What are the benefit changes in 2023 in Covered California
Each renewal season the ACA and Covered Covered adjust their benefit structure slightly. Whereas we saw in 2022 benefits improvements...
health insurance
Zpack= too OP since 2020?
Is there a new protocol to not prescribe antibiotics to people? Or to make it really hacked out difficult?This has...
Are You Ready for the 2023 Medicare Annual Election Period?
For many people, the idea of enrolling in an annual Medicare plan evokes frustration and headaches. Finding the perfect plan...
This Bill for a DCR Seems Outrageous (27M, CA)
I recently got a DCR (Dacryocystorhinostomy, creation of an artificial tear duct) done on both of my eyes. I had...
Sourcing a patient’s reimbursement rate or max allowed amount without calling ins?
I am wondering if anyone knows of a way to get a patient's specific reimbursement rate or max allowed amount...
My new job offers two types of insurance, and I have a shoulder injury. It seems like I’m screwed no matter which plan I choose…any help is appreciated.
I'm a 23 year old who has a shoulder that dislocates frequently, so I know I'm going to need several...
What is the Date of Service for pharmacy items ordered by mail?
Is there an authoritative rule establishing the Date of Service for pharmacy items ordered by mail? My insurance company wants...
KHN’s ‘What the Health?’: On Government Spending, Congress Decides Not to Decide
Can’t see the audio player? Click here to listen on Acast. You can also listen on Spotify, Apple Podcasts, Stitcher,...
Guidance on Continuing Coverage + Gaps
First - thank you all for creating/maintaining such a helpful and important community. Navigating this system is difficult and stressful,...
Question about prior auths and switching insurance
30FTM, NYS, Cigna for the remainder of this year.I have a feeling that I know the answer to this question,...
