Meaningful Conversations About Mental Health
Half of all Americans will be diagnosed with a mental illness at some point in their lives. But many people...
health insurance
Insurance wants to treat some CPAP items as "medical supplies" subject to deductible instead of DME – anyone else dealt with this?
I've been on a new employer provided insurance (Tufts Health Plan) for about 2.5 years and it's been really annoying...
More Than a Website: Should the Federal Government Establish Additional Minimum Standards for the ACA’s Health Insurance Marketplaces?
By Sabrina Corlette, Rachel Swindle, and Rachel Schwab The Affordable Care Act (ACA) established health insurance Marketplaces (or “Exchanges”) to...
Let’s Take a Deep Breath and Talk About Asthma
In my work as the manager of the Maternity and Pediatric program at Independence Blue Cross (Independence), I’ve noticed an...
Outpatient Procedure Claim Denied
Pretty irritated by this. We have Anthem Alliance EPO meaning we get a higher discount by using in-network providers but...
Speciality Pharmacy/Insurance Being Unethical?
In California, I know things vary by state. My husband is on a daily medication to keep his cancer stable....
Insurance reversed payments to provider
I’m a patient, and I saw a counselor for about 8 months about 2 years ago. At the time, I...
Trouble Choosing a Plan (NY)
I'm getting kicked off medicaid, and I barely missed the cutoff for eligibility for my union health insurance (wga strike)....
Submitting an "External Appeal" for Medical Claim
Hello, I have a medical claim for a surgical procedure I had in July 2022. I have been fighting my...
Have HDHP with deductible, question about meaning of IL statue about full body skin check.
HDHP, Illinois, asked insurance (Aetna) about annual skin check (scheduled, coming up next month) and received this reply: Your coverage...
