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Medicare, Medicaid, Life and Health Insurance/Questions
| Subject | Date Asked | Expert |
| Long Term Health Care | 2/8/2012 | Cindy Hopp |
| Q: My wife and I both have Medicare and Blue Cross Blue Shield MediGap Supplemental Health Insurance. ... A: It's good to see you have your 'thinking cap' on. Unfortunately, Health Reform won't include LTC ... | ||
| Medicare Supplemental Insurance | 2/5/2012 | Cindy Hopp |
| Q: I am exploring options for my Father and Mother (90 and 80 years old), in case they need to stay in ... A: Sven, thank you for the question. First of all, you may be able to apply for them yourself for ... | ||
| insurance question | 2/1/2012 | Cindy Hopp |
| Q: hello i have medicare a and b also medicade q and b will this pay for gastric bypass at center of ... A: Amy, sorry for the delay. In my search for your answer, I found Mississippi Medicaid excludes any ... | ||
| Coverage | 1/28/2012 | Merry Schiff |
| Q: My aunt has a very hard to fight form of cancer and is getting both chemo and radiation treatments ... A: I am so so sorrynto hear aboutnyournfamilynsituation. Your family should use the resources of the ... | ||
| verbal denial | 1/27/2012 | John Pedit |
| Q: Can you use a verbal denial that patients primary won't cover procedure, verses getting a hard copy ... A: Have the primary do a demand billing. It will go to Medicare, get denied, then bill BC. However, ... | ||
| medicare/medicaid/shar of cost | 1/27/2012 | Cindy Hopp |
| Q: I live in Florida and am on original medicare and medicaid with a share of cost of $563. I live ... A: I know, this can get quite confusing. First of all, the Part B deductible for 2012 is $140. This ... | ||
| Medicare help | 1/17/2012 | John Pedit |
| Q: Hell John, My mother is in need of a heart procedure called TAVI here in California and we've ... A: Sorry about the delay, however I just got back out of the Hospital yesterday. But on to your ... | ||
| insurance co-pays & deductibles | 1/17/2012 | Tricia |
| Q: I work in the healthcare field where we accept medicaid, medicare, private funds and insurance as ... A: An HMO plan usually has no copay to the patient and pays at 100% with some HMO's requiring a ... | ||
| Insurance | 1/13/2012 | Tricia |
| Q: My employer switch to new insurance provider this year. I have an injury that will require surgery ... A: Hey Susan----- Once your old insurance expires they are not responsible for any services beyond ... | ||
| Tummy tuck | 1/12/2012 | Tricia |
| Q: my name is Brenda i'm from Texas and my question is: went to the doctor and my doctor told me that I ... A: The only way to know 100% is to call your carrier directly........every policy is unique and no way ... | ||
| Dental Insurance denied wisdom tooth extraction | 1/10/2012 | Tricia |
| Q: My son complained his mouth was hurting him. We went to our dentist (dhmo) who referred us to an ... A: Only way to fight them is to call them and appeal their decision. Usually the explanation of ... | ||
| insurance question on breast augmentation and tummy tuck | 1/5/2012 | Tricia |
| Q: I saw where you have some expertise in insurance and want to know if you can email me at and tell me ... A: Unfortunately you have the two toughest insurance companies to deal with........Blue Crosses are ... | ||
| med i cal | 12/29/2011 | Cindy Hopp |
| Q: Does meda-i-cal help with dental work? A: Latoya, if you are referring to MediCal, the medicaid program in California - then dental services ... | ||
| Health care in LA | 12/27/2011 | John Pedit |
| Q: My 49 yo brother has been to the doctor and is said to have limited kidney function. His GFR 1 year ... A: Have him contact the Kidney foundation in his area. They will assist him in many ways, including ... | ||
| collecting on medi and priviate pay | 12/21/2011 | Cindy Hopp |
| Q: What are the rules for collecting on private pay and medi for dental care. If a patient has both, ... A: What's 'medi'? Medicare? Medicaid? Medical? If it's Medicaid, then I believe private is primary and ... | ||
| health Care Ins | 12/18/2011 | Cindy Hopp |
| Q: I live in Connecticut and am thinking of retiring and want to ensure that I have my health care ... A: Your decision is relatively easy considering you are eligible for Medicare. The situation to be ... | ||
| health Care Ins | 12/18/2011 | John Pedit |
| Q: I am thinking of retiring and want to ensure that I have my health care needs in order. I am a ... A: Too complicated to be done by e-mail. Also some regulations are different in a given State. Since ... | ||
| health Care Ins | 12/18/2011 | Tricia |
| Q: I am thinking of retiring and want to ensure that I have my health care needs in order. I am a ... A: You can op for a high deductible plan as long it is costing much less and being aware that you will ... | ||
| heath care insurance | 12/18/2011 | Merry Schiff |
| Q: I am thinking of retiring and want to ensure that I have my health care needs in order. I am a ... A: .there is no such thing as a high deductible if you are in Original Medicare. That means no HMO. ... | ||
| Insurance denial | 12/17/2011 | Tricia |
| Q: Two months ago my wife was diagnosed with a Brain tumour she had group insurance with her work which ... A: Hey Jeff! If you disagree with a denial you can appeal. On the denial paper it explains how to do ... | ||
| Insurance Deny my appeal again. | 12/10/2011 | Tricia |
| Q: I did what you said ( my doctor office thought the lab is a in-network provider, it was why they ... A: I think I would ask the Dr to write a letter or you write it and have them sign it stating they made ... | ||
| lap band surgery | 12/2/2011 | Tricia |
| Q: I live in Southern Calif. I have Inter Valley Health Plan and I am very obese by about 100#. I want ... A: Hey Martha! Call your Dr and ask if they can call for you........there are strict requirements and ... | ||
| Medicare, BlueCross, and TMD | 11/26/2011 | John Pedit |
| Q: Im 25, and have Medicare A & B (Primary due to ESRD) and BCBS Anthem (secondary through my group ... A: One thing for sure, it can not be done by E-mail. Therefor I am recommending that you contact the ... | ||
| gap insurance, nion-medicare | 11/21/2011 | Cindy Hopp |
| Q: I am 63 and I have no plans to retire. I have Human through another job and pension. Recently, my ... A: Wanda, I believe I need more information to best answer you. You are not on Medicare yet? Can you ... | ||
| referrals | 11/19/2011 | Tricia |
| Q: I pasted the following so you would remember our conversation. I called Medicare and they said I ... A: Start pushing the Doctor -- usually the only reason they would delay is due to being backed up. I ... | ||
| Medicare and spindown | 11/18/2011 | Merry Schiff |
| Q: I am 63yrs.old with a SSI income of $843. I recieved a letter from medicare saying I have a spindown ... A: I think you mean Medicaid don't you? You need to use it for your medical care and that is the money ... | ||
| medical referrals | 11/17/2011 | Tricia |
| Q: Can you tell me what takes so long for a referral? My duaghter has kidney stones. 2 of them. 8mm in ... A: Medicaid is probably one of the worse........they are short staffed and take forever to do referrals ... | ||
| medical referrals | 11/16/2011 | Tricia |
| Q: Can you tell me what takes so long for a referral? My duaghter has kidney stones. 2 of them. 8mm in ... A: It is usually the insurance company that delays the process. Sometimes the only way to get them ... | ||
| My doctor's office sent my lab works to non-network provider | 11/16/2011 | Tricia |
| Q: My doctor's office sent my lab works to non-network provider (my doctor is a in-network provider), ... A: Ask the Dr to provide you with something in writing stating that this lab was in network then appeal ... | ||
| Medicare/Medicaid | 11/11/2011 | John Pedit |
| Q: My wife is on Medicare because of a disability(under 65). She is also on Medicaid and she had the ... A: I am referring you to the SHIP Medicare program in your State. You can reach them: A: There phone ... | ||
| Transffering medicaid between states | 11/11/2011 | John Pedit |
| Q: My daughter is 3 months old and receives medicaid in Louisiana. We are making a move to California. ... A: Each State runs it's own program so their are some differences. Usually you make the move and ... | ||
| medicare/anthem | 11/10/2011 | Cindy Hopp |
| Q: MY HUSBAND WAS FORCED INTO RETIREMNET IN 1999.AND WAS PUT ON SOCIAL SECURITY DISABILITY. HE WAS ... A: Martha, it would be my pleasure to assist you and your husband. Please use this link and my ... | ||
| medicare/anthem | 11/9/2011 | Cindy Hopp |
| Q: MY HUSBAND WAS FORCED INTO RETIREMNET IN 1999.AND WAS PUT ON SOCIAL SECURITY DISABILITY. HE WAS ... A: Martha, sorry for the delay. So - the fact that your husband has Medicare A & B allows him to have ... | ||
| am i eligible for bariatrics? please help me | 10/30/2011 | Cindy Hopp |
| Q: i am currently 23yrs old, 5ft1inches tall and 188 pounds, i suffer from severe depression mostly ... A: Jessi, you need to start with the right doctor who can assess your situation in order to get the ... | ||
| Medicare vs. Human | 10/29/2011 | Cindy Hopp |
| Q: My in-laws currently have Medicare Part A & B plus a private supplemental insurance policy. They ... A: Donna, thank you for the question. A person on Medicare may choose between a supplemental ... | ||
| Medicare and Humana | 10/28/2011 | John Pedit |
| Q: I'm hoping you can help me. I live in New Jersey and have been on Medicaid for disaibility for many ... A: tis a little complicated. Call 1-800-792-8820. the NJ Department of Health and Senior Services/ , ... | ||
| medicare | 10/23/2011 | John Pedit |
| Q: I am presently age eligible for Medicare. I also have a good job that provides me with a good health ... A: As you hit 65 you should have received a letter in the mail with your Medicare card. It would have ... | ||
| medicare | 10/23/2011 | Cindy Hopp |
| Q: I am presently age eligible for Medicare. I also have a good job that provides me with a good health ... A: Dick, thank you for the question. Since you are still working and have a good health plan, here's ... | ||
| Motor vehicle accident claims | 10/19/2011 | Tricia |
| Q: I work for a medical group in Indiana. If a patient with medicare part B comes in our office for ... A: It depends on state laws and the auto policy that patient has. You can usually opt to have your ... | ||
| medicaid recoupment | 10/19/2011 | John Pedit |
| Q: In 2007 I signed my share of land over to my daughter. I owed her. I am living on SS of $370.00 ... A: It appears that you are not on the State Medicaid program, but in the Medicare Savings program which ... | ||
Medicare, Medicaid, Life and Health Insurance
Answers by Expert:
Tricia
Top Expert on this page
Expertise
Has your medical insurance company denied your claim and refuses to pay? Have you received a pre-authorization and still your insurance company refuses to pay? How can you get your insurance company to reverse a denied claim? How do you get a provider to waive your copayment if you are financially unable to pay? Can a provider sue you for a unpaid bill and will they? Can a provider send me to a collection agency for a medical bill? If my insurance company does not pay, am I responsible? If you have these questions or others on why your insurance company is not paying your bills, I can help. I can give you "tricks of the trade" to get your insurance company to pay. I have limited knowledge on Medicare and Medicaid and that is not my expertise. Each state is very different regarding Medicare and Medicaid so you need to review their website when you have questions. So please no Medicare or Medicaid questions!!
Experience
In the medical field for over 20 years spending majority of time in the collections aspect.
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