AllExperts > Medicare, Medicaid, Insurance, HMO problems 
Search      
Medicare, Medicaid, Insurance, HMO problems
Volunteer
Answers to thousands of questions
 Home · More Medicare, Medicaid, Insurance, HMO problems Questions · Question Library  · Free Encyclopedia ·
More Medicare, Medicaid, Insurance, HMO problems Answers
Question Library

Ask a question about Medicare, Medicaid, Insurance, HMO problems
Volunteer
Experts of the Month
Expert Login

Awards

About Us
Tell friends
Link to Us
Disclaimer

 
 
 
About John Pedit
(Top Expert on this page)

Expertise
Am an expert on Medicare, Medicare HMOs, and Medicare supplemental insurance. Also have extensive knowledge of Medicare especially in Mich. Have knowledge of COBRA and the Portability Act

Experience

Past/Present clients
Council about 300 persons yearly and do many presentations on Medicare

   

You are here:  Experts > Health/Fitness > Health Care: UK > Medicare, Medicaid, Insurance, HMO problems

SubjectDate AskedExpert

Medicare and Cobra11/20/2009John 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 Medicade11/19/2009John 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 Complete11/19/2009John 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-Existing11/18/2009Tricia
  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 Health11/18/2009John 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 billing11/17/2009John 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 Medicaid11/16/2009John 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 medicare11/14/2009John 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 wording11/14/2009John 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 wording11/14/2009John 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 wording11/14/2009John 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 B11/13/2009John 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 B11/11/2009Merry 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 ins11/11/2009John 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 denied11/11/2009Adelaide 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 denied11/11/2009Adelaide 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 Service11/10/2009Tricia
  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 RETRO11/10/2009John 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 C11/9/2009Tricia
  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/COBRA11/5/2009John 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/COBRA11/5/2009John 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 A11/5/2009Merry 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 patient11/4/2009Tricia
  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/MSA11/3/2009Tricia
  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 query11/3/2009John 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 ...
healthcare11/3/2009John 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 ...
Medicaid11/2/2009John 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 bills10/31/2009Tricia
  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 provider10/30/2009John 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 plan10/30/2009Merry 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 replacement10/29/2009Adelaide 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 D10/29/2009John 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 care10/26/2009John 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 Period10/26/2009John 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 Period10/26/2009John 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 ...
settlement10/26/2009John 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 Copayments10/23/2009Merry 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 plans10/23/2009Tricia
  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 States10/23/2009John 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 denied10/22/2009Tricia
  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 ...

Page:   1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10  |  Next      All


Questions by
Active Experts:
John PeditTriciaAdelaide Rose
Crystal C. Carvotta-BrownCherille ShelpMerry Schiff
   

Email this page
     
User Agreement | Privacy Policy | Kids' Privacy Policy | Help
Copyright  © 2006 About, Inc. AllExperts, AllExperts.com, and About.com are registered trademarks of About, Inc. All rights reserved.