About Piece by Piece Guidance

For over two decades, my purpose across healthcare, insurance, and project management has remained the same: helping people navigate complex situations with clarity and confidence. Whether guiding clients through intricate systems or helping loved ones through illness and loss, I have learned that families facing life’s hardest moments do not just need information. They need help understanding it.

Piece by Piece Guidance was born while supporting my brother through his wife’s terminal illness. Named in memory of my sister-in-law, Liz Gubernatis, an avid quilter who loved butterflies, our mission reflects the art of quilting. Overwhelming challenges become manageable when taken one step, one decision, and one conversation at a time.

My Promise

I can't remove the challenges you're facing. I can't make difficult decisions for you. But I can help you understand your options, organize the details, and walk beside you so you never feel like you're facing them alone.

While I do not replace attorneys, physicians, or financial professionals, I help families understand information, organize next steps, ask informed questions, and move forward with confidence.

My Experience

• Healthcare, insurance, Medicare, Medicaid, dental, vision, and life insurance

• Clinical support and prior authorization processes

• Hospice and serious illness care coordination

• Disability and government benefit navigation

• Identity theft prevention and recovery

• Patient and family advocacy

• Six Sigma process improvement and business analysis

• Corporate training and education

Piece by Piece Guidance exists to help individuals and families navigate life's most difficult moments through compassionate education, practical organization, and trusted support.

No one should have to navigate life's most difficult transitions alone. We will take the journey together... piece by piece.

‍ ‍Deborah Seiler, Founder