What outcomes should we target to improve health outcomes and overall well-being?
The Rippel Foundation has an interesting framework to describe the dimensions for improving health and...
health insurance
Dr. said I had prior authorization, but insurance has denied coverage of $40k surgery
Hi all. Having a bad day over here. For reference, I have marketplace CareFirst that’s reimbursed through my employer. In...
Insurance sent a letter that contradicts itself about denying my appeal. Best next steps?
Not sure if anything is in here that shouldn't be. Please delete if so. Age: 35State: Texas Hoping to get...
Process for switching to spouse’s new plan during SEP
I've done a bunch of searching and can't seem to find an answer to our situation. Wife and I are...
Insurance says I hit OOP @ $2500 but definitely did not pay that much this year?
I'm a T2 diabetic in NJ with Amerihealth insurance and multiple prescriptions with have Jardiance and Mounjaro being the most...
What to do in my dual health insurance scenario?
My wife is a school teacher in california and has always had great health insurance benefits. She can cover herself,...
preventative care incurred another regular office visit bill
Went to a preventative annual physical exam. The doctor asked for my medical history. So I told her that: I...
Surgery center wrongfully billed procedure as cosmetic when it was functional only
Not sure if this is the right sub but I had a purely functional septoplasty performed in October by a...
In collections for nonpayment of bills for services that insurance should have covered — Please Advise
An insurance company that you may be familiar with (idk why some redditors cryptically refer to shitty companies like this,...
Formulary Question…
I am taking Zepbound. It is a pen injection, once a week. It comes in different strenths measured in mg...
