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Holding Insurance Companies Accountable | Medical Bill Advocate

Holding Insurance Companies Accountable

Under the law, patients have more rights and protections – and more security that their coverage will be there for them when they need it. For example:

  • No more pre-existing condition denials for children: The parents of over 17.6 million children with pre-existing conditions no longer have to worry that their children will be denied coverage because of a pre-existing condition.
  • No more lifetime dollar limits on coverage: 105 million Americans no longer have a lifetime dollar limit on essential health benefits. Annual dollar limits are set at increasingly higher amounts until January 1, 2014 when most plans issued or renewed are banned from having an annual dollar limit on coverage.
  • Insurance companies can’t drop your coverage when you get sick: You no longer need to fear that your insurance company can rescind or take away coverage when they get sick because of an unintentional mistake on an application.
  • No more coverage denials without appeal: Many Americans with private coverage now have the right to appeal an insurance company’s coverage decision and the Affordable Care Act provides you with information and assistance to give you more control over your health care decisions.
  • Helping consumers understand their coverage: The Health Insurance Finder on HealthCare.gov gives you information about the health plan choices in your community. Starting in September 2012, health plans must provide you with clear, consistent and comparable information about their health plan benefits and coverage. The Summary of Benefits and Coverage forms will enable you to easily understand your health coverage and determine the best health insurance options for your family.

http://www.healthcare.gov/law/information-for-you/benefits.html

Medical Bill Advvocate

 

 

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Click the above logo to be taken to an interview of Adria Gross by CBS news

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Click the above logo to be taken to an interview of Adria Gross by CBS news

Healthwatch New York with Angie Kristic, Part 1
Healthwatch New York with Angie Kristic, Part 2
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Testimonials
MedWise Insurance Advocacy
“I cannot thank you enough for your recent medical bill advocacy on my behalf regarding an exorbitant medical bill for routine blood work. Feeling caught between a lab that was billing me and an insurance company that would not honor its claim, I turned to you for advocacy. You immediately allayed my concerns, worked closely with me, conducted valuable research and together we contacted the laboratory involved to resolve this issue, all within one week. Due to your stalwart involvement, the laboratory settled for a small payment-in-full that amounted to 24 times less than the lab originally charged for its work. You immediately brought to the lab’s attention a fee amount that is usual, reasonable, customary and allowable, based on your expertise and they immediately accepted the offer. It must also be stated that throughout this ordeal you remained accessible, personable, affable and good-humored, characteristics that certainly made me feel much better. It is clear to me that our system has been designed for profit on the part of insurance companies and others involved in the medical profession as opposed to attending to the health of our citizenry. The system is also terribly complicated and bureaucratic. That said, it is good to know that there are decent individuals such as you who can offer a helping hand at a time of need. I highly recommend your professional services without hesitation to anyone experiencing a medical billing issue. Together, we fought “Goliath” and because of your advocacy, clearly “David won the battle”. ”