The phrase represents a search query for medical professionals specializing in skin care who are in proximity to the individual conducting the search and who also participate in the Molina Healthcare insurance network. This indicates an individual seeking convenient access to dermatological services covered by their specific health insurance plan.
Locating healthcare providers within a specific insurance network offers significant benefits, including reduced out-of-pocket expenses and streamlined billing processes. Historically, individuals relied on printed directories or word-of-mouth to find in-network physicians. The advent of online search engines and provider databases has greatly simplified this process, empowering patients to take a more active role in managing their healthcare costs and access.
Understanding how to effectively utilize online search tools, navigating insurance provider directories, and verifying a dermatologist’s participation in Molina Healthcare are crucial steps in ensuring access to affordable and convenient dermatological care. The subsequent sections will delve into practical strategies for conducting such searches and verifying insurance coverage details.
1. Insurance Plan Coverage
The phrase “dermatologist that accept molina near me” fundamentally hinges upon the concept of Insurance Plan Coverage. This connection is a cause-and-effect relationship: the individual seeks a dermatologist because they possess a Molina Healthcare insurance plan, and they require a provider who accepts that specific coverage. The acceptance of Molina insurance by a dermatologist directly dictates whether the individual can utilize their insurance benefits for that provider’s services.
The importance of Insurance Plan Coverage as a component of “dermatologist that accept molina near me” is paramount due to its financial implications. Selecting a dermatologist outside of the Molina network typically results in significantly higher out-of-pocket costs for the patient, potentially including the full cost of the visit and any associated procedures. For example, a routine skin check that would cost a copay within the Molina network could cost hundreds of dollars if performed by an out-of-network dermatologist. Therefore, verifying a dermatologist’s participation with Molina is not merely a matter of convenience but a crucial step in managing healthcare expenses effectively.
In conclusion, Insurance Plan Coverage is an integral component of the “dermatologist that accept molina near me” search. The phrase reflects a proactive approach to healthcare management, prioritizing affordability and accessibility within the constraints of an insurance plan. Understanding the relationship between insurance coverage and provider participation is critical to navigating the healthcare system and ensuring cost-effective access to dermatological services. Furthermore, improper understanding may lead to unwanted medical bills.
2. Geographic Proximity
Geographic Proximity forms a critical element within the search query “dermatologist that accept molina near me.” The need for a nearby dermatologist stems from practical considerations of accessibility and convenience. The implicit desire is to minimize travel time and expense associated with accessing dermatological care. In essence, the search reflects a need for local healthcare options that align with an individual’s geographic limitations or preferences.
The importance of Geographic Proximity becomes particularly evident when considering individuals with mobility constraints, limited transportation options, or those requiring frequent appointments. For example, an elderly patient with mobility issues would greatly benefit from a dermatologist located within a short driving distance. Similarly, an individual with a busy work schedule may prioritize a dermatologist near their workplace to minimize disruption to their daily routine. Therefore, a nearby dermatologist is not merely a preference but, in some cases, a necessity to facilitate consistent adherence to a treatment plan.
In conclusion, the inclusion of “near me” in the search query underscores the significant role of Geographic Proximity in accessing healthcare. It represents a pragmatic approach to healthcare seeking, acknowledging the importance of convenience and minimizing logistical barriers to receiving dermatological care. An understanding of Geographic Proximity, within the context of insurance coverage, ensures that individuals can efficiently access the necessary medical services without incurring undue time or transportation costs. Failing to address proximity increases the likelihood that individuals might defer or forgo needed treatments, potentially exacerbating their condition.
3. Specialty Expertise
Specialty Expertise represents a nuanced dimension within the framework of “dermatologist that accept molina near me.” While the immediate need may be finding a local, in-network dermatologist, the underlying condition prompting the search often necessitates specialized knowledge. An individual might not simply need any dermatologist, but rather one with expertise in a specific area such as pediatric dermatology, skin cancer treatment, or cosmetic procedures. The effectiveness of the consultation is directly tied to the dermatologist’s proficiency in the relevant area. Therefore, neglecting specialty expertise can lead to suboptimal care, even if the provider accepts Molina and is conveniently located.
The importance of Specialty Expertise rises considerably with the complexity of the dermatological issue. For example, a patient seeking treatment for a rare autoimmune skin disorder would require a dermatologist specializing in immunological conditions. Consulting a general dermatologist, even one who accepts Molina, might prove insufficient in such a case. Similarly, individuals with a family history of melanoma should prioritize dermatologists with expertise in skin cancer detection and treatment. Failing to consider this factor could delay accurate diagnosis and appropriate intervention, potentially compromising the patient’s health outcome. The search term’s simplicity belies the potential for critical variations in expertise required to address diverse patient needs.
In conclusion, the connection between Specialty Expertise and the practical search for “dermatologist that accept molina near me” highlights a critical consideration often overlooked in initial inquiries. While insurance acceptance and proximity are essential filters, identifying a dermatologist with the relevant expertise is paramount for achieving optimal health outcomes. The onus lies on the individual to move beyond the basic search parameters and ascertain the dermatologist’s qualifications in relation to their specific condition. Awareness of this nuance elevates the efficacy of healthcare searches and promotes informed decision-making.
4. Appointment Availability
Appointment Availability constitutes a significant, often overlooked, factor when searching for a “dermatologist that accept molina near me.” Even if a dermatologist accepts the insurance and is geographically convenient, prolonged wait times for appointments can severely limit access to timely care, diminishing the utility of the initial search.
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Initial Consultation Delays
Extended waiting periods for initial consultations can delay diagnosis and treatment, particularly critical for conditions requiring prompt intervention. For instance, suspected skin cancer necessitates immediate evaluation. Weeks-long delays may allow the condition to progress, potentially impacting treatment outcomes and overall prognosis in the context of “dermatologist that accept molina near me.”
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Follow-up Appointment Scheduling
Consistent and timely follow-up appointments are often essential for managing chronic skin conditions. Irregular or delayed follow-ups can disrupt treatment plans, hindering progress and potentially leading to relapses or complications. This is applicable within the constraint of “dermatologist that accept molina near me”, given many patients need repeat visits.
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Appointment Frequency Restrictions
Some clinics, particularly those heavily burdened with patients, may impose limitations on the frequency with which individuals can schedule appointments. These restrictions can be problematic for individuals requiring ongoing monitoring or frequent adjustments to their treatment regimens, causing difficulty in accessing in-network dermatologist, found using “dermatologist that accept molina near me.”
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Impact of Insurance Acceptance on Wait Times
Dermatologists who accept Molina insurance may experience higher patient volumes due to increased demand for in-network care. This surge in demand can, in turn, lead to longer wait times for appointments compared to dermatologists who do not accept the insurance. This can limit choices when searching for “dermatologist that accept molina near me.”
These components highlight the complexities in health access. While the search query “dermatologist that accept molina near me” aims to simplify the process, the ultimate utility of finding a suitable dermatologist hinges on the practical reality of appointment availability. Successfully navigating the system requires proactive inquiry regarding wait times and appointment scheduling practices to ensure timely access to necessary care.
5. Network Participation
Network Participation forms the bedrock of the search phrase “dermatologist that accept molina near me.” It dictates the financial accessibility of dermatological services under the Molina Healthcare insurance plan. The phrase implicitly demands that the dermatologist is an approved provider within the Molina network, ensuring coverage and minimizing out-of-pocket expenses for the insured individual. The absence of network participation renders the search ineffective, as the dermatologist, while potentially qualified and conveniently located, would not offer the intended cost-saving benefits.
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Contractual Agreements
Network Participation arises from contractual agreements between Molina Healthcare and individual dermatologists or dermatology practices. These agreements specify reimbursement rates for various services, ensuring that Molina members receive care at pre-negotiated prices. Without such an agreement, the dermatologist is considered “out-of-network,” potentially billing the patient at a higher rate not covered by the insurance plan. Locating dermatologists requires this contract.
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Cost Containment and Financial Accessibility
A primary function of network participation is cost containment. By utilizing in-network dermatologists, Molina members benefit from reduced copays, coinsurance, and deductible amounts compared to out-of-network providers. This cost differential significantly impacts the overall affordability of dermatological care, particularly for individuals with limited financial resources. Therefore, identifying providers participating within the “dermatologist that accept molina near me” search provides financial access to healthcare.
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Provider Directories and Verification
Molina Healthcare maintains provider directories listing dermatologists participating in their network. These directories, whether online or in print, serve as a primary resource for individuals seeking in-network care. However, directory information may not always be up-to-date. Consequently, it is crucial to verify a dermatologist’s network participation directly with Molina Healthcare or the dermatologist’s office prior to scheduling an appointment. This verification step prevents unexpected billing discrepancies.
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Impact on Referral Requirements
Depending on the specific Molina Healthcare plan, network participation may influence referral requirements. Some plans require members to obtain a referral from a primary care physician (PCP) before seeing a specialist, even within the network. Failing to obtain the necessary referral could result in denial of coverage or increased out-of-pocket expenses. Understanding the plan’s referral policies is therefore crucial for ensuring seamless access to dermatological care when searching for a “dermatologist that accept molina near me.”
The significance of Network Participation extends beyond mere cost savings; it encompasses a broader framework of managed care that aims to provide accessible and affordable healthcare services. The search query “dermatologist that accept molina near me” directly reflects this underlying principle, emphasizing the importance of aligning individual healthcare needs with the parameters of their insurance coverage. Prioritizing network participation optimizes both financial and logistical aspects of accessing dermatological services.
6. Referral Requirements
Referral Requirements represent a pivotal point in accessing dermatological care within the context of “dermatologist that accept molina near me.” These stipulations, dictated by the specifics of an individual’s Molina Healthcare plan, mandate whether a primary care physician (PCP) must authorize a visit to a dermatologist for insurance coverage to apply. Understanding and adhering to referral requirements is paramount to avoid unexpected out-of-pocket expenses and ensure seamless access to needed care.
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Plan-Specific Variations
Molina Healthcare plans exhibit variation in referral requirements. Some plans mandate a PCP referral for all specialist visits, including dermatologists, while others permit direct access to dermatologists without a referral. The specific plan benefits determine whether a referral is necessary when searching for a “dermatologist that accept molina near me”. It is essential to consult the plan documents or contact Molina directly to ascertain the applicable referral rules.
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Gatekeeper Model and Cost Control
The requirement for a PCP referral often stems from a “gatekeeper” model of healthcare delivery, wherein the PCP acts as the initial point of contact and coordinates all specialist care. This approach aims to control costs and ensure appropriate utilization of specialist services. The implementation of the gatekeeper model can increase visit costs, given that both PCP and dermatologist visits are required when searching for “dermatologist that accept molina near me”.
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Emergency and Urgent Care Exceptions
In emergency or urgent situations, referral requirements may be waived or expedited. However, the definition of “emergency” or “urgent” can vary. Individuals experiencing severe dermatological symptoms, such as rapidly spreading rashes or signs of infection, should seek immediate medical attention, even if a referral has not yet been obtained. Post-treatment, ensure referrals and documentation are correct.
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Consequences of Non-Compliance
Failure to comply with referral requirements can result in denial of coverage for the dermatologist visit. In such cases, the individual becomes responsible for the full cost of the services rendered. Before scheduling an appointment with a dermatologist identified through the “dermatologist that accept molina near me” search, confirmation of valid and current referral is vital to avoid unanticipated financial burdens.
Referral Requirements constitute a critical element in navigating the healthcare system under the umbrella of Molina Healthcare. While a dermatologist may accept Molina insurance and be conveniently located, neglecting the referral process can negate these advantages, leading to financial liability. Adherence to the plan’s specific referral policies ensures access to dermatological care without incurring unnecessary costs.
7. Online Provider Directories
Online Provider Directories serve as a primary resource for individuals initiating the search for “dermatologist that accept molina near me.” These digital platforms, maintained by insurance providers like Molina Healthcare, aggregate information on in-network healthcare professionals, facilitating the identification of dermatologists who accept the specified insurance plan within a defined geographical area.
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Search Functionality and Filtering
Online provider directories typically offer search functionality that enables users to filter results based on various criteria, including specialty (dermatology), location, and insurance plan. Such filtering mechanisms streamline the process of identifying relevant dermatologists who meet the specified requirements of accepting Molina insurance and being located nearby. For example, a user might enter their zip code and insurance plan details to generate a list of in-network dermatologists within a 25-mile radius.
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Information Accuracy and Timeliness
The accuracy and timeliness of information presented in online provider directories are critical considerations. Provider participation in insurance networks can change, and directory updates may lag behind these changes. Consequently, relying solely on online directory information may lead to inaccurate conclusions regarding a dermatologist’s current acceptance of Molina insurance. Diligence is required.
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Supplemental Information and Provider Profiles
Beyond basic contact information, some online provider directories offer supplemental information, such as provider biographies, accepted languages, and patient ratings or reviews. These additions provide a more holistic view of potential dermatologists, assisting individuals in making informed decisions based on factors beyond insurance acceptance and proximity. This informs decisions when searching for “dermatologist that accept molina near me.”
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Integration with Mapping and Scheduling Tools
Advanced online provider directories may integrate with mapping and scheduling tools, facilitating direct navigation to a dermatologist’s office and online appointment booking. This integration streamlines the process of accessing dermatological care, reducing the logistical barriers associated with scheduling appointments and finding the location of the provider identified in a search for “dermatologist that accept molina near me.”
In summary, Online Provider Directories represent a fundamental tool in the search for “dermatologist that accept molina near me,” offering a centralized platform for identifying in-network dermatologists who meet specific geographical and insurance requirements. While these directories provide a valuable starting point, supplemental verification of information and consideration of other factors, such as provider expertise and patient reviews, remains essential for making informed healthcare decisions.
8. Patient Reviews
Patient Reviews, in the context of searching for a “dermatologist that accept molina near me,” offer valuable qualitative data supplementing the quantitative filters of insurance acceptance and geographic proximity. While confirming network participation and location are essential first steps, patient reviews provide insights into the actual patient experience, encompassing aspects such as the dermatologist’s bedside manner, the clinic’s efficiency, and the perceived effectiveness of treatments. These reviews contribute to a more informed decision-making process. For example, a dermatologist listed in the Molina directory and located nearby may have consistently negative reviews citing long wait times or dismissive behavior, influencing a prospective patient to explore other options. The connection is correlative: a high rating is desired, and it can determine the success of the patient-doctor relationship.
The importance of Patient Reviews stems from their capacity to reveal information not readily available through other channels. Insurance directories provide basic details, and clinical credentials offer insight into expertise, but patient reviews offer a genuine perspective on the practical aspects of care. A dermatologist highly regarded in academic circles may, in practice, lack the communication skills necessary to effectively address patient concerns. Conversely, a less academically renowned dermatologist with overwhelmingly positive patient reviews may demonstrate a superior ability to connect with and care for patients. The information gleaned from reviews should, however, be viewed critically. Outliers, whether exceptionally positive or negative, may not accurately reflect the typical patient experience. The volume of reviews and the consistency of themes within those reviews are crucial factors in assessing their reliability.
In conclusion, Patient Reviews represent a significant, though often subjective, component in the selection of a dermatologist. While the search for “dermatologist that accept molina near me” primarily focuses on logistical and financial considerations, patient reviews provide critical qualitative data that can influence the overall quality of care received. Utilizing patient reviews in conjunction with other available information promotes a more comprehensive and informed approach to healthcare decision-making. Challenges remain in verifying the authenticity of reviews, but their overall value in providing real-world insights into patient experiences is undeniable. It is helpful to compare the review’s number and ratings with other dermatologists nearby.
9. Telehealth Options
Telehealth Options present a significant paradigm shift in accessing dermatological care, especially within the framework of the search query “dermatologist that accept molina near me.” The integration of technology allows for remote consultations, potentially expanding access to specialists, particularly in underserved areas or for individuals with mobility limitations.
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Expanded Geographical Reach
Telehealth transcends geographical constraints, enabling individuals to consult with dermatologists located beyond their immediate vicinity. This is particularly relevant for individuals residing in rural areas with limited access to in-network specialists. Telehealth consultations allow access to qualified “dermatologist that accept molina near me” without extensive travel.
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Convenience and Reduced Wait Times
Telehealth often provides increased convenience by eliminating the need for travel and reducing wait times associated with traditional in-office appointments. Individuals can schedule virtual consultations from the comfort of their homes, potentially expediting the diagnostic process and initiation of treatment. This convenience factor addresses a key barrier to accessing timely dermatological care, within the “dermatologist that accept molina near me” search.
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Cost-Effectiveness and Insurance Coverage
Telehealth consultations may offer cost savings through reduced transportation expenses and time off from work. However, the extent of insurance coverage for telehealth services, specifically under Molina Healthcare plans, requires careful verification. Some plans may fully cover telehealth visits, while others may impose restrictions or require higher copays. Clear understanding of insurance coverage is required before using “dermatologist that accept molina near me” telehealth options.
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Limitations and Suitability
Telehealth is not suitable for all dermatological conditions. Physical examinations involving palpation or the use of specialized equipment may necessitate an in-person visit. Telehealth is most effective for visual assessments of rashes, skin lesions, and other dermatological conditions that can be readily evaluated through video conferencing. Selecting the correct care is essential when using “dermatologist that accept molina near me” telehealth service.
The incorporation of Telehealth Options into the search for “dermatologist that accept molina near me” expands the possibilities for accessing dermatological care, offering increased convenience and geographical reach. However, careful consideration of insurance coverage, suitability for specific conditions, and the limitations of virtual consultations remains crucial for ensuring effective and appropriate utilization of telehealth services.
Frequently Asked Questions
The following addresses common inquiries regarding the process of finding dermatological care covered by Molina Healthcare in a specific geographic location.
Question 1: How does one verify if a dermatologist participates in the Molina Healthcare network?
Verification can be conducted through several avenues. Molina Healthcare’s online provider directory offers a searchable database. Direct contact with the dermatologist’s office to confirm their participation status is also advisable. Furthermore, communication with Molina Healthcare’s member services can provide definitive confirmation.
Question 2: What costs are associated with seeing an out-of-network dermatologist when insured by Molina Healthcare?
Utilizing an out-of-network dermatologist typically results in higher out-of-pocket expenses. Molina Healthcare may not cover the full cost of the visit, potentially leaving the insured responsible for the difference between the dermatologist’s charges and Molina’s allowed amount. In some instances, out-of-network claims may be denied entirely.
Question 3: Is a referral from a primary care physician (PCP) always required to see a dermatologist under Molina Healthcare?
Referral requirements vary depending on the specific Molina Healthcare plan. Some plans necessitate a PCP referral for all specialist visits, while others allow direct access to dermatologists. Consulting the plan’s benefits documentation or contacting Molina directly is necessary to determine the applicable referral policies.
Question 4: How frequently are Molina Healthcare’s online provider directories updated?
While Molina Healthcare aims to maintain accurate and up-to-date directories, the frequency of updates can vary. Provider participation in insurance networks can change, and directory updates may not immediately reflect these changes. Therefore, supplemental verification of a dermatologist’s network status is always recommended.
Question 5: What recourse is available if a dermatologist listed in Molina’s directory is, in fact, no longer in-network?
If a discrepancy arises between the directory listing and the dermatologist’s actual network status, contacting Molina Healthcare’s member services is advised. Documenting the situation and requesting assistance in finding an in-network alternative is crucial. The patient can potentially negotiate the bill.
Question 6: Are telehealth consultations with dermatologists covered under Molina Healthcare plans?
Coverage for telehealth services varies depending on the specific Molina Healthcare plan. Reviewing the plan’s benefits documentation or contacting Molina directly is essential to determine the extent of telehealth coverage, including any associated copays or restrictions.
The preceding information underscores the importance of proactive verification and thorough understanding of individual plan details when seeking dermatological care within the Molina Healthcare network.
The following section explores further considerations for optimizing the search for accessible and affordable dermatological services.
Optimizing the Search
The following tips aim to refine the search for a dermatologist accepting Molina Healthcare insurance within a specified geographic area, focusing on actionable strategies to enhance efficiency and ensure optimal healthcare access.
Tip 1: Leverage Molina Healthcare’s Official Provider Directory. Begin the search using Molina Healthcare’s official online provider directory. These directories are designed to provide the most accurate listing of in-network dermatologists. Refine the search by specifying location and specialty (dermatology).
Tip 2: Contact Molina Member Services for Direct Assistance. If the online directory proves insufficient or yields ambiguous results, contacting Molina Healthcare’s member services offers personalized assistance. Representatives can confirm dermatologist participation and provide additional options based on individual needs.
Tip 3: Verify Dermatologist’s Participation Directly with the Clinic. Irrespective of directory listings, directly contacting the dermatologist’s office to confirm their current acceptance of Molina Healthcare is crucial. Network participation can change, and this verification step prevents potential billing discrepancies.
Tip 4: Ascertain Referral Requirements Before Scheduling. Understand the specifics of the Molina Healthcare plan regarding referral requirements. Determine whether a primary care physician (PCP) referral is necessary before scheduling an appointment with a dermatologist to ensure coverage.
Tip 5: Inquire About Telehealth Options for Convenience. Explore the availability of telehealth consultations with in-network dermatologists. Telehealth can offer increased convenience and reduced travel time, particularly for routine skin checks or follow-up appointments. Confirm coverage details for telehealth services with Molina.
Tip 6: Consider Appointment Availability and Wait Times. Inquire about appointment availability and anticipated wait times before committing to a specific dermatologist. Extended wait times can delay necessary care. Some clinics may offer a cancellation list, providing an opportunity for earlier appointments.
Tip 7: Investigate Dermatologist’s Areas of Expertise. Beyond basic insurance acceptance and location, research the dermatologist’s areas of expertise. Determine if the dermatologist specializes in specific conditions relevant to individual needs, such as pediatric dermatology, skin cancer treatment, or cosmetic procedures.
Tip 8: Review Patient Reviews and Ratings for Qualitative Insights. Supplement quantitative data with qualitative insights by reviewing patient reviews and ratings. These reviews offer perspectives on the dermatologist’s bedside manner, clinic efficiency, and overall patient experience. Consider multiple sources to gain a balanced perspective.
These proactive measures, when implemented systematically, increase the likelihood of identifying a suitable dermatologist accepting Molina Healthcare insurance within a desired geographic area, while also optimizing for factors such as expertise, convenience, and patient satisfaction.
The subsequent section concludes the discussion, emphasizing the importance of ongoing diligence in navigating the healthcare landscape.
Conclusion
The preceding exploration of “dermatologist that accept molina near me” underscores the multi-faceted nature of accessing healthcare services. The phrase represents a confluence of insurance coverage, geographic proximity, specialist expertise, and practical considerations such as appointment availability and referral requirements. Effective navigation requires diligent verification, informed decision-making, and a proactive approach to understanding individual plan benefits.
Ultimately, securing appropriate dermatological care necessitates ongoing vigilance. Healthcare landscapes evolve, provider networks shift, and individual needs change. Continued engagement with insurance resources, active communication with providers, and a commitment to informed choices are essential for ensuring consistent access to quality and affordable care. Prioritizing these practices empowers individuals to navigate the system effectively and advocate for their health needs.
