital cards instead of physical cards whenever you need to provide your insurance information. Your HR team will upload your cards to the digital wallet when they sign you up for the Medefy App. Here’s how it works:

  • You can access your digital medical, dental, and vision cards anytime by tapping “My Insurance Cards” in the app menu.
  • If you’re a new member, there’s a waiting period for your information to pass for benefits and for your ID cards to become active in the app. Please check with your employer's HR representative about the waiting period.
  • If you’re at the doctor’s office and can’t find your insurance cards or member ID information in the app, start a chat with a Care Guide and explain your issue. 

Can I use the app to send my member ID card to my provider?

Yes. From the “My Insurance Cards” screen, select the card you want to share from the top navigation by swiping left or right and following these steps: 

  • Select the share icon in the upper right to share the card you are viewing.
  • You’ll see a disclaimer that you are about to share sensitive information outside the app and can choose to “Continue” or “Cancel.”
  • Select from the apps you have installed that allow document/image sharing (for example, iMessage, email apps, or WhatsApp).
  • The card will be sent in JPG image format to the selected app. From that app, you can share the card with your provider. 

Can I see my deductible and out-of-pocket (OOP) maximum spending in the app?

Yes. Tap “My Health Benefits” on the home screen menu to view deductible and OOP information, including how much you’ve spent towards both. 

Where do I find my benefits guide and other documents?

Select “Documents Center” on the home screen to view your benefits summaries. 

Can I see my older chats with Care Guides?

Yes. Chats that are over 90 days old and closed will be archived. But if you start a new chat thread, a Care Guide can reopen previous chats.

How can Medefy help me save money on healthcare?

We help you save by connecting you with your plan’s low-cost care options. Picking the right facility can save you thousands of dollars on procedures like MRIs or surgery. We also help you identify zero-cost options, like preventive care visits and flu vaccines. 

If you receive a medical bill that isn’t clear, send it to us, and we can review it to ensure you’re never overpaying. 

How do I contact my telemedicine provider?

If telemedicine is part of your company’s benefits offerings, when you log in to the Medefy App, you’ll see an option for “Virtual Care” or “Talk with a Doctor.” From there, you’ll find contact information for your telemedicine provider or an option to call them directly from the app.

How do I contact Medefy support?

You can contact support by going to the “Profile” button on the bottom menu of the Medefy App and clicking on “Contact Support.” You’ll fill out a brief form (full legal name, email, and description of your issue), and our support team will contact you to help.

Where can I find my other benefits, like prescription savings, health savings accounts, and supplemental insurance?

Tap “My Other Benefits” in the home screen menu to access all your benefits information. 

Is my personal and health information secure when using the tool?

Yes. All medical records and in-app messages are securely stored, adhering to strict HIPAA standards.

Does the app know my location?

No, we don’t track or save your location data. If you enable location settings, we only use it when you’re searching for providers to return locations nearby.

How do I rate the app?

We love hearing from app users! Go to the app home screen and tap “Rate Your Experience” to leave your feedback.