Prior Authorization and Network Adequacy; which one first?
Looking to get DJS as a part of my orthodontic treatment, either end of this year or next year. I...
health insurance
Need help with dual coverage: Aetna PPO & Kaiser HMO
I used to pay for my health insurance myself through the marketplace, and I had insurance from Kaiser Permanente. I...
Cigna Teletherapy Place of Service (POS) Codes 02 and 10
Has anyone encountered this issue with Cigna? Our PPO is supposed to cover out of network "virtual office visits" at...
can’t afford to have health insurance?
i’m just wondering if anyone can help me understand. i make $20 an hour, just enough to put me up...
Not qualified for a Special Enrollment Period
I'm really unsure what my options are right now. I signed up (or more, renewed) during the special enrollment period,...
EMPLOYERS/COMPANIES w/ Wegovy or Zepbound Health Insurance Coverage? Located in Southern Michigan near Indiana state border (Mishawaka)
I am searching for employers or companies who offer health insurance that covers Wegovy or Zepbound.I am asking on behalf...
Medi-cal eligibility question! Will my mother lose coverage?
Hi all! New to this sub! I hope this this the appropriate space for this question. My mother (62, CA...
Claim was accepted, I paid the bill, now showing as denied?
I had surgery in April. While this surgery isn't always considered medically necessary, I was assured by both the hospital...
Unemployed girlfriend got notice of no longer being qualified for state(CO) Medicaid program with no reason listed
Hello all, today we got some mail earlier today from coaccess that stated my gf "no longer qualifies for health...
Special Enrollment Period, due to change in income
We have been on a marketplace plan for over a year now and just qualified for a special enrollment period...
