When you go onto a website to purchase health insurance, please make sure you take a close look at the policy and understand exactly what it covers and what it does not cover. You might be purchasing a plan that will not cover your specific condition, or your medical providers may not be in the […]
Do This Before You Purchase Any Medical Insurance Policy Read More »
Congress is currently scrutinizing Medicare Advantage plans. I had a new case this week where a patient was being discharged from the hospital because of issues with her insurance coverage. She was having complications with her pacemaker, and the insurance company initially would not authorize a visit with her cardiologist. When I received the call, I
Medicare Advantage Plan Refuses Care Read More »
I hope you’re having a fantastic day. When I started in the health insurance industry in the claims department, I became a claims supervisor within a short time. During my training, I learned very quickly how companies approach denying claims. It shouldn’t be driven by shareholder interests when people’s health and financial stability are at stake. Unfortunately,
A $32,000 Medical Claim Overturned Read More »
I hope your day is going great. When it comes to medical bills being denied by your insurance company, the numbers are staggering. According to the Kaiser Family Foundation, we now have over $220 billion in medical debt, and about 25% of people who need treatment simply can’t afford it. Fortunately, some nonprofit hospitals offer financial assistance
How Non-Profit Hospitals Help With Health Care Read More »
Good afternoon. I spoke with a client the other day who lives in Texas. He has a dental policy, and believe it or not, he was denied coverage for a routine teeth cleaning. Can you imagine being told it’s not medically necessary to clean your teeth? If you need assistance with any of your claim denials, please
Did Your Dental Coverage Deny Your Cleaning Bill? Read More »
You know, I’ve been absolutely shocked that some companies are limiting treatment for autistic children. There was a recent case where the New York State Attorney General forced an insurance carrier to pay a $1 million penalty for failing to provide proper coverage. What has been happening is that some insurance companies are denying claims to
Is AI Automatically Denying Claims for Autistic Children? Read More »
I hope you’re having a fabulous day. You know, 99% of all enrollees who have a Medicare Advantage plan need to obtain prior authorization for many services. This most commonly applies to higher-cost treatments, including inpatient hospital stays, skilled nursing facility care, and chemotherapy. Medical providers are responsible for obtaining prior authorization. Patients should not be paying
Medical Claim Was Denied for This Reason Read More »
I hope you’re having a fantastic day. I’ve always been shocked by what insurers get away with. When I went into the health insurance industry as a claims analyst, within two weeks the company taught me how to deny claims. This is why I’m here to help you. If your claim is denied, you’re overcharged out of
The Challenge with Medicare Advantage Plans Read More »
Hello, my friends. Coverage denials can lead to significant delays in getting care while patients and their doctors go through the appeal process. Almost three out of five people who reported that their insurer denied coverage for recommended care said they experienced delays in receiving treatment as a result. If this happens to you, MedWise is here
Denied Medical Coverage for Recommended Care? Read More »
Hello, my friends. You know, many people have been mistreated by insurers, or their loved ones have. When you’re frustrated by denials and get no assistance from the insurance company, it’s time to call me. I have overturned 95% of the cases that come my way. I’m the owner of MedWise Insurance Advocacy. Please call me. Thank you. https://vimeo.com/1149514651?share=copy&fl=sv&fe=ci
Frustrated By Medical Insurance Denials? Read More »