Network Gap Exception (out of state) for Rare Disorder
We have a Marketplace plan in Virginia, in an area with a limited health network. I was diagnosed last year...
health insurance
Is it common not to be eligible for employer’s health insurance benefits for 90 days?
I am applying to new jobs, and recently received an offer from a company I want to work for, but...
New branch of company in Maine making employees find their own insurance
I started a new job in the first week of June for a company that opened a new branch in...
Ambetter deleted all of my reward points for no reason.
Per the group rules, my age is 51, state is MS, and gross income is 38,000. So Ambetter has this...
Insurance incorrectly showing my out-of-pocket maximum has been met
Summary: Insurance is saying I’ve met my out of pocket maximum, but I don’t think I have. I know this...
I owe $1400 to my health insurance that I never knew about and now I don’t know what to do..
First time posting here. I injured my knee in December of last year when I was on vacation in another...
Handling an additional claim from a surgeon who stopped by to assist the primary surgeon.
A few months ago I had some screws removed from my leg by an orthopedic surgeon. Prior to the surgery,...
Severance w/ Aetna continuation via Cobra + new job’s Aetna – can I do both?
I was laid off and as part of severance receive several months of my existing Aetna health insurance premium fully...
Prescription for medical equipment
Hi. I work at a large research university and our HMO health insurance is managed by Aetna. Our network is...
Therapy claim incorrectly processed as “hospital/facility based service”
Hello, My standard, regular, outpatient mental health therapy claims (for an out-of-network provider) are being denied for any reimbursement. The...
