Premiums, Deductibles, and Copays Explained
Understanding premiums, deductibles, and copays is the key to knowing why your insurance didn’t pay—and why your healthcare bills may be higher than expected. You pay your monthly premium, assume you’re covered, and then a bill shows up that doesn’t match your expectations. Or worse, your claim is denied and you’re left wondering what went […]
College Insurance Pros and Cons
When a student has college insurance, that policy is a primary insurer. Sometimes the parents or guardian might still have them on their policy, which would be secondary to the college health insurance policy. Here are the positives and negatives about college health insurance. College insurance, the advantages are. The policies are written according to what the […]
Can Itemized Bills Save You Thousands?
To help you save a tremendous amount of money, request itemized bills to understand what you have been charged for. All too often, you’re charged for services that were never rendered, and that is why it’s so important that you keep a copy of your medical records. Recently, I saved a client over $10,000, since […]
Types of Health Insurance Plans Explained
Types of health insurance plans (HMO, PPO, EPO) can determine whether your claim gets paid—or denied—and most people only learn the difference after a costly mistake. You thought you were covered. Then the bill arrived, or worse, the claim was denied. Now you’re trying to understand rules that were never clearly explained. The reality is […]
Unfair Medical Charges Eat Away Your Coverage
Unfair medical charges can arise from various issues, including billing errors, surprise bills from network providers, and inflated charges. To address these issues, you can start by examining your insurance coverage, contacting your provider and insurance company, and disputing the bill by hiring MedWise. I recently reduced a bill from $37,000 down to $4,000. Call […]
The Best Chance You’ll Have at Overturning Your Case
You are now about to dispute a bill which you received from a collection agency. You need to request verification from the agency, and I recommend you submit a complaint to the Consumer Financial Protection Bureau and the Centers for Medicare and Medicaid Services. By making a complaint with those departments and/or hiring a medical […]
Understanding CPT, ICD-10, and HCPCS Codes
Understanding CPT, ICD-10, and HCPCS codes can be the difference between a paid claim and a denied one—and most people don’t even know these codes exist until something goes wrong. You open a bill that makes no sense. Then comes the denial. You call your insurance, but the explanation sounds like another language. That’s because, […]
Infertility Bill Claims Unpaid?
If you come across an unfair medical bill, the first thing you need to do is examine your insurance coverage. Review your plan, understand your deductibles, your co-pays, your co-insurance, and out-of-pocket maximum. I very often overturn cases by proving the policy covers for specific types of procedures. I recently had a case involving infertility […]
No Surprises Act Explained
The No Surprises Act became effective January 1st of 2022, and it protects consumers from surprise medical bills for emergency services and non-emergency services. It limits out-of-network cost-sharing and establishes a dispute resolution process for billing disagreements. This includes protections for uninsured and self-pay individuals who can request a good faith estimate of medical costs […]
How the U.S. Healthcare Payment System Works
How the U.S. healthcare payment system works isn’t just confusing—it’s the reason so many people end up stuck with overwhelming healthcare bills and denied medical claims they don’t understand. You did everything right. You went to the doctor, followed instructions, and trusted your insurance. Then the bill came… or worse, a denial letter. Suddenly, you’re […]