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 […]
Why the Difference Between a Copay and Coinsurance Matters
Understanding the difference between a copay and coinsurance isn’t just about learning insurance jargon; it’s about seizing control of your financial destiny in a healthcare system designed to be confusing. The anxiety of opening a medical bill, bracing for a number you can’t possibly predict, is a universal fear. This single piece of knowledge is […]
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. […]
How Adria Gross Patient Advocate Beats Insurance Denials
The effectiveness of Adria Gross, patient advocate, stems from a perspective few others possess. When you’re facing a mountain of medical bills or a cold insurance denial, it feels like an unwinnable war against a faceless system. You need more than just a helper; you need a strategist who knows the enemy’s playbook because she […]
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 […]
Need a Hospital Bill Negotiation Company? Read this First!
Hiring a hospital bill negotiation company is your most powerful move against a system built on arbitrary pricing. You’ve seen the bill, a document where a single Tylenol tablet can cost more than the entire bottle. The shock and powerlessness are overwhelming. You’re facing a five or six-figure sum that feels both absurd and non-negotiable, […]
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, […]