Insurance and hospital fees
By Dr. Kenneth Rothaus UnitedHealth Care recently announced that it would withdraw from offering individual health care policies under the ACA in Michigan. This is apparently the third state in which UnitedHealth Care has decided to withdraw from offering individual policies under ACA mandates. The reason for the withdrawal is simple. UnitedHealth Care is
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By Dr. Kenneth Rothaus Insurance companies around the country are filling requests with their state insurance regulators for their premiums for 2016. As reported throughout the media including the New York Times, the Wall Street Journal and CNBC, “sticker shock” is about to hit the consumer. Insurance companies are requesting premium increases as high as
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By Dr. Kenneth Rothaus A recent article in the New York Times entitled “New Rules to Limit Tactics on Hospitals’ Fee Collections” by Robert Pear ( January 11, 2015 ) examines how rules enacted by the Federal government under the Affordable Care Act will put limits on fees charged and collection efforts for unpaid invoices.
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You have taken the same medication for the past 7 years and it is working well. Suddenly, you are notified by your insurance company that it is no longer covered and to continue receiving it, your doctor must simply fill out a preauthorization form. How difficult can that be? The pill works, has always worked
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Currently most hospital admissions are through the emergency room, same day (the morning of a procedure), or ambulatory admissions (no overnight stay) Insurance companies must be notified of all admissions even emergency The Admitting Office along with your physician’s office confirms with your insurance company that you are covered for the admission. Precertification the process
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Hospitals are expensive places – know and confirm your insurance coverage before you are admitted Insurance plans are usually government (medicare, Medicaid) or private insurance company based Workers Compensation and No-Fault auto plans are specialized plans for injuries not covered by your other insurance Plans from the same company may differ because of deductibles and
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