Okay, so it’s not exactly a scam… except… Read on. Last year an elderly gentleman’s wife was dying. For decades they had paid into a long term care policy, and had amassed nearly three quarters of a million dollars available… Read More ›
Insurance
Humana, Among Other Insurers, Using AI to Deny Medically Necessary Care to Medicare Advantage Members – Despite What Appears to Be a 90% Error Rate
https://arstechnica.com/science/2023/12/humana-also-using-ai-tool-with-90-error-rate-to-deny-care-lawsuit-claims/ https://www.homecaremag.com/news/lawsuit-accuses-humana-using-ai-deny-post-acute-care For five years, I provided back office operations supports to mental health therapists. A large part of what I did consisted of trying to get insurance companies to pay for medically necessary therapy visits. Those visits included the mom… Read More ›
Long Term Care Insurance – Helpful Benefit or Expensive Scam?
It depends on who you talk to! One of my clients had been paying into long term care insurance for decades. He believed he had about $750,000 in benefits, and when his wife was dying at home, he wanted to… Read More ›
Maine Bureau of Insurance Cautions Consumers to Look Carefully Before Buying Health Insurance On-Line
You are subscribed to Maine Bureau of Insurance. This information has recently been updated, and is now available. FOR IMMEDIATE RELEASE Contact: Karma LombardNovember 27, 2023 karma.y.lombard@maine.gov (207) 624-8540 TTY: Please Call Maine Relay 711 AUGUSTA – The Maine… Read More ›
From Maine Public Radio: She talked about depression at a checkup — and got billed for two visits
Kaiser Health News | By Julie Appleby, Stephanie O’Neill Published October 30, 2023 at 5:01 AM EDT https://www.mainepublic.org/npr-news/2023-10-30/she-talked-about-depression-at-a-checkup-and-got-billed-for-two-visits Christine Rogers of Wake Forest, North Carolina, was asked to complete a mental health questionnaire as part of her annual physical. A brief conversation… Read More ›
Insurance Deductibles Begin Anew in Barely 10 Weeks – Is Your Business Ready?
For professionals depending on commercial health insurance to pay the bulk of their session time with clients, the first few months of each calendar year can be rough. If an insured or “member” (i.e. your client) has a deductible, which… Read More ›
Some Upcoming Webinars About Health Care Options
Webinars about Health Care Options Maine Department of Health & Human Services sent this bulletin at 07/30/2020 02:14 PM EDT Webinars about Health Care Options Consumers for Affordable Health Care (CAHC) is hosting free webinars called Understanding Your Health Insurance… Read More ›
Three and a Half Hours with One Insurance Company and Counting…
This is why my clients pay me to do this work… I’ve been trying to determine the insurance deductible of a patient of one of my therapist clients. This isn’t a fly by night company I’m trying to reach. It’s… Read More ›
Mills, Jackson & Gideon Announce Bill to Improve Health Insurance for Maine People and Small Businesses
This press release from the Maine Governor’s office just came in January 8, 2020 Governor Janet Mills, Senate President Troy Jackson, and Speaker of the House Sara Gideon today announced legislation to improve private health insurance for Maine people and… Read More ›
Hearing Aids Now Covered by Insurance in Maine
This is exciting news! I’ve been dealing with hearing loss for several years. It really hit home one day when someone spoke to me, and although I was looking right at her, I didn’t respond immediately. She started to repeat… Read More ›