Denial appeal
So my husband was scheduled for an ablation of his heart. He had one last year and again the insurance...
health insurance
Medicaid Unwinding Deals Blow to Tenuous System of Care for Native Americans
About a year into the process of redetermining Medicaid eligibility after the covid-19 public health emergency, more than 20 million...
Short term insurance?
36F, Florida, currently using UMR. Just trying to get an idea of what would be the best option I start...
Spouse stopped paying COBRA and we lost coverage. What are our options?
I need to stick to the facts here. We're in the USA. H and I have both been out of...
Very high deductible w/lower premium or (still kind of high but) lower deductible with higher premium?
I make 48k a year so I get some of the premium subsidized (about 265/month I believe). I live with...
Seeking Advice on Appeal Options for Insurance Denial of Medically Necessary Inpatient Stay
Hey, I recently had a bike accident and broke my tibia. It was a grade I open tibia fracture. I...
Professionals – Claim applied to previous calendar year’s deductible is reversed/voided, what happens?
Hey all, analyst at a large provider here. We had a recent situation that caused discussion and I wanted to...
Prescription repayment for retroactive COBRA
My wife is currently getting post cancer treatment and has monthly prescriptions averaging around 15K a month. I am getting...
NYC – Not medically necessary for open surgery stay
Hello. I recently had an open myomectomy in February and stayed one night in the hospital. UHC is deeming it...
Worth it to appeal an insurance pre-authorization decision?
I was recently diagnosed with a hip labral tear, but my pain in my hip is very mild. I actually...
