Your Medical Insurance Advocate
Media/Videos
These medical bills advocacy videos and case studies will help you save money on your health insurance and denied medical claims.
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High Out of Pocket Medical Costs
When faced with high out-of-pocket costs, healthier individuals might opt out of necessary healthcare to avoid expenses, a behavior that insurers indirectly encouraged. This leads to a cycle of rising premiums
The Policy Did Not Cover MRI?
I have never seen this before. The policy did not cover for an MRI when we were able to prove the necessity for the MRI. The insurance company finally agreed
Your Insurance Company Will Not Cover Everything
Some people purchase insurance policies that they think will cover everything. I had a case recently where the policy did not cover for any hospitalization. The original bill was $67,000
Are You Really Covered by Your Medicare Advantage Plan?
When people decide that they want to take a Medicare Advantage plan, they do not realize that so many hospitals are no longer accepting the Advantage plans. I recently had
Denied Medical Claim While on Health Marketplace
A case recently involved my client being in a hospital for emergency brain tumor surgery. They had a policy through the Affordable Care Act in New York State, and I
Medical Bill Reduced from $150,000 to $5,000 With Travel Insurance
You know, much too often people purchase travel insurance and they come here, the United States. Every case that has come to me when the visitor is in the United
Are New Employees Covered by Self Insurance Coverage?
I hope you’re having a fabulous day today. It is so difficult to fight for coverages when your company is so large and they have a self-funded, self-insured or risk
Out of Network Providers Can Still be Paid by Insurance
I recently had a case where surgery was required. None of the in-network providers were able to perform the services. It took four months, but we were finally able to
Misinformed About What Medical Insurance Covers
One of my recent clients was informed the provider was in network. They went for the surgery and later found out that the provider was really out of network and
$85,000 Pre-authorized Medical Bill Denied
Good afternoon, my friends, one of my clients had a pre-authorization for radiation due to rectal cancer. The bills were over $85,000, and even though she had pre-authorization, the insurance
Rehab for Drugs and Alcohol $70,000 Bill Denied
I had a recent case where my client wound up in a rehab for drugs and alcohol. They told my client that they would be at this facility for two
Coma Patient with a $300,000 CoPay?
I have to tell you this story. You have a traumatic brain injury and you wind up being in a coma for two months. Your commercial insurer informs your family
Why Hospital Based Billing vs Professional Billing Matters
Understanding the differences between hospital-based billing and professional billing is crucial for patients navigating the complex healthcare system. These billing methods can significantly impact your medical expenses and how services
The Colonoscopy That Was Almost Not Covered
You know, Medicare Advantage is often touted as as beneficial, but most people believe it to be a scam. It’s particularly, particularly harmful to those with severe health issues. These
$6,000 Podiatry Bill Reduced to $750
I hope this never happens to you. You have a really bad injury to your big toe. You go to a podiatrist who explains to you that the bill should
ER Medical Bill Not Medical Necessary?
I recently had a phone call involving a person who fell down two flights of stairs. They had 25 stitches in their head. The case involved a hospital in California,
Thrown Out of Rehab While on Medicare
I had a recent case where this person went from a rehab to a hospital and back to another rehab. Again, this was a case where the commercial insurers are
Duplicate Bills from Same Procedure?
Have you ever been billed multiple times for the same procedure for the same date of services? I recently was able to reduce the bill from $7,200 down to 1,200.
$15,000 Medical Bill for Severe Burns Reduced
Hello, my friends, one of my clients had a very severe burn when hot grease splashed on their wrist and they went to an urgent care, received a bill for
Food Poison $11,000 Medical Bill Down to $1,100
One of my clients had food poisoning. It was so bad that they were collapsing at home and wound up going to an emergency room. The ER did not have
Bee Sting Leads to Emergency Room Bill Not Covered by Insurance
You get stung by a bee and you have difficulty breathing. You got swelling of your throat or tongue, you got a rapid pulse, you are dizzy or fainting. Please
Got a Bill from a Doctor You’ve Never Seen
Have you ever been hospitalized and received a bill for a doctor that you never saw? I recently overturned a case where the doctor was charging over $5,000, and believe
$9,400 Medical Bill Reduced to $200
Do you have a very high deductible and you cannot afford to pay your medical bills? I had a case recently for $9,400 and thank you. Was able to bring
If Your Medical Bill Should Have Been Paid Here’s What to Do
Have you been denied on a medical bill which you should have been paid? I recently had a case for an emergency room where the insurer felt it wasn’t medically
Out of Network Bill Not Paid?
You’re preparing dinner for your family and ouch. You just cut yourself so deep. You need stitches, you wind up in urgent care, and you later find out that they’re
Frustration for Denied Insurance Claims Escalate
Americans are crushed by skyrocketing premiums, crippling the medical debt and denial of care that really this devastates millions of lives. It should be no surprise that frustration has reached
Will COBRA Cover You Over Age 65?
So you’re over 65 years old and you’re working for an employer who has over 20 employees. Now you’re about to retire and you’re applying for Cobra. The question is,
Unexpected Medical Bills May Not be Real
Did you receive an unexpected bill in the mail after you thought all your claims were processed? Some medical providers are bought out by a new company and that new company
Emergency Room Charges of $9,500 Dropped to $1,800
I worked on a case recently where the maximum charges for the emergency room should have been no more than a thousand dollars.The hospital was paid 90 509,500 and they
Where You Charged for a Medical Bill You’ve Already Paid?
You know, I help people to make sure that once they have paid a claim, they never pay it again. Too often people are charged multiple times for one individual bill