PPE is hard to come by and medical costs for care are on the rise with Covid-19. Even before a patient sees a doctor, many are left to wonder if they are covered. Every aspect of this viral disease is a costly endeavor for the provider as it infects their offices, requires expensive tests, procedures and experimental drugs. The billing codes are just being released as providers scramble to pay for care and deal with governments telling them to [...]
Mental Health Care is medically necessary and covered by health insurance in specific instances. Here are 10 ways to lower the cost of mental health care.
Individuals have the power to make contracts with people over almost anything, so long as all parties mutually agree and are aware of the stipulations within the agreement. The issue with medical billing in an emergency is that people are agreeing to receive care from professionals when they are not in an equal bargaining position, to refuse care could result in death in the moment for some. Individuals and providers attempt to avoid the complications of this dynamic by contracting [...]
Balance billing and surprise medical bills can be difficult to negotiate when you don’t know how to apply laws against the practice. Ask a medical bill advocate how the laws are applied to different plans.
Negotiating Medical Bills is Necessary to Save on Costs Taking care of our health can be a costly endeavor. The ability to pay can become a matter of life and death if bills rack up over long term care that falls into collections. That is why having insurance is so important during unexpected emergencies or when someone has a chronic illness. Medwise Insurance Advocacy, your medical bill advocate, has been negotiating with companies that offer health “cost-sharing” that is not [...]
The Affordable Care Act created a private insurance market that 15 million Americans use for coverage. The act also encouraged state Medicaid expansion that covers another 15 million, as well as, provides protections for people with preexisting conditions and other regulations. The contractual dynamic between insurance companies, physicians and the insured gradually became standardized. There was a time, I even thought it would be the end of individuals having to negotiate their medical bills based on pre-existing conditions and obscure coverage limitations. However, [...]
Negotiating International Medical Care: 10 Key Questions to Lower Medical Costs When Traveling Abroadadria
Senators like Rand Paul are going to Canada to competitively shop and save on care. Patients seeking tips on how to lower costs on past bills can save and receive specialized care when they travel beyond borders for health services. The growth in international medical travel is due to improved availability of health technology, decreasing costs for travel and advertising by companies wishing to attract patients. Treatment may span the full range of medical services, but most commonly these services includes [...]
Associated health plans and self-insurance programs are increasingly part of the healthcare marketplace and they are leading a movement of comparative shopping for medical care and prescriptions . Over 90% of patients want to know what their costs will be for care prior to service. In January 2019 a federal requirement insists hospitals list their service prices on the hospitals website. Unfortunately, the prices are not the same across the board and there is not an industry standard service [...]
Your health is great, until it isn’t. Health care plans that are pitched to someone who is healthy may not necessarily cover them when sick, especially if a low cost Associated Health Plan (AHP) is purchased. The latest news in healthcare is the introduction of AHPs that offer alternative coverage that is not governed by the Affordable Care Act. These plans boast being a cost saver for small businesses and sole entrepreneurs. Although plans will be flexible and inexpensive, [...]
Medical bills become a problem after claims have been denied from insurance carriers and paying off the bills becomes a game of negotiation. This is where a medical billing and insurance advocate can help negotiate and appeal medical claim denials. Why Medical Claims are Denied Claims may be denied because the insurance carrier decides that it is not medically necessary, the care was out-of-network or experimental, the procedure was done in an inappropriate health care setting (in-home vs. hospitalization), policy cancelled [...]