Thrown Out of Rehab While on Medicare
I had a recent case where this person went from a rehab to a hospital and back to another rehab. Again, this was a case where the commercial insurers are throwing people outta rehabs due to their limited time period of coverage. Everyone has. Everyone who has an advantage plan for Medicare is continuously thrown […]
Bee Sting Leads to Emergency Room Bill Not Covered by Insurance
You get stung by a bee and you have difficulty breathing. You got swelling of your throat or tongue, you got a rapid pulse, you are dizzy or fainting. Please go directly to the emergency room. I had a case recently where the emergency room wasn’t paid and the insurance company believed that the condition […]
Why You Need a Health Insurance Advocate Right Now
It’s easy to confuse titles, but the roles are different—and so are their loyalties. Q: Is a health insurance advocate the same as a broker? A: No. A broker helps you select a plan, while an advocate helps you use the plan you already have. Q: What about a hospital case manager? A: They assist […]
Frustration for Denied Insurance Claims Escalate
Americans are crushed by skyrocketing premiums, crippling the medical debt and denial of care that really this devastates millions of lives. It should be no surprise that frustration has reached a boiling point, igniting a fierce, widespread demand for real systemic change. Ordinary people are clear that insurance companies don’t exist to protect their health, […]
Will COBRA Cover You Over Age 65?
So you’re over 65 years old and you’re working for an employer who has over 20 employees. Now you’re about to retire and you’re applying for Cobra. The question is, will Cobra cover you? Because you are now over the age of 65, please call me and let’s discuss the next steps you should take. […]
Health Advocate Bill Saver Can Slash Your Medical Bills
The health care billing system isn’t just confusing—it’s designed that way. Charges often vary based on your insurance plan, location, and provider contract rates, making it nearly impossible for patients to determine what’s fair. Common Billing Traps: Out-of-network charges from in-network visits CPT coding errors that trigger denied claims or inflated charges Facility fees added […]
Emergency Room Charges of $9,500 Dropped to $1,800
I worked on a case recently where the maximum charges for the emergency room should have been no more than a thousand dollars.The hospital was paid 90 509,500 and they were still billing my client for an additional $1,800. When I reached out to the billing of the emergency room charges that were $1,800, believe it […]
Anesthesiolgist Bill Not Covered
Have you received the bill for anesthesiology after being covered for pregnancy and delivery? If they never informed you that the provider was out of network and now you’re being charged a tremendous bill, please reach out to MedWise because there’s a great chance that we will either get your bill reduced to a very small […]
Are You Really Responsible for Those Medical Bills?
Have you received multiple bills being in a hospital? Are you questioning whether or not you are really responsible to pay these bills? Very often people receive their explanation of benefits and feel that they have to pay for additional services. I had a client recently who looked at their explanation of benefits for $6,000. Guess what? They […]
Who’s Processing Your Medical Bills?
In a conversation between Edison Guzman and Adria Gross of MedWise Insurance Advocacy, they discuss the significant impact of who processes medical bills. Adria highlights that when third-party billing companies handle claims, especially those paid on a percentage basis (a common practice outside of states like New York), it becomes exceedingly difficult for patients to […]