I hope you’re having a beautiful day today. I had a case recently where the gentleman was in the hospital due to severe leg pain. He spent two nights at the hospital and was stuck with over $45,000 in medical bills. The insurance company was stating that the two nights at the hospital were not […]
Hospital Bill Determined as Not Medically Necessary? Read More »
Hi everyone. I gotta share this story with you. A gentleman was experiencing major pain, which involved kidney stones. He was kept in the hospital overnight and the pill was $43,000. It involved two different insurance companies. Neither of them would pay saying it wasn’t medically necessary. And they’re also saying like, who’s really responsible.
Overnight Medical Bill for $43,000 Fully Covered Read More »
I hate to say this, but too often you are unable to be on a generic drug for your condition. If this happens to you, please ask your doctor to write a letter to fight for you to receive coverage for the correct medication. Sometimes your doctor will also need to reach out to your
What If You’re Unable to use Generic Medication? 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 »
If you go to a compound pharmacy for medication and they do not submit the bill to your prescription plan, please do not ignore the possibility of receiving reimbursement for that compound medication. I recently was able to save my client $600 a month. They get medication every week, $150, $600 a month, so that
Saved $600 Per Month for Compound Pharmacy Medication 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 »
A recent client was informed by the surgeon’s office prior to the surgery that my client was covered for this upcoming surgery. Well, guess what? He was not covered, so now they’re billing my client for only $80,000. When I discussed the situation with the medical Provider’s billing office, it took months, but we were
Not Covered After Being Told That You’re Covered? Read More »
Filing a medical insurance claim can be a daunting process, especially when you’re not sure what paperwork you need. To help streamline this essential task, this blog post offers a comprehensive guide on the types of documentation you’ll need to gather when filing a claim. Why Proper Documentation Matters Incorrect or incomplete documentation can result
Documentation Needed for Filing a Medical Insurance Claim Read More »
I recently had a Covid client. They were being billed $54,000, but the sad thing was they had no insurance, and at that point, even the government stopped covering the covid uh, patients. They, they stopped covering, I believe it was around February of 2022. But thank you, I was able to reduce the bill
Covid Client Billed $54,000 With No Insurance Reduced to $0 Read More »
Navigating the healthcare landscape can be complicated, especially when you need specialized care. One common question many people have is whether they need a referral from a primary care physician (PCP) to consult a specialist. The answer varies depending on your insurance plan and healthcare needs. This blog post delves into the factors that determine
Do I Need a Referral to See a Specialist Read More »