Your employees have benefits. They need guidance.

Medefy is a benefits navigation platform that reaches members in the moment of care, before costly, avoidable decisions are made.

The numbers behind the guidance:

53%
average adoption rate
$432
average savings per interaction
94%
of members take the recommended action

Your Employees Have Access. They Need Guidance

You've invested in the plan, built the portal, and made coverage accessible. But when care is needed, members aren't opening a portal, they're searching for the nearest facility, not knowing they may be choosing the most expensive one: out-of-network providers, hospital-based facilities for conditions urgent care could handle, and duplicate tests at full price. Then, when they can't navigate their benefits, the questions and confusion land on HR.

Medefy closes this gap with proactive, real-time guidance meeting members when care decisions actually happen.

person-landing-madefy2026

Guidance In the Moment of Decision

Most benefits platforms are built only around access: provider directories, cost estimators, and decision trees. Medefy is built around action: what happens in the 60 seconds before a member makes the wrong choice.

When a member reaches out, they get smart assistance tailored to their specific plan—supported by live Care Guides who step in with compassion to deliver the right answer every time.

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
77%+
CSAT above industry average

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

Better decisions start with better healthcare guidance.
See what that could mean for your costs and your team. 

Talk With Our Team