| Subject | Date Asked | Expert |
|
| Medicare and Cobra | 11/20/2009 | John Pedit |
Q: I have cobra (my husband was fired from his job), in dec. I will have medicare and I am on ...
A: If it is not medically necessary, neither will pay. If the doctor says it is medically ...
|
| Private Insurance and Medicade | 11/19/2009 | John Pedit |
Q: I will turn 65 in 4 months and need to decide whether to keep two private insurance policies that ...
A: This is way too complicated to be done by e-mail, so I am going to refer you to my counterpart in ...
|
| Medicare Complete | 11/19/2009 | John Pedit |
Q: My parents live in northern Ohio and currently have AARP/MedicareComplete from Secure Horizons, Plan ...
A: You could not have asked at a better time. The open enrollment period is now until New Years eve. ...
|
| Denied due to Pre-Existing | 11/18/2009 | Tricia |
Q: My mom just recently was insured, effective mid October. She went into the hospital October 30th ...
A: You need to read your mom's policy to see what they deem as pre existing since each policy is ...
|
| Freedom Health | 11/18/2009 | John Pedit |
Q: I have a friend who recently took a job with Freedom Health and is encouraging me to apply. I do not ...
A: Look at the back cover of the MEDICARE AND YOU 2010 that you just received and there will be a ...
|
| Problem with Medicare/Medicaid billing | 11/17/2009 | John Pedit |
Q: My husband is on Medicare plus a Medicare Advantage Plan (Evercare). He was recently approved for ...
A: It appears that there has to be an appeal made. Also since you are a dual eligible and should be ...
|
| Expedited Medicaid---Full Medicaid | 11/16/2009 | John Pedit |
Q: I was approved for expedited medicaid last month (October 6) and have submitted all necessary ...
A: The regulations are different in each State, so, I am going to refer you to my counterpart in Ohio. ...
|
| medicaid vs medicare | 11/14/2009 | John Pedit |
Q: I have been on disability for 2 years and have carried my own insurance policy 2 months ago I ...
A: Boy, are you miss informed. You are a dual eligible, having Medicare and Medicaid. This makes you ...
|
| Re: The Plan wording | 11/14/2009 | John Pedit |
Q: You said to read my current UHC plan carefully and the following paragraph have me confused as to ...
A: You are getting there. Let us add a little safety to this. Have my counterpart in your area double ...
|
| Re: The Plan wording | 11/14/2009 | John Pedit |
Q: You said to read my current UHC plan carefully and the following paragraph have me confused as to ...
A: single and not working or married and neither working Medicare is primary, employer plan 2nd ...
|
| Re: The Plan wording | 11/14/2009 | John Pedit |
Q: You said to read my current UHC plan carefully and the following paragraph have me confused as to ...
A: That would confuse anyone. Working person: plan first====Medicare 2nd spouse plan ...
|
| Medicare part B | 11/13/2009 | John Pedit |
Q: just because you are 65 years old, do you have to enroll in Medicare part B? EGHP is in place 100% ...
A: You just received a copy of Medicare and You 2010 in the mail from Medicare. The information is in ...
|
| Offered Medicare B | 11/11/2009 | Merry Schiff |
Q: I have United Health Care PPO insurance through my husbands work and have been approved for SSDI and ...
A: All of this depends on how many employees your company has. You cannot have Medicare Part B until ...
|
| Approved for SSDI does existing PPO insurance remain my primary and Medicare A & B secondary ins | 11/11/2009 | John Pedit |
Q: I recently was approved for SSDI benefits retroactive to March 2007. I have been insured with a ...
A: As long asyou are on his plan and he is still working, his plan is primary and you do not need part ...
|
| claim denied | 11/11/2009 | Adelaide Rose |
Q: My husband, my 9 year old son and I went to check-up in different time between March to June, 09. ...
A: Mei, You need to make sure that the blood work your husband's co-worker is getting is the same. If ...
|
| claim denied | 11/11/2009 | Adelaide Rose |
Q: My husband, my 9 year old son and I went to check-up in different time between March to June, 09. ...
A: Mei, You don't state the reason why Aetna is not paying the entire bill. However, the first place ...
|
| Denied by BCBS 2 years after Service | 11/10/2009 | Tricia |
Q: I just received in mail an explanation of benefits denying coverage was in place from services ...
A: I would call the provider to see if they will waive the entire bill due to them taking 2 years to ...
|
| Medicare Plan B RETRO | 11/10/2009 | John Pedit |
Q: I was misled when I was "offered" medicare plan B when i went into kidney failure. I now am being ...
A: There is a lot of missing information in the question, and it is too complicated to be done by ...
|
| Hep C | 11/9/2009 | Tricia |
Q: I have a question. I was exposed to the hepatitis c virus.(I found that out 6 years ago). I test ...
A: Unfortunately every insurance company is different so unsure. Most insurance companies do not ...
|
| Ret policy/COBRA | 11/5/2009 | John Pedit |
Q: A Wife that has BCBS COBRA through her employer who is covered under her husbands retired group ...
A: In this case COBRA would be her primary. However, check to see if they got letters from their ...
|
| Ret policy/COBRA | 11/5/2009 | John Pedit |
Q: A Wife that has BCBS COBRA through her employer who is covered under her husbands retired group ...
A: Medicare is primary. However, there are missing factors in the question. Does she have Medicare ...
|
| Cobra/Medicare Part A | 11/5/2009 | Merry Schiff |
Q: Husband under 65 has Medicare part A only through disability, has a retirement group policy through ...
A: http://onque.com/tips/cobraandmedicare.html I really cannot comment as this is too complicated for ...
|
| billing a patient | 11/4/2009 | Tricia |
Q: I have recently taken over a billing postion at a medical clininc, and needless to say there is a ...
A: There is really no time limit set in stone in most states however most use 5-7 years......I would ...
|
| med. coverage/MSA | 11/3/2009 | Tricia |
Q: My wife is pregnant with our first child, she is due in March 2010. The company I work for, and have ...
A: Cobra is usually offered when you leave the employment of a company not while you are still there ...
|
| Medicaid query | 11/3/2009 | John Pedit |
Q: My mother has been unable to work for years because of a long-time back problem that's gotten worse ...
A: SSI: Go to the local Social Security Office and get a copy of the SSI manual. Also get a copy of ...
|
| healthcare | 11/3/2009 | John Pedit |
Q: mom is 85y/o with dementia. living with me. she moved here 1 year ago,becouse of circumstanses. she ...
A: This is too complicated to be done by E-mail. Therefore I am referring you to my counterpart in ...
|
| Medicaid | 11/2/2009 | John Pedit |
Q: My daughter a medicaid receipant was in Missouri for vacation when she became ill and had to go to ...
A: That is the problem with Medicaid. Each State is a separate identity and have their own ...
|
| medicaid/hospital bills | 10/31/2009 | Tricia |
Q: . My fiance was in an accident and fractured his L1 vertebrea almost becoming paralized. Has been in ...
A: Not really sure since this is a legal question not a medical question. Most hospitals have a ...
|
| Non-medicare provider | 10/30/2009 | John Pedit |
Q: Recently my wife chose to work with a psychologist who does not accept payment from third parties. ...
A: I am not a lawyer and this is bordering more of a legal question than a Medicare question. A ...
|
| medicare & hmo's & fee for service plan | 10/30/2009 | Merry Schiff |
Q: I am currently enrolled in Aetna Open Acess HMO with Medicare as primary. I STILL GET BILLS FOR ...
A: I do not understand why you have Medicare and an HMO. Are you certain that you are not in an ...
|
| insurance refusal to pay for hip replacement | 10/29/2009 | Adelaide Rose |
Q: I am currently covered by my husbands medical insurance through his pipefitters local union #598. ...
A: Dona, I would have your doctor write a letter of medical necessity (if it's warranted) and have the ...
|
| Medicare Part D | 10/29/2009 | John Pedit |
Q: I recently joined medicare & need to find a good reliable provider for part D, any recommendations ? ...
A: Prepare a list of all your prescriptions, how often you take them, and the dosage. Then: A. Go to ...
|
| BCBC, Medicare A, VA health care | 10/26/2009 | John Pedit |
Q: After years with BCBS FEP and Medicare Part A, I pretty much have a handle on how they work ...
A: I have Medicare and Tricare for Life, so I have not kept up with the VA benefits. You did not ...
|
| Medicare Special Enrollment Period | 10/26/2009 | John Pedit |
Q: I did not sign up for Medicare Part B when I turned 65 because I was (am) covered by my spouse's ...
A: Not by quoting a specific law. However go to Medicare Interactive.org===keyword Part b ...
|
| Medicare Special Enrollment Period | 10/26/2009 | John Pedit |
Q: I did not sign up for Medicare Part B when I turned 65 because I was (am) covered by my spouse's ...
A: Hard to understand. Two entirely different law codes are involved, Medicare and COBRA. In this ...
|
| settlement | 10/26/2009 | John Pedit |
Q: My mother received a large money settlement in one lump sum and is on disablilty, medicare, and ...
A: The Medicaid regulations are different in each State. Because of that I am referring you to the ...
|
| Medicare and Cobra Insurance High Copayments | 10/23/2009 | Merry Schiff |
Q: I have Medicare part A %26 B also have United Health Insurance for Cobra. Medicare is primary and ...
A: You need to find out if your UHC COBRA plan covers your drugs and how much it covers. You are ...
|
| Difference between medicare advantage and medigap plans | 10/23/2009 | Tricia |
Q: What are the differences between medicare advantage and medigap plans?
A: I found this article on the Internet that will clearly explain the difference. Medicare Advantage ...
|
| Transfer of Medicaid Between States | 10/23/2009 | John Pedit |
Q: You responded to a question about transferring a nursing home resident from Oregon to Washington by ...
A: It all involves Medicaid. Approximately half of the money for Medicaid is Federal and the rest from ...
|
| Insurance granted then denied | 10/22/2009 | Tricia |
Q: but need you to clarify in this case please. My husband was admitted to hospital (pneumonia) in ...
A: I am not sure about hospitals in Europe as far as how hard they will try to collect. I know that ...
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