The Colonoscopy That Was Almost Not Covered
I hope you’re having a fantastic day. You know, Medicare Advantage is often touted as beneficial, but most people believe it to be a scam. It’s particularly harmful to those with severe health issues. These plans often deny necessary care and delay treatments, jeopardizing patient health. Ultimately, the United States healthcare system’s reliance on private […]
Got a Bill from a Doctor You’ve Never Seen
Have you ever been hospitalized and received a bill for a doctor you never saw? I recently overturned a case where the doctor was charging over $5,000, but that doctor never saw the patient. When looking at the medical records, we were able to prove that the doctor never performed any services, and they finally […]
Doctor Recommends an MRI?
Your doctor recommends an MRI. Your insurance carrier will not provide pre-authorization. Call Medwise. We are here to get you the services you’re entitled to. Thank you. https://vimeo.com/1117099525?share=copy
Where Does Insurance Company CEO Salaries Come From?
The multiple giant insurance companies feed finances to the executives of the insurance company as well as the stockholders. Much of that money and the pay for the multiple senior executives at the insurance companies, who almost all make over a million dollars a year, came from saying no to people who file claims for […]
Deceptive Practices in Self-Funding Insurance Plan
Please be careful when choosing a medical insurance carrier policy. There are deceptive practices in the marketplace, but the government has a limited role when it comes to self-funding, self-insured ERISA plans, which are controlled by private insurers. If you know you should be covered but are being denied, please fight for your rights. I […]
Self Employed Individuals Health Insurance
Consider a self-employed individual choosing a health plan from the health insurance marketplace without subsidy eligibility. They might select a silver plan costing about a thousand dollars monthly, thinking it covers in-network doctor visits with a reasonable copay. However, a visit to the doctor may reveal a $200 charge because the deductible was not met. […]
Profits in Insurance Industry Are Booming
Profits in the insurance industry are booming. UnitedHealthcare’s operating profit margin was about 5.8% on revenues of $281.4 billion in 2023. Insured individuals not only pay high premiums, but they also face deductibles, copays, and unexpected bills. Insurers exploit the system by enrolling primarily young, healthy individuals, and they manipulate costs, largely enabled by policies […]
Eligibility for Health Savings Accounts
I received many calls involving HSAs. A Health Savings Account (HSA) is a tax-advantaged savings account that allows you to set aside money to pay for qualified medical expenses such as deductibles, copayments, coinsurance, acupuncture, ambulance costs, doctor’s visits, hearing aids, prescription drugs, psychological therapy, psychiatric care, and qualified long-term care services. To be eligible […]
How to Challenge a Billing Error
One of my clients reported a billing error to me and we challenged the insurance carrier and the medical provider. You need to be aware of your right to challenge a bill. We recently decreased a bill from $4,500 down to $100. Please call me. Remember, I’m here to help you. Thank you. https://vimeo.com/1117099614?share=copy
Was Your Health Service Supposed to be Free?
Have you received a medical bill or are you being charged a copayment in the past year for a service you thought should have been free or covered by your insurance carrier? If you receive a bill for a health service you thought was free or should have been covered by your health insurance carrier, […]