Members deserve better than feeling confused and left on hold.

Medefy offers 24/7 guided navigation, so members get real answers fast, costs go down, and your benefits program finally earns the engagement it was built for.

The numbers behind the guidance:

$86M
Total savings delivered
3X
client ROI
$432
average savings per interaction

Most navigation platforms promise simplicity. Then make everything more complicated. 

Benefits costs keep rising. Members still can't navigate what they have. And the platforms built to fix this often add noise instead of clarity. You've probably felt this already.

Whether you're advising a book of business or managing benefits for your organization, the frustration is the same: the investment is there, the utilization isn't. Members default to the wrong choices, costs climb, and when it's time to prove the value of what you're running to a client, to a CFO, to a leadership team, the numbers don't tell the story you need them to.

 

person-landing-madefy2026

Access isn't the same as guidance.
Members need both.

Most benefits platforms are built around access, provider directories, cost estimators, and decision trees. What they don't account for is what happens in the 60 seconds before a member makes a wrong choice.

When a member reaches out, guidance is available around the clock, with a tailored answer to their specific plan, and focused on delivering the right answer with clarity and care. No hold queues. No searching. No guessing.

The result: members take the recommended action instead of defaulting to the nearest facility or the first search result. That behavior shift is what moves the claims number.

Guidance in real time, with the plan already in hand. No aimless searching required.

With Medefy
icon-slider1How members get help
Without MedefyWhen something comes up, members turn to Google. The first result wins — not the best option, not the one their plan is built around.
Guidance available when care decisions are being made; evenings, weekends, 24/7, 365.
With Medefy
icon-slider2 After-hours support
Without MedefyLimited or decision tree-only.
Medefy steps in, already knowing the plan and handling the investigation.
With Medefy
icon-slider3Who does the work
Without MedefyThe member searches, compares, and decides alone.
Members get the right guidance towards the best care option before an expensive decision is made.
With Medefy
icon-slider4 Guiding members to lower-cost care
Without MedefyMembers find a better option only if they use the right tool and ask the right question.
94% of Medefy members take the recommended action.
With Medefy
icon-slider5 Measured success
Without MedefyUnder 10% of members take the optimal care path without guidance.
Reporting on member activity and plan utilization, no more flying blind.
With Medefy
icon-slider6 Visibility
Without MedefyLow visibility into member behavior between enrollment and renewal.

The Medefy difference

$2,800

Without Medefy

Nearest facility. First result on Google. No one told them there was another option.

without-medefy
$400

With Medefy

Care Guide responded in 60 seconds. Same scan. Accredited outpatient center. 10 minutes away.

with-medefy
$432
average savings per member interaction
53%
average adoption rate
94%
of members take the recommended action
3x ROI
demonstrated in client deployments

What This Looks Like in Practice

City of Claremore, one of our clients in the public sector, achieved a 70% adoption rate within two years and generated a 3x return on their benefits investment. Better navigation led to smarter care decisions and measurable cost containment.

Watch the case study

“We want to focus on outcomes for their care that ultimately will help us with cost containment. Medefy helps the client do that.”

— Dason Gwartney, Sr. Employee Benefits Advisor
Medefy organic

See what a benefits navigation platform looks like when it's built to perform.
Get a clear view of plan fit, plus expected year-one utilization and cost savings.  

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