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 […]

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 […]

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 […]

$250,000 Insurance Claim Denied When Turned Age 65?

I recently received a phone call from an attorney where the health insurance carrier never informed the patient that at the age of 65 they needed to switch over to Medicare. So here’s a case where the person paid over $250,000, which the insurance company kept. Well, I could think about how incredibly unfair it […]

A Little Love Inspires Everyone

Hello, everybody in my book apparently Different. There’s a chapter about Allison Murphy. The title of the chapter is Allie. A Little Love Inspires everyone. I’ve known Allie since she was an infant. She and my son were both in early intervention. Allie was born with cerebral palsy. She has been in a wheelchair her […]