Large cash pay fee to in-network surgeon/double billing
Hi all, I (24F, Pennsylvania/NJ) had surgery in April with a provider who is “in network” with my PPO plan....
health insurance
Appealing Insurance after 180 Days
Hello, I'd like some advice on navigating an insurance appeal. On June 20th, my insurance denied coverage for LabCorp tests...
HELP – Birth Control coverage under the Women’s Preventive Health services mandate
Hi all, hoping for some assistance to check if this is permitted or not. As background I work in HR,...
Do I File a Report with the Dental Insurance?
Hello! Back in January my mother had dental work done and needed 2 crowns. The administrative receptionist told her insurance...
FTC to sue PBMs over insulin pricing and rebates
From the FTC’s press release out today: Today, the Federal Trade Commission brought action against...
Are "better" plans simply not worth it if I hit my Out of Pocket max?
I feel like this must be incorrect but after doing the math, it seems like if I'm going to hit...
Is there a trick to finding providers in my network? Marketplace insurance.
I have a marketplace plan that includes dental. Typically we just use the local major medical hospital system which in...
Enrolling in COBRA for second month, no billing statement/forms provided?
I was terminated from my job in August and elected to do COBRA for the month of September (family of...
Let’s Talk about Thyroid Cancer
In 2023, about 44,000 Americans were diagnosed with thyroid cancer. Although thyroid cancer is not as common as breast, prostate,...
Is there no health insurance for only children?
Insurance for only children? There isn't any? I recently (last couple of years) started making just a little too much...
