What If Your Insurer Ask for Their Money Back
Many people are reaching out to me when everything was scheduled for their surgery, and they undergo the procedure. Six to 12 months later go by, and now the insurer is asking for the money back. There are a lot of different reasons why this is occurring. If this happens to you, please call me.I’m […]
What You Need to Know About Insurance Before Turning 65
I’ve had many cases in the past five years involving people working after the age of 65. If your employer has less than 20 employees, when you turn 65, there’s a good chance you’re going to have to go directly onto Medicare, part A and part B. I always recommend people to contact Medicare three […]
Insurance Claim Denied? Don’t Give Up! Steps to Get Denied Medical Claims Paid
For years, I’ve helped clients navigate the complex world of health insurance. One of the most disheartening moments for any patient is receiving that notice: “Your claim has been denied.” It can feel like a final judgment, leaving you facing unexpected and often significant medical bills. But here’s something I emphasize constantly, based on years […]
Decoding Your Hospital Bill – Understanding CPT Codes, EOBs, and Overcharges
Feeling lost or outraged when you look at a hospital bill? You’re not alone, and help is here! Watch this crucial interview with Edison Guzman and insurance advocate Adria Gross to uncover the secrets hospitals might not want you to know. Learn exactly what to demand on your bill (using specific codes!) to verify every […]
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 […]
Struggling with Medical Bills? You Have Options
As the founder of Medwise Insurance Advocacy, I’ve spent years helping countless individuals navigate the often-turbulent waters of healthcare costs. One of the most common and stressful situations people face is figuring out how to pay medical bills, especially unexpected or large ones. The sticker shock from a hospital stay or complex procedure can be […]
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 […]
Overwhelmed by Medical Bills? You’re Not Alone
For years, through Medwise Insurance Advocacy, I’ve dedicated my career to helping patients navigate the often confusing and overwhelming world of medical bills and health insurance. If you’ve ever opened a medical bill and felt your heart sink, confused by codes, charges, and jargon you don’t understand, please know: you are certainly not alone. The […]
$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 […]