Thứ Ba, 2 tháng 8, 2022

Was billed for a procedure I did not have, several months later, I received a letter from collections.

Hi, I'm not sure how to proceed from where I am.

In March 2022, I had a OB/GYN visit, routine and was just a pap smear and a basic check up. My visit was completely preventative and should be 100% covered. A while later, I am billed for "surgery" but I did not have surgery. I contact the billing department at the clinic using a message system, to tell them that this is wrong. The clinic told me to reach out to my insurance company to get it reclaimed...I call my insurance company (I'm with Aetna) and Aetna tells me that we can contact the clinic and resolve this. The clinic did not answer in the call that was made, so Aetna recommended to file an appeal. I do that and Aetna tells me, while I have filed an appeal and await for the decision, the bill cannot go to collections. I receive the decision and Aetna "stands by their initial decision" and the letter says if I do not agree with this, I can submit a final appeal by writing to them. I write to them and I wait for another decision. Today, I revived in the mail my decision AND a letter from collections. The decision Aetna made, was again "stands by the initial decision" and that this is the final appeal. I don't know what to do. I did not have surgery. I also have screenshots of the message with the clinic stating that I did not have surgery...so the clinic even confirms that I didn't have surgery, and I am sure I didn't have surgery (I think I would know...). I still don't know what to do with the collections letter. What can I do now? Thank you in advance.



https://ift.tt/xbQC6vq Submitted August 02, 2022 at 08:50AM by sakuaya https://ift.tt/OYpRPhj

Which new health insurance to buy? Plz Help!

Hi I really need to find a better health insurance for my mother. Her current insurance doesn’t cover much CT scan ($2780 w current insurance) and colonoscopy, etc. Does anyone know what is a better and affordable insurance that can cover more exams ? (She currently has Oscar care via Obama care) Is it better to not buy through Obama care? Please help, any advice is appreciated! Thank You!!



https://ift.tt/xbQC6vq Submitted August 02, 2022 at 06:08AM by MaizeSensitive8 https://ift.tt/J1tbH8T

How do you find the best doctors (USA) ? I’ve been trying to figure out how the elite ($$$) find their doctors because they seem to have the best. I’ve found something called concierge doctors which seems like I’m close on the trail but was curious if anyone else has input.

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https://ift.tt/xbQC6vq Submitted August 02, 2022 at 02:54AM by confusedone00001 https://ift.tt/sSQAurW

How the heck do I cancel medi-cal?!

So long story short, I was on medi-cal for 3 years, I was in school without a job and now I’m out of school, and looking at how to cancel it? I got hired 2 weeks ago at my new job but I was told my insurance wouldn’t kick in till 90 days. Do I actually have to do anything? Because I also read somewhere due to the public health emergency they’re currently not doing renewals/discontinuing? I am so confused on what to do, any help would be appreciated!



https://ift.tt/d0kSl5y Submitted August 02, 2022 at 12:26AM by Unknownreality7 https://ift.tt/JBUskFC

Thứ Hai, 1 tháng 8, 2022

Fix US Healthcare #4: Who should we trust with our medical data?

Should we continue to trust government and/or commercial insurance companies with our medical information? Wouldn’t it be better to entrust these intimate data to an autonomous board of healthcare professionals?

There is only one proposal for healthcare system reform that addresses the need to create an independent "National Medical Board" to handle the huge amount of personal medical data that our healthcare system is generating. Called EMBRACE (an acronym for Expanding Medical and Behavioral Resources with Access to Care for Everyone), it proposes not only calls for the creation of an non-governmental agency (like the Federal Reserve or NASA) to oversee the nation's entire healthcare system, but also for the creation of a modern web based infrastructure to run it and an evidence based benefits (insurance) system that offers universal coverage and access automatically.

Read more about it at: https://www.theembraceplan.com/home.html



https://ift.tt/d0kSl5y Submitted August 01, 2022 at 07:44PM by GILMD https://ift.tt/6AKCZe7

What would you do with a health passport?

Hi Everyone,

I'm thinking about something relating to health passports and want to see what the community thinks of it and what the potential use cases are for it. I've been starting to ask around health communities to know what the pain points are relating to health records to see if health passports would be helpful in addressing some of them.

For context, there are some emerging health passport apps that help securely merge your medical records automatically in one place, even if they come from different hospital systems. (See https://picnichealth.com/, https://www.ciitizen.com/, https://www.trypluto.com/ for examples. Note: I have no affiliation with any of these companies but just referencing for illustration purposes).

In my personal experience, I have personally seen a lot of issues relating to paying medical bills, finding important information online quickly and reliably, and just general issues in accessing your records.

My questions to the community: let's say you had one of these health passports and that they are 100% in your control in terms of privacy, security, and what and who to share it with - what would you do with it? Would you expect this to be free/paid? What kinds of problems could this solve?

I've heard some ideas so far including:

  1. Making parts of the passport shareable, so that people can share with other physicians to look at, to family members, or even to online communities in search of information
  2. Adding a "GoFundMe" button to help pay for medical costs - the health passport would provide evidence and context to the story
  3. For those with rare diseases or undiagnosed cases, having the ability to start threads/posts/comments within your health passport to form small help communities online surrounding your case.
  4. Opening it up to a research network to contribute to research and get compensation for access to your health data.

Thanks for your time



https://ift.tt/d0kSl5y Submitted August 01, 2022 at 01:21AM by somethingstrang https://ift.tt/QwulEIH