PPO or HMO?

Good morning, everybody. I gotta tell you, I worked with a client who thought they had a PPO rather than HMO. You really need to understand your policy and realize what you are covered for and what you’re not covered for. Uh, the person was in a 24 hour psych facility and the fact that it was an, they had HMO insurance, the company would not cover it. It went on so long that they had to pay, but they were not warned until they were about to leave the facility. What was gonna happen, the bill was $75,000 and the fact that they were never, never informed the patient, I was able to get a 35% reduction. If you ever need help, call me Adria, Medwise Insurance Advocacy. Thank you.

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