Want to get care from an out-of-network doctor, clinic, or hospital? You might pay a lot more than you would if you stayed in-network. In fact, with HMOs and EPOs, your health insurance might not...
Balance billing happens after you’ve paid your deductible, coinsurance or copayment and your insurance company has also paid everything it’s obligated to pay toward your medical bill. If there is still a balance owed on that bill...
Stephanie Peirolo had an excellent health plan, so when her 16-year-old son sustained a traumatic brain injury, she thought his claims would be covered. She was dead wrong. “There is a particular cruelty to having… Read More
You recently had a medical procedure, but now your insurance won’t pay for it. If that’s what you are facing, you’re likely frustrated and upset. But don’t panic. You may be able to get your plan to reverse...
Our 7-year-old daughter awoke screaming and could not be comforted or touched. We took her to the emergency room. Now our insurance company is denying the visit, saying that it wasn’t medically necessary for her...
What to Do About Unpaid Medical Bills. Medical bills were the cause of 62 percent of bankruptcies in 2007, according to a study by the American Journal of Medicine. Even more alarming, 80 percent of those who...
The high price of healthcare affects all of us. In fact, one recent study found that medical bills are the leading cause of personal bankruptcy. Insured Americans struggle with high deductibles, relentless monthly premiums and unforeseen...
Do Medical Bills Really Devastate America’s Families? Medical bills were the biggest cause of U.S. bankruptcies, according to a CNBC report. It estimated that 2 million people were adversely affected. A popular Facebook meme said the 643,000 Americans go bankrupt each...
A 2011 GAO report that sampled data from a handful of states suggests that, even before Obamacare, patients got the claim denial overturned 39 to 59 percent of the time when they appealed directly to...
By Peter Hunt, for APRA. Taking the appeals path. If you wish to appeal a denied claim under original medicare follow these simple guidelines – Return your medicare summary notice which shows any denied claims...