It’s, I hope you’re having a fantastic day today. You know, very often when you begin to receive Social Security, you’ve already been paying out your premium for Medicare. Well, let me tell you this. There has been major confusion where whoever your insurer is, you might be paying double monthly premium. Please reach out […]
Are You Paying Double Medical Premiums on Social Security Read More »
Traveling can be one of life’s greatest joys, but it’s important to remember that accidents and illnesses can happen, even when you’re exploring a new corner of the world. A common question many travelers have is, “Is emergency medical care covered by my insurance when I’m abroad?” The answer can be complex and varies depending
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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
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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
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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 »
In this interview, Edison Guzman speaks with Adria Gross, a seasoned health insurance expert and founder of Medwise Insurance Advocacy. Adria shares insights from her 30+ years of experience in the health insurance industry, starting from her time working for insurance companies where she learned how claims were denied. Over time, she transitioned to becoming
What Does Adria Gross Do as a Medical Insurance Advocate? Read More »