Author - adria

Affordable Care Act Open Enrollment and NYC Workshop

Don’t Miss My Upcoming Workshop or Health Insurance Open Enrollment Although there are ways to lower health care costs when someone doesn’t have coverage, check out the multiple resources I have gathered to help people when they are sick; it is ideal for people to have some form of coverage. For more information on how to lower medical bills, understand how to negotiate denied medical coverage for care, rules for Medicare and NYS Surprise Bill and more come to my next [...]

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Appealing Self-Insured Benefits Denials

Big corporations are no stranger to self-insuring their employees. When an employer only contracts with an insurance carrier for insurance services such as enrollment, claims processing and provider networks with a third party administrator, the employer is agreeing to be the party to payout any medical bills incurred by their employees. Keep in mind, that a self-insured employer doesn’t even have to contract with an insurance company to administer such services and can self-administer their self-insurance. To look up if [...]

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Is Your Medical Benefits Advocate Conflicted?

Companies are relying on advocates from their insurance company to get employee medical bills approved and paid. This is bad news for employees, as in-house human resource positions are removed and the people who are fighting for bills to be approved are conflicted by their true employer… the insurance company. Read more about this conflict of interest and how a third party advocate can save companies and employees money by getting medical bills covered by appropriate parties.   Who Advocates for [...]

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Where to Find Help Paying Medical Bills

 We Need All the Help We Can Get To Pay Medical Bills   I have spoken with people who have lost everything because of an illness. Having to choose between paying rent, buying food or paying for medical care is stressful. The Kaiser Family Foundation reports that in 2016, half of all insurance policy-holders face a deductible of at least $1,000. This is the amount someone has to pay before their insurance starts paying and for some it is even higher. Almost [...]

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National Organizations that Pay for Medical Care

National Organizations that Provide Assistance Paying for Medical Care and Procedures Department of Health and Human Services (DHHS) [hhs.gov] The Department of Health and Human Services (DHHS) has information on assistance in paying for medical care for low-income families. Go to “Families & Children.” Government Benefits [benefits.gov] The official government benefits website. This is a free, confidential tool that locates government benefits. Health Resources and Services Administration [mchb.hrsa.gov] The Health Resources and Services Administration (HRSA) of the DHHS website, Maternal and Child Health Bureau (MCHB), [...]

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Federal and State Programs that Help Pay Medical Bills

Medical care and prescription drugs are expensive.  If someone is struggling paying for medical care or prescription drugs, these state and federal programs may be able to help: HealthCare.gov this site helps find insurance options, compare care, learn about prevention, and understand the Affordable Care Act. State human/social service agencies offer direct aid and referrals to other organizations. These organizations and the people who work for them are invaluable. So many agencies have online forums and resources that help streamline the [...]

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Medical Bills Affect Credit and Cause Bankruptcy: There are Solutions

The debt from medical bills are like a black hole on a credit report. Tracking the origin of the medical bills is the first step to navigating the debt and determining if and how the bills can be reduced. Medical providers are less likely to report the debt to a credit reporting agency and are more likely to contract it out to a debt collection agency. Not knowing how to strike a deal for medical debt can lead to [...]

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"It is a Gift to Negotiate"

2 Clients with Over 1.5 Million in Denied Medical Bills are Paid

Last month, I shared a story about a woman, who had medical bills that had to be negotiated, totaling close to a million dollars and the bills were paid in full to the hospital from her insurance company. Now, I will tell a story of a woman, who had medical bills over $500,000, from out-of-state care. Between the 2 cases, with very different facts and billing complications, MedWise Insurance Advocacy saved 2 clients over 1.5 million dollars in less [...]

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Adria Gross-Medical Bill Advocate-Multi Payer Medicine Nightmare

Meet Author Adria Gross-Medical Bill Advocate Date: Sunday, May 7, 2017 Time: 2:00 PM – 4:00 PM Location: Congregation Eitz Chaim 1465 Orange Tpke. Monroe, NY 10949 Too often consumers find themselves paying much more money than they expected, getting much less than they bargained for. Medical care is no exception. Adria Goldman Gross’s book and her astute discussions show readers how to spot over-charges by providers, under-reimbursements by insurers, and inappropriate denials by insurers and government employees. If the plans for Obamacare change, what is heading our [...]

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"It is a Gift to Negotiate"

Rest Easy as Medical Bills Get Paid

Her body was tired, she couldn’t switch hospitals her bills accumulated. Insurance had forsaken her, an estate in shambles. Find out what we did… A woman was suffering from Stage 4 Cancer for over 4 years. She went to the same hospital and saw the same doctors throughout her illness. In 2016, state insurance coverage would no longer cover any treatments, visits or services rendered at that hospital. She went there for over 3 years without a problem. Suddenly, even with [...]

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