Health Navigator

Why is health advocacy and care navigation important?

With Health Navigator, powered by PinnacleCare your clients can offer employees and their families a holistic health benefit to support your clients’ most important asset—their people.

We see first-hand how impactful health advocacy and care navigation can be to people’s lives. The Health Navigator, powered by PinnacleCare team continually focuses on making the entire healthcare experience better for clients, members, and their families.

Access to the best care

We have spent more than 20 years establishing relationships with leading specialists and more than 130 Centers of Excellence.

Team of medical experts

Our team has in-depth knowledge of nuances of the healthcare system and a deep expertise on a range of conditions.

Performance guarantee

In recognition of our clients’ investment and how strongly we feel about the impact of our services, we offer a performance guarantee to qualified clients.*

Managing the cost of care

By providing the right care to members, costs savings typically follow. We see an average cost savings of $13,000 for member treatment outcomes.**

Engagement & utilization

Each client has a dedicated success manager who helps to create the best communication and engagement strategy to educate members on this important service.

Value-added services

Health and well-being go beyond an employee’s physical health, which is why we provide options for additional support, including Bill Resolve and Extended Care.

A more holistic approach to stop-loss

For self-funded employers with Sun Life stop-loss coverage, offering Health Navigator alongside your stop-loss allows you to better manage your costs while providing an additional service to your employees. There are also additional benefits to offering Health Navigator alongside your Sun Life stop-loss coverage—an aggregate attachment point reduction and specific step-down.

A better care experience for members and a significant impact for organizations

Connect with our team to learn how Health Navigator, powered by PinnacleCare can help your clients.

A better care experience for members and a significant impact for organizations

Connect with our team to learn how Health Navigator, powered by PinnacleCare can help your clients.

Interested in learning more? Connect with our team for more information

* Clients have to meet certain qualifications to be eligible for the performance guarantee. PinnacleCare shall determine whether a Performance Guarantee is payable, and its determination shall be final and conclusive.

**Data source: 2021 Internal PinnacleCare data. Average cost savings of $13K for treatment outcomes based on 20 years of data. Outcomes may be avoided treatments, less invasive testing or surgery or a change in treatment.

PinnacleCare is a member of the Sun Life family of companies. PinnacleCare and its employees do not diagnose medical conditions, recommend treatment options or provide medical care, and any information or services provided should not be considered medical advice. Any medical decisions should be made only after consultation with and at the direction of your medical provider. Any person or entity who provides health care services following a referral or other service provided does so independently and not as an agent or representative of PinnacleCare.

Group stop-loss insurance policies are underwritten by Sun Life Assurance Company of Canada (Wellesley Hills, MA) in all states, except New York, under Policy Form Series 07-SL REV 7-12. In New York, group stop-loss insurance policies are underwritten by Sun Life and Health Insurance Company (U.S.) (Lansing, MI) under Policy Form Series 07-NYSL REV 7-12. Product offerings may not be available in all states and may vary depending on state laws and regulations. Product offerings may not be available in all states and may vary depending on state laws and regulations. The content on this page is not approved for use in New Mexico.

© 2022 Sun Life Assurance Company of Canada, Wellesley Hills, MA 02481. All rights reserved. The Sun Life name and logo are trademarks of Sun Life Assurance Company of Canada. Visit us at www.sunlife.com/us.

SLPC 31760 08/22 (exp 08/24)