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 »
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 »
I recently received a phone call from an attorney where the health insurance carrier never informed the patient that at the age of 65 they needed to switch over to Medicare. So here’s a case where the person paid over $250,000, which the insurance company kept. Well, I could think about how incredibly unfair it
$250,000 Insurance Claim Denied When Turned Age 65? Read More »
Hello, everybody in my book apparently Different. There’s a chapter about Allison Murphy. The title of the chapter is Allie. A Little Love Inspires everyone. I’ve known Allie since she was an infant. She and my son were both in early intervention. Allie was born with cerebral palsy. She has been in a wheelchair her
A Little Love Inspires Everyone Read More »
Understanding how your health insurance plan handles pre-existing conditions is crucial, especially if you or a family member have a chronic illness or a medical history that needs ongoing care. This blog post aims to guide you through the complexities of insurance coverage for pre-existing conditions, offering advice on what to look for and the
How Does Your Health Insurance Plan Handle Pre-existing Conditions? Read More »
I hope you’re having a fabulous day. Too many times I have seen cases where there’s a mix up on one medical insurer overlapping another one. So I recently had a situation where my client paid over $20,000 in double premiums for these two that were overlapping. If this ever happens to you, call me.
Mix Up With Overlapping Insurance Read More »
I hope you’re having a fabulous day. So you’re in the hospital and now you need to go to a rehab when you leave the hospital. So please make sure that the hospital had you in the hospital as an inpatient for three midnights or more. If you do not have three midnights in a
Why Medicare May Not Cover Your Rehab Expenses Read More »
Dealing with medical issues can be stressful enough without adding the complexities of insurance paperwork. However, understanding the process of filing a medical insurance claim is essential for ensuring you receive the benefits you’re entitled to. In this comprehensive blog post, we’ll walk you through the steps of filing a medical insurance claim so that
Filing a Medical Insurance Claim Read More »