Health Insurance Marketplaces (also known as Exchanges) are new organizations that will be set up to create alternative markets for buying health insurance. They will offer a choice of different health plans, certify plans that participate and provide information to help consumers understand their coverage options. This Health Insurance Marketplaces flyer provides an overview of
Here’s a list of steps patients can use to challenge and negotiate medical bills:
Don’t assume your co-pay is the lowest price you can get for your medications.
One of the biggest frustrations about our current healthcare system is that there is little transparency. Insurance is partly to blame, since insured patients usually just focus on their deductibles and co-pays. But millions of consumers remain uninsured or have high deductibles, and even consumers with good health insurance may wind up paying hefty out-of-pocket medical bills. Consumers with good insurance may also find lower prescription drug prices by shopping around and paying cash.
The number of disreputable healthcare providers trying to scam the system is increasing, and knowing where schemes tend to appear is the first defense in fighting fraud, according to Healthcare Finance News. Here are five common coding and billing schemes used to perpetrate fraud. 1. Upcoding. The most common form of fraud is medical providers
A prime example of adding insult to injury is receiving an unexpectedly high medical bill after undergoing necessary treatment. In fact, many people battling chronic illnesses are also heavily burdened by astronomical healthcare bills they’re simply unable to pay. But there is a way to lighten the load. Here are some tips for how you
Here are five of the most common types of medical billing fraud and resources to help resolve them. Upcoding A patient enters the hospital to undergo treatment for a sprained ankle, but the bill submitted by the hospital to the insurance company is for a broken ankle. How does this happen? This fraudulent practice has
You open a medical bill and are bewildered about why your insurance company didn’t pay for the emergency treatment you received while suffering an asthma attack. Could it possibly be an error? Upon reviewing the explanation of benefits from your insurer, it shows the nebulizer treatment you received to help overcome your attack was rejected.
It can be daunting enough trying to keep track of which doctor’s visits might lead to out of network overcharges but the truth is that it is important to be in the know, so that you do not get stuck with unexpected out of network fees. People might assume that because their hospital is in
Despair may be the first emotion that consumes you after a job loss. You may be worried about making ends meet, finding a new job and remaining insured. While all of these fears are perfectly normal, there are things you can do to address them all. Specifically, there are many things you can do to