Caregivers Story

Story

I just helped my mother, age 89, deal with her Medicare HMO. Her primary care doctor referred her to a specialist for a nerve conduction study to see if she was a candidate for carpal tunnel surgery. The office staff did not realize that they were required to get prior authorization for that procedure and the HMO denied coverage for the procedure.
My mother got a bill for over $2000. I helped her go through the grievance process to ensure she met the deadlines and used language that would help her case. I argued that the elderly do not fully understand all the fine print in their insurance contracts, and they rely on their primary care doctor to send in the proper forms and get care authorized for them. The HMO reversed its decision and paid the claim.

by: S.

QUESTIONS

  • How do I get a list of doctors that participate in the AHCCCS Medical Program in Chandler AZ?
  • My mother's second husband (married 3 years) agrees with my brothers and I that my mother has progressing memory degeneration. We have asked her to get a check up for her own good. Her husband will not help us get her to go for a check up. Is there anything we can do?
  • if i lost my gun rights (due to going to prison) but waited 12 years after getting out and started buying guns , and then got charged with misconduct with weapons. Because i did not know i had to file something, but after my arrest i have filed and got my civil and gun rights back, but am facing a class 4 felony and 4.5 years in prison. Is this beatable in trial due to to the fact i have my rights back now, after my new arrest though. Please help ASAP
  • are clinics allowed to charge interest on medical bills? are they required to file claims with my secondary insurance after medicare? can they refuse treatment for a balance on an account after medicare has paid?
  • My father-in-law just got approved for AHCCCS. He had originally signed up for Humana so wondering if he can still use the Humana?
  • I CANT FIND A LAWYER WHO WILL TAKE MY CASE. I AM SUFFERING FROM A HYPOXIC BRAIN INJURY AFTER BOWEL OBSTRUCTION SURGERY. IM RUNNING OUT OF TIME TO FILE. WHATEVER HAPPENED TO JUSTICE FOR ALL?
  • Don't qualify for AHCCCS,to young for medicare, if there is a catastrophic health issue I do not want all my savings wiped out so where can this money be put where the debtors can not touch it. Trusts?Where can my money be protected?Financial help/applications will want to know all about your accounts and will take every dime you have. I have paid my bills in the past. This is just a hypothetical question in case of a major illness. I simply cannot afford health insurance beginning in 2019
  • Can I utilize financial funding from an established foundation (501(c)(3)) if the INCORPORATOR is placed in a senior living facility due to injury? Upon her discharge, 24 hour care will be required. If yes, how? Thank you.
  • Where can I get more information about Medicare and my various health care options?
  • Do I need long-term care insurance?

STORIES

  • I just helped my mother, age 89, deal with her Medicare HMO. . .
  • He told me that I could actually get all the money I needed by using my home as collateral. . .
  • He told me that I could actually get all the money I needed by using my home as collateral. . .

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