Frustrated About Insurance Denials? You’re Not Alone.
Frustrated About Insurance Denials? You’re Not Alone.

My book “Delay, Deny, Defend: Why Insurance Companies Don’t Pay Claims and What You Can Do About It” was thrust into the spotlight recently after UnitedHealthcare CEO Brian Thompson was killed last month in what authorities say was a targeted attack. Investigators at the scene…
Insurance Companies Provide Coverage After COVID-19 Vaccination
Insurance Companies Provide Coverage After COVID-19 Vaccination

Three COVID-19 vaccines have received emergency use authorization from the Food and Drug Administration, and more than 163 million people in the U.S. — nearly 50% of the total population — had received at least one dose of vaccine as of May 25. (See SciCheck’s articles on each…
Oh baby…insurance and maternity care
Oh baby…insurance and maternity care

What to expect (from your insurance company) when you’re expecting When you bring your new baby home, the last thing you should have to worry about is the hospital bill. So before your due date, find out your health plan’s rules on delivery care costs.…
Newborn Charged $10,000 For Hospital Room And Board
Newborn Charged $10,000 For Hospital Room And Board

SACRAMENTO CBS13) — Little Lainey Walls came into the world with a big surprise — a $10,000 bill. Even though her mom had insurance, the newborn was charged room and board for her first two days of life. “It’s frustrating and I feel like it’s…
How to Get Your Insurer to Cover Treatment for an Eating Disorder
How to Get Your Insurer to Cover Treatment for an Eating Disorder

If you or a member of your family are suffering from an eating disorder, your insurer may balk at covering treatment by claiming it’s “not medically necessary” or that coverage is limited by plan terms. Knowledge is power when dealing with insurance companies. Their opinion…
Diagnosis Debt: Medical bills and paperwork mix-ups, what you can do to help your case
Diagnosis Debt: Medical bills and paperwork mix-ups, what you can do to help your case

CLEVELAND — Our on-going series “Diagnosis: Debt” delves into the problems you’re having with medical costs piling up. How many times have you gotten a medical bill, then received an insurance statement, but the two don’t match up? For one Solon man, his paperwork mix-up…
Call Kurtis Investigates: Couple Calls Out Pricey Dental Work After Crowns Fall Out
Call Kurtis Investigates: Couple Calls Out Pricey Dental Work After Crowns Fall Out

ROSEVILLE CBS13) — Retired and on a fixed income, Victor Reyes needed work done on his teeth. Victor had dental insurance, but it didn’t cover the crowns he needed, so when the dental office gave him the option to pay cash up front for a…
If you’re on a spouse’s health plan, what happens if the worst should happen?
If you’re on a spouse’s health plan, what happens if the worst should happen?

My wife and I were chatting the other night about Republican efforts to reboot the U.S. healthcare system as a horror movie — stripping health coverage from more than 20 million Americans, boosting premiums for many and gutting Medicaid. She finally brought the conversation home…
Keeping “Affordable” in the ACA
Keeping “Affordable” in the ACA

Before Congress passed the Affordable Care Act (ACA, also known as “PPACA”) and President Obama signed it into law, Americans with pre-existing medical conditions were struggling mightily to find and pay for essential health insurance.  The ACA solved that problem for a large number of…
Analysis: Shopping around could save patients thousands on medical procedures
Analysis: Shopping around could save patients thousands on medical procedures

Shopping around at area hospitals and outpatient surgery centers for the cost of procedures could save patients thousands of dollars, a Sunday Times analysis found. Using an online cost estimator developed by Aetna insurance, the newspaper found significant price variations for several common medical procedures.…
Trust but verify
Trust but verify

If an insurance company rep gives you a dollar figure – get a second opinion. Whether it’s an estimate to repair damage or a quote to insure your property – trust but verify that it’s accurate. This same adage applies to medical diagnoses for serious…
Mom, Baby Get $3,500 Ambulance Bill After Hospital Parking Lot Birth
Mom, Baby Get $3,500 Ambulance Bill After Hospital Parking Lot Birth

Baby Sawyer just couldn’t wait to enter the world when his mother Katie Moraida’s water broke a week before he was due. Katie recalls her husband Daniel shouting “‘What do I do, what do I do?’” “Get in the car!” Katie replied. The Moraida’s got…
Mega Merger Malaise – Bach Talk
Mega Merger Malaise – Bach Talk

As the health insurance marketplace, American citizens, and businesses continue to adapt to the Patient Protection and Affordable Care Act world, the pending mergers of Aetna/Humana and Cigna/Anthem will provide yet another curveball. Mergers of companies this large are almost never good for consumers.  They…
Traveling? Take 6 health insurance steps first
Traveling? Take 6 health insurance steps first

With luck, your trip will bring only good times, but it pays to be prepared for an unexpected health crisis away from home. If you get into a car accident or slip on ice, will insurance cover your care? Your health insurance plan should cover…
Thanks Mom and Dad!
Thanks Mom and Dad!

One of the first pieces of the Affordable Care Act to take effect was the rule that lets young adults stay insured under their parent’s health plan until they turn 26. This has been a huge help to many families. But when a dependent ages…
5 ways to cut medical bills long before you stick out your tongue and say “ah”
5 ways to cut medical bills long before you stick out your tongue and say “ah”

Medical costs can still be confusing and startling. But as transparency becomes the norm, we should be able to get a price quote before undergoing a medical procedure, know the amount our health insurance will cover, and even solicit a package price from the hospital.…
Guess who’s turning 50?
Guess who’s turning 50?

Medicare, the program that remains essential for many American’s health and lifestyles, turns 50 this month. On the positive side, pressure is mounting to amend the absurd rule that prevents the program from negotiating prescription drug prices with drug companies. On the negative side, consumers…
Why your boss may be pushing HSAs and FSAs
Why your boss may be pushing HSAs and FSAs

Never heard of a health savings account HSA)? Or bothered with the flexible spending account FSA) offered by your employer? Chances are you soon will. Both health savings vehicles are moving into the spotlight as corporate America sheds its one-size-fits-all comprehensive health insurance model for…