I hope this never happens to you. I received a phone call where someone worked for two different companies and wound up, believe it or not, having two different Medicare Advantage plans. The other crazy part about that, it was the same insure one of the plans was requesting back $200,000. The crazy thing is […]
Medicare Advantage Double Coverage Ends in Double Payment Read More »
I recently overturned a case where the person had ACL surgery on the knee, and even though all the bills were paid, they were still asking for additional money. We don’t want this to happen to you. If anything like this occurs, whatever surgery it is, and now they’re asking you for more money where
ACL Surgery Was Overcharged Until This Read More »
Finding a healthcare provider that aligns with your medical needs is only half the battle when navigating the complex world of health insurance. The other crucial aspect is ensuring that the doctor or medical facility you choose is within your insurance network. Going out-of-network can lead to substantially higher out-of-pocket costs, making it vital to
How to Verify if a Doctor or Medical Facility is In-Network Read More »
I hope you’re having a fantastic day after your bills were paid due to an injury. Has the insurance company ever asked you for the money back? Very often I receive cases which involve coordination of benefits. I understand how confusing this can be and if this ever happens to you, please reach out to
What If the Insurance Company Wants Their Money Back? Read More »
Too many times I have received unpaid claims for Panda. People come to me when it’s not being paid. Panda stands for Pediatric Autoimmune Neuropsych Psychiatric Disorders, and it’s associated with strep infections. Too often insurance companies do not wanna pay claims for that condition. If that happens to you or even other conditions, please
Unpaid Claims for PANDA Read More »
Finding an affordable health insurance plan without compromising the quality of coverage can be a tricky endeavor. However, there are strategies to optimize your insurance costs while maintaining essential coverage for your healthcare needs. This blog post aims to guide you through various avenues to lower your monthly premiums without sacrificing crucial benefits. Assess Your
How to Lower Your Monthly Health Insurance Premiums Read More »
https://vimeo.com/1014535586?share=copy Interview Participants: Edison Guzman (interviewer) and Adria Gross from Medical Insurance Advocacy (interviewee). Adria’s Background: Worked for two insurance companies where she was trained to deny claims. Gained extensive knowledge about insurance policies, including coverage details, premiums, deductibles, and copays. Transitioned from working within insurance companies to advocating for individuals with denied claims. Services
From Denying Claims to Patient Advocate, Adria Gross on Navigating Medical Insurance Read More »
I hope everything’s going well for you. Janet, a client of mine who’s in my recent book, apparently different discusses how we should treat a person who is apparently different. Janet has had years of depression, which causes severe mental health. She has a borderline personality disorder, but I have to tell you this, her
Saved over $80,000 in Severe Depression Medical Bills Read More »
You know, 50% of the doctors and hospitals no longer accept the Medicare Advantage plans. You have only one Medicare card if you have the Medicare Advantage plans. But the issue is if you wind up in a rehab and if they’re using AI at the insurance company, artificial intelligence, within three days after you
Medicare Advantage Plans Are not Accepted by 75% of Doctors Read More »
Navigating the intricacies of health insurance can be a daunting task, especially when you’re trying to figure out if a particular medical procedure or medication is covered under your plan. Knowing what is and isn’t covered can save you from unexpected medical bills and ensure that you’re getting the most out of your insurance. This
How to Determine if a Medical Procedure or Medication is Covered Read More »