PCOS Coverage Non-Existent
Good morning everybody. Have you ever heard of Cushing’s syndrome? It’s a pituitary irregularity. The sad thing is that there’s no cure for it. It also goes under the condition title, polycystic ovarian syndrome, which has the initials PCOS. Many conditions keep people from being covered according to our health insurance policies. I hate to […]
Having Problems Getting the Generic Drug
I hope you’re having a wonderful day today. All too often you may need a medication and they only want to provide you with the generic drug. If you’re having problems where you are unable to take that generic drug, please reach out to me. I will help you. I have great relationships with the […]
Is Mental Health Coverage Included in My Insurance Plan?
Mental health is increasingly recognized as an essential aspect of overall well-being, yet many people are uncertain about whether their insurance plans provide adequate coverage in this area. The inclusion of mental health services varies widely among insurance policies. This blog post aims to help you understand if your insurance plan includes mental health coverage […]
Medicare Advantage Double Coverage Ends in Double Payment
I hope this never happens to you. I received a phone call where someone worked for two different companies and wound up, believe it or not, having two different Medicare Advantage plans. The other crazy part about that, it was the same insure one of the plans was requesting back $200,000. The crazy thing is […]
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 […]
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 […]
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 […]
$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 […]