Consolidated Medical Report
We start with your conditions, medications, care history and current priorities in one physician-reviewed summary.
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Physician-led navigation
A personalized review of your health plan
Every family brings a different set of questions. FOHA can prepare tailored healthcare research grounded in your authorized records, current priorities and the available evidence. When coverage is part of the question, we compare your medical summary with the exact plan documents to clarify benefits and requirements worth discussing with your treating clinician and insurer.
Discuss your family's needsPublished by Family Office Health Advisory. Physician founder: Dr. Gabriel Bietz, MD, RPVI, FACS.
Last updated: . General education and service information.
How the review works
How does your medical report guide the search?
With your authorization, we compare your medical summary with the relevant plan documents, drug formulary and coverage policies. The result is a focused list of benefits and criteria worth checking with your clinicians and insurer.
Plan-specific research
We look for potentially relevant benefits, clinical criteria, network rules and any prior authorization requirements.
A clear next step
We prepare specific questions and supporting information for your treating team and the insurer to review.
Examples of questions we can research
Which benefits may be relevant to you?
Research tailored to your family
What does the current evidence say about a decision you face, and which questions should you bring to your physicians? We shape each brief around your priorities and the limits of the available information.
Physical therapy
Which services are covered, which clinicians are in network, and what documentation or authorization does the plan require?
Other care needs
We can focus the search on the conditions and decisions that matter to your family, rather than give you a generic list of benefits.
Put the details of your plan to work.
A review can surface options worth pursuing. Coverage and payment depend on the exact plan, medical necessity, network, authorization and the insurer's current decision. FOHA does not determine benefits or guarantee approval.
What else should you know?
What is a personalized health plan coverage review?
It compares your medical summary with your exact plan's benefits, formulary and relevant coverage policies. FOHA looks for potentially useful benefits and the criteria or questions that need confirmation.
Does the review guarantee that a benefit is covered?
No. Eligibility, medical necessity, authorization, network rules and payment remain subject to the current plan and the insurer's decision. A research finding is not a coverage determination.
Does FOHA provide personalized healthcare research?
Yes. With your priorities and authorized records as a starting point, FOHA can prepare focused research on important care questions, relevant evidence and options to discuss with your treating clinicians. Coverage research can examine your plan documents when that is part of the agreed scope.
Can FOHA examine physical therapy benefits?
Yes. We can research covered services, medical criteria, network requirements and any applicable visit rules or authorization process. These vary with the plan and care situation.
What documents are needed?
Relevant material can include the plan-year benefits documents, Evidence of Coverage or policy, drug formulary and applicable medical policies, together with authorized medical records. The needed documents depend on the coverage question.
How does the Consolidated Medical Report improve the search?
It supplies the medical context for a focused search: relevant history, current medicines, care priorities and unanswered questions. The original records remain important for clinician and insurer review.
Can a finding be shared with my treating doctor?
With your authorization, FOHA can prepare the relevant policy criteria and questions for your clinical team. Your clinician and insurer then confirm the appropriate next steps.
Should I upload records or an insurance card here?
No. The public website is for membership inquiries. FOHA requests sensitive documents through a separately designated process after permissions and engagement are confirmed.
Learn about healthcare navigation and what belongs in a Consolidated Medical Report.