Appeal denied, peer to peer review not allowed, only option left is a "member grievance" process.
Hello, I am having an operation done on my face. I am getting all operations covered by insurance, except they're...
health insurance
How do you ask what is covered? Can you get an estimate for a procedure?
This seems like a really dumb question, but I always feel bamboozled every time this happens. And please let me...
Retroactive COBRA, penalty for no pre-authorization?
Hi, I had emergency treatment that had me in the hospital for 3 days prior to new employer coverage kicking...
Someone during surgery was not "in network," now the claim might possibly be denied
I had surgery in May. It was a necessary procedure, a total thyroidectomy, due to thyroid cancer. I saw an...
What is medical inflation and how it affects your health insurance premiums?
The cost-of-living crisis has made us all more aware of the impact inflation has on our finances, but how much...
HDHP vs Regular Plan?
Hi! I'm 28F, trying to decide on an insurance plan for a new job. I'm living in NJ but working...
Should I buy COBRA PPO or an ACA marketplace EPO plan?
Obviously, the PPO is the better option, but the main issue is the price. The EPO (through BCBS) is around...
Will Medicaid take away my insurance if they see I am living with my dad?
I’m currently living in NV. My dad makes a little over 100k a year. I’m 19 and moved in with...
Claim denied for a 911 emergency
Our insurance (Aetna) denied the claim for our emergency call. My husband had a little black out in the kitchen....
Issues with Headway and Carefirst BCBS?
For those that don't know, Headway is a 3rd party billing provider/credentialing service for therapy. If I had my way,...
