One person for all of your healthcare.

We connect all the pieces of care for older adults on Medicare, and we make sure nothing falls through the cracks.

Covered by Medicare for eligible patients

An older woman chatting over coffee at her kitchen table

This week, handled

  • Medication refill picked up
  • Ride booked for Tuesday
  • Cardiology, Tue 10:00 am
– Taylor, your advocate
Why families come to us

Each doctor sees a slice of the picture. Nobody sees the whole thing.

Follow-ups slip, results sit unread in the portal, and every pharmacy keeps a different list. The job of holding it all together usually lands on one person in the family.

7 doctors
across 4 practices is what the typical older adult juggles, with no one connecting the dots.
4+ prescriptions
is what the average older adult takes every day, each with its own refills and costs.
4 conditions
is what the average person on Medicare manages, each with its own doctors and plans.
What we connect

The whole web of care, held in one place.

A senior’s care is a web of people and paperwork that rarely connects: doctors, hospitals, insurers, and family on one side, and the appointments, medications, and records that move between them on the other. Leland sits at the center of that web and keeps it connected, day after day.

How Leland works

One nurse who knows the whole story, and picks up when you call.

Here is what actually happens after you reach out.

We build one living record

With your written permission, we gather the records from every practice, hospital, lab, and pharmacy into one current picture, and keep it current every day.

Everything lands in one place. Nothing sits unread.

A clinical team reads it whole

Nurses working under a physician read the record end to end. They notice the follow-up that never got scheduled or the result nobody called about, and raise it with your own doctors.

Small issues get flagged and handled before they grow.

One person you can name is accountable for it

Your advocate is a nurse who works for you, not a new doctor. They make the calls, chase the referrals, and sit on hold, so you never have to.

You stop chasing the system. Your advocate does it for you, and the whole family gets one clear update.

Your advocate coordinates and connects. They don’t diagnose, prescribe, or replace your care team. Everything clinical stays with your own doctors, and anything urgent means calling 911.

What we handle

What comes off your plate.

Name the thing you’ve been chasing. It’s probably on this list.

After a hospital stay

Discharge orders usually allow 7 to 14 days. We book every follow-up inside that window and confirm each visit happened.

Referrals that go nowhere

We chase the referral that vanished and call until the office confirms a real date, so you’re not the one dialing for weeks.

Medications across pharmacies

We reconcile every pharmacy’s list into one, flag conflicts to your doctor, and coordinate refills so nothing quietly lapses.

Rehab and nursing facility discharges

When a facility says time is up and home isn’t ready, we file Medicare’s fast-track appeal in time to protect the stay.

When insurance says no

We gather the records, write the appeal, file it inside Medicare’s 120-day window, and push until there’s an answer in writing.

Bills that don’t make sense

We review every bill line by line, spot duplicate charges and coding errors, and file the disputes on your behalf.

Finding doctors who take the plan

Before anyone drives across town, we verify the specialist takes the plan, sees new patients, and has an opening soon.

At the appointment, with you

We prepare the questions, join the visit by phone if you want, and book whatever the doctor ordered before day’s end.

Portals and paperwork

We wrangle the portals and records requests, and keep signed releases on file so every office is cleared to talk to you.

Rides and logistics

We arrange rides to appointments, including the transportation benefit many Medicare Advantage plans already include.

One update for the whole family

After every development, everyone gets the same plain-language summary, so you stop being the family switchboard.

Home after the hospital

We coordinate what a discharge assumes will appear on its own: the hospital bed, the visiting nurse, the therapy schedule.

Something else entirely

Maybe it’s a hospice question, guardianship paperwork, or a second opinion. If it touches your parent’s health, hand it to us, and we’ll either do it or tell you exactly who can.

Get in touch
Coverage & cost

Personal service,
covered by Medicare.

Leland is a medical practice, so Medicare covers our work for eligible patients the same way it covers a visit to your doctor. We check your specific plan and put your exact cost in writing before anything starts.

Medicare covers Leland for eligible patients

A medical practice, with real nurses working under a physician.
We bill Medicare directly, like your doctor’s office does. No forms, no claims to file.
Little or no out-of-pocket cost for most. We confirm yours in writing first.
Who we are

Leland is a medical practice.

Real nurses, supervised by a physician, and held to the same rules as your doctor’s office.

A physician-led medical practice

Leland is a doctor’s practice rather than an app. Licensed nurses work under physician supervision, with the same professional licenses on the line.

Enrolled with Medicare

We enroll as a Medicare provider and bill the way your doctor’s office bills. Our enrollment details and every nurse’s license are yours for the asking.

Your privacy, under HIPAA

The same federal privacy law that binds your doctor’s office binds us. We see your records only with written permission, and we never sell your information.

Someone looking out for them, every day.

One advocate holds the whole picture, so you can go back to being family instead of the case manager.

  • Covered by Medicare for eligible patients
  • A dedicated advocate who is a real nurse
  • Your exact cost before anything starts

Talk to a real person

Leave your details and a real person will call or write within 1 business day.

You’re on the list.

A real person will call or write within 1 business day.