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About Sara Scherer
Expertise
I have 13 years experience in Medical Insurance with one of the largest insurance companies in the United States. I know about plans, plan wording, and how to get around the insurance company when you need help. I worked with Medicare, Medicaid, PPO plans as well as HMO`s. I can help you get the answers you are looking for.

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I have 13 years experience with medical insurance. I currently work with pharmacists and their third party plans. I have worked with medical review boards and I can help you get the answers you need.

 
   

You are here:  Experts > Health/Fitness > Health Care: UK > Medicare, Medicaid, Insurance, HMO problems > Humana-Medicare is asking my mother for their money back

Medicare, Medicaid, Insurance, HMO problems - Humana-Medicare is asking my mother for their money back



Follow-Ups to Answer from Expert Sara Scherer


Mark wrote at 2007-06-07 21:25:37
Our medical practice has had similar issues with
patients whose Medicare replacement enrollments have been retroactively terminated back to the effective date. We have been told that this happens when Medicare discovers an error in the enrollment process, such as a patient's failure to return the required COB form within 30 days.
I'd strongly recommend that this patient advise her 2006 providers to file with Medicare. There is still time to do so, and some payment is better than none. Unfortunately, if the issue isn't resolved in her favor, she may still get billed for the Medicare deductible and coinsurance.



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