Always Ask for the SPD
Hello, my friends. Have you ever heard of an SPD? Summary Plan Description. Ask for this information from your health insurance carrier. This description will help you to understand what you are covered and not covered for on your health insurance policy. When I am appealing your claims, this information will help me to better understand your […]
What is a Good Faith Estimate?
Good faith estimate requires providers to provide uninsured or self-pay patients with a good faith estimate of the total cost of care before services are rendered. I recommend always asking in advance how much your procedure will cost, and you should never be billed more than that amount. Please ask for it in writing, and I’m here […]
Navigating Healthcare Challenges: The Story of Adria Gross
In this episode, we hear the compelling story of Adria Gross, a nationally recognized medical insurance advocate and author, who has transformed her life challenges into advocacy for individuals struggling with medical insurance claims. Gross shares her personal battle with encephalitis, epilepsy, and the life-changing brain surgery that set her on a path to help […]
Heart Surgery Recommendation Was Not Necessary
One of my clients was told he had to have heart surgery. He went through multiple tests and when he went back to the cardiologist, he was recommended multiple times to have heart surgery. It was very confusing since he was able to walk more than three miles a day and never was out of […]
Do This to Know What’s Covered in Your Policy
Insurance companies very often give you a brochure or it’s like a six to 10 page, so-called policy, which describes what’s covered and what’s not covered on the policy. On that six to 10 page, so-called policy, there will be a list of coverages and exclusions. It’s so important to look at the entire insurance […]
Need a Second Opinion for Orthopedic Surgeon?
Years ago I had a baker cyst on my right knee. I went to an orthopedic doctor who drained my knee three times. The fluid kept on coming back. He recommended that I see an orthopedic surgeon. They were about to do surgery and I met up with a doctor friend of mine who is […]
$52,000 Overturned After 3 Times Denied Medical Claim
I have to tell you many times I have people come to me where they know that their medical bill should be covered. According to the health insurance policy, very often the policy indicates that you should be covered for a certain procedure, but the insurance companies deliberately deny your claim. I was educated on […]
Knowing Your Patients Rights Saves Over $34,000
Being a patient advocate, I’m always concerned about patient’s rights and protect them from unfair billing practices. If I see a case where there are issues with medical billing, I always step in to help my clients. I recently overturned a case where my client was being charged an excessive amount by an emergency room, […]
How Medical Claim Laws Will Affect You in the Future
The healthcare landscape is constantly evolving, and with it, the laws governing medical claims. As a patient, it’s essential to stay informed about these changes to ensure you receive the care and coverage you deserve. Medwise Insurance Advocacy is here to help you navigate the complexities of medical claim laws and understand how they may […]
How I Reduced a Medical Bill from $40,000 to $2,000
You know, being in the health insurance industry for over 30 years, I am quite successful in negotiating medical bills. In many cases, I normally get 80% off the bill, and sometimes you might be responsible for no charges whatsoever. I recently reduced a bill from $40,000 down to $2,000. Please reach out to me. […]