How to Verify if a Doctor or Medical Facility is In-Network
Finding a healthcare provider that aligns with your medical needs is only half the battle when navigating the complex world of health insurance. The other crucial aspect is ensuring that the doctor or medical facility you choose is within your insurance network. Going out-of-network can lead to substantially higher out-of-pocket costs, making it vital to […]
What If the Insurance Company Wants Their Money Back?
I hope you’re having a fantastic day after your bills were paid due to an injury. Has the insurance company ever asked you for the money back? Very often I receive cases which involve coordination of benefits. I understand how confusing this can be and if this ever happens to you, please reach out to […]
Unpaid Claims for PANDA
Too many times I have received unpaid claims for Panda. People come to me when it’s not being paid. Panda stands for Pediatric Autoimmune Neuropsych Psychiatric Disorders, and it’s associated with strep infections. Too often insurance companies do not wanna pay claims for that condition. If that happens to you or even other conditions, please […]
How to Lower Your Monthly Health Insurance Premiums
Finding an affordable health insurance plan without compromising the quality of coverage can be a tricky endeavor. However, there are strategies to optimize your insurance costs while maintaining essential coverage for your healthcare needs. This blog post aims to guide you through various avenues to lower your monthly premiums without sacrificing crucial benefits. Assess Your […]
What Does Adria Gross Do as a Medical Insurance Advocate?
In this interview, Edison Guzman speaks with Adria Gross, a seasoned health insurance expert and founder of Medwise Insurance Advocacy. Adria shares insights from her 30+ years of experience in the health insurance industry, starting from her time working for insurance companies where she learned how claims were denied. Over time, she transitioned to becoming […]
From Denying Claims to Patient Advocate, Adria Gross on Navigating Medical Insurance
https://vimeo.com/1014535586?share=copy Interview Participants: Edison Guzman (interviewer) and Adria Gross from Medical Insurance Advocacy (interviewee). Adria’s Background: Worked for two insurance companies where she was trained to deny claims. Gained extensive knowledge about insurance policies, including coverage details, premiums, deductibles, and copays. Transitioned from working within insurance companies to advocating for individuals with denied claims. Services […]
What Does Adria Gross Do as a Medical Insurance Advocate?
In this interview, Edison Guzman speaks with Adria Gross, a seasoned health insurance expert and founder of Medwise Insurance Advocacy. Adria shares insights from her 30+ years of experience in the health insurance industry, starting from her time working for insurance companies where she learned how claims were denied. Over time, she transitioned to becoming […]
Saved over $80,000 in Severe Depression Medical Bills
I hope everything’s going well for you. Janet, a client of mine who’s in my recent book, apparently different discusses how we should treat a person who is apparently different. Janet has had years of depression, which causes severe mental health. She has a borderline personality disorder, but I have to tell you this, her […]
Medicare Advantage Plans Are not Accepted by 75% of Doctors
You know, 50% of the doctors and hospitals no longer accept the Medicare Advantage plans. You have only one Medicare card if you have the Medicare Advantage plans. But the issue is if you wind up in a rehab and if they’re using AI at the insurance company, artificial intelligence, within three days after you […]
How to Determine if a Medical Procedure or Medication is Covered
Navigating the intricacies of health insurance can be a daunting task, especially when you’re trying to figure out if a particular medical procedure or medication is covered under your plan. Knowing what is and isn’t covered can save you from unexpected medical bills and ensure that you’re getting the most out of your insurance. This […]