Referral from dentist to oral surgeon, but they denied it?
I don't know much about insurance and all its restrictions, but I do need surgical intervention for my severe TMJ....
health insurance
Marketplace and CHIP
I make enough for a marketplace subsidy (I live in TX). But I don't make enough for CHIP coverage. Which...
OptumRX dragging its heels correcting copay error—any recourse? (NY state)
My doctor prescribed a Tier 2 specialty drug last week. My employer’s OptumRx benefits summary makes clear that the copay...
Unlisted code denied for authorization
First time interacting with the health insurance system. My ENT submitted 3 codes (I think) for preauthorization for septoplasty w/...
Prorated Birth claim
About two months ago I posted about this issue here . Basically what happened is that I changed insurances around...
Medical vs Dental Insurance
To start, I'm not knowledge about insurance beyond the basics so I'm hoping someone can help us. A friend of...
Help with navigating US health insurance! (North Carolina)
Hello r/healthinsuranceI'm hoping someone here can assist me with some information... or anecdotes, guidance, warnings, etc. regarding getting health insurance...
Plan Administrator not terminating COBRA
I left my previous job in late Sep 2022. My previous company uses a third party HR provider (let us...
Insured for the moment but can’t use insurance… I have so many questions for the future
United States, 25.I’m currently “covered” through my parents, but there are copays I simply cannot afford. Too many times my...
Will oncologists participate in the Enhancing Oncology Model?
In the past, I have written about the Enhancing Oncology Model (EOM), including an overview of the EOM program as...
