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 […]
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 […]
Need Your Major Insurance Company to Pay
Now you’re sick and you need a major medical test, but your insurance company doesn’t wanna pay for it. I help people when matters like this happen. Please think of me, Adria Gross Medwise Insurance advocacy. They’re not paying. Call me. Thanks. https://vimeo.com/996386717
What is Outpatient Under Observation
You are a senior, but make sure that when you wind up in a hospital, you are an inpatient for at least two midnights or more. Otherwise, you’ll be considered an outpatient under observation and will not be covered for your hospitalization. Please call me if you know anybody who this happens to. I’m here […]
Denied Insurance Claim? Don’t Panic
Discovering that your insurance claim has been denied can be disheartening, especially when you’re relying on it to cover medical expenses. However, a denial isn’t necessarily the end of the road. Many denials can be successfully appealed, giving you another opportunity to secure coverage for your medical costs. This blog post outlines the essential steps […]
Disability Does Not Define a Person
In my new book that just came out, apparently different is a chapter titled Disability Does Not Define a Person. A gentleman calls me one day involving his client, Mr. Santini. Here was a situation where after serving in the military falling a hundred feet and waking up after the injury, he severely damaged his […]
Normal or Autism Spectrum Insurance Bills
I just published a new book called Apparently Different, and there’s a chapter in my book, which involves Jesse Sine. Jesse himself has written two books. Both books involve discussing what it’s like to be normal versus what it’s like to have Asperger’s. I received many phone calls with people who have an autism spectrum […]
Appealing an Insurance Company Decision
At some point, many of us will face the frustrating situation of having an insurance claim denied or a medical service deemed “not covered” by our healthcare policy. These decisions can have a significant financial and emotional impact, leaving us wondering what to do next. The good news is that you have the right to […]
Dental Coverage Not Covering?
I hope all is well with you today. Dental coverage is very limited. Most policies will never cover you for more than $3,500. It’s best to discuss the fees and get it in writing before procedure is performed. Many people come to me with bills over $35,000. Some dental providers are willing to reduce the […]