How To Appeal When Your Medical Insurance Declines Your Claim
If you are like most people, when your medical insurance declines your claim, you are left feeling helpless and frustrated. After all, if you need health care and your insurance is saying you don't, you have two choices - appealing your claim or paying for the treatment out of pocket.
Most claims are declined for specific reasons and causes. The most likely cause for your health plan to deny your claim is a direct consequence of missing data. Before appealing your denied claim, you can verify that by assuring any and all pre-authorization requests were filled out with accurate patient information.
For example, is your social security number correctly listed? Does the doctor have the most current copy of your health plan's identification card? Does your doctor have the most up to date copy of diagnosis and procedure codes in order to fill out the forms correctly?
By verifying that you have submitted the good documentation to the physician and they in turn submitted good documentation the health plan, you are ready to move to the next level. When it comes to dealing with your health insurance company, think paranoid.
Document every phone call, every contact person and every piece of information you are given. It only takes one break down in communication to cause a problem; by documenting all of your communication with the insurance company, you are pre-preparing for any appeals case.
If you are facing an appeals claim for treatment coverage, be sure you've reviewed the appeals process in your company's health insurance handbook. Most patients overlook reading through the handbooks their insurance company will provide. Plan requirements and appeal processes are detailed in these handbooks and you should make sure that your plan covers any treatment you are going to receive before the treatment is received, if possible.
When An Appeal Is Necessary
Since every plan should have a clear appeals process, you should follow it explicitly. You should talk to your doctor about appealing the claim so they can provide supporting documentation and expertise as needed. Remember, most insurance claims must be appealed within a limited amount of time, so if you wait six weeks after a denial and you only have 60 days to appeal; you may already be out of time.
You should always appeal internally to your insurance provider before going to an external source such as a government or state appeals process. Most appeals have a process that goes as follows:
Boomers Need To Address Long Term Care Needs
A new study by the American Council of Life Insurers (ACLI) shows that baby boomers need to pay attention to the very real possibility they may need long-term care. The reason: escalating long-term care costs.
"Long-Term Care Insurance or Medicaid: Who Will Pay for Baby Boomers' Long-Term Care?" sounds the alarm on a potential national long-term care crisis. More important, it is a call to action for individuals to include long-term care in their retirement planning, said ACLI President & CEO Frank Keating.
The study shows that a one-year stay in a nursing home averages nearly $70,000 for a private room or more than $61,000 for a semi-private room. By 2030, the same stay in a semi-private room will cost an estimated $190,000, more than tripling over the next 25 years. Most Americans cannot save enough to cover these high costs on their own.
"Americans are living longer than ever before. That is good news, but it has some risks. One of those risks is that many future retirees will be facing astronomical long-term care costs," Keating said.
The issue is of particular interest to women because they tend to outlive men. A 65-year-old woman has a 50 percent chance of needing nursing home care in her lifetime-a cost that could potentially wipe out her retirement savings.
What can be done? Life insurers recommend long-term care insurance.
Long-term care insurance is a vital component of a sound financial plan for retirement. It helps people maintain independence in retirement if they require long-term care services. Long-term care policyholders don't have to rely on government programs or their family to pay for care. Moreover, the product has evolved over the years. It now offers a wide range of services in a variety of settings. Some policies may include reimbursement for respite care, medical equipment, care coordination services and even home modification.
"Long-term care insurance provides retirement security to millions of Americans. But more need the protection it offers. With long-term care insurance as part of a retirement plan, Americans are better equipped to protect their life-long savings and maintain their standard of living," Keating said.
20 Tips To Cheaper Car Insurance
1. Buy from the internet.Most companies offer a discount for online applications as this is automated process and costs them a lot less to process your application, you can usually see discounts of 5%-10%.Click here to get a instant online insurance quote
2. Shop around.All insurance companies use different formulas to calculate your insurance premium by adding or detracting money after each question the ask you.By shopping around you could find big savings on your insurance premium.
3. Buy extra products.Most insurance companies also do other insurance products ie"Building's and content's insurance".Most insurance companies will give extra discounts for purchasing more than one product,by doing this you could save a fair amount on all your insurance premiums.
4. Pay your insurance premium in one go.By paying your insurance premium in full you can avoid paying costly interest charges that would be added if you paid your insurance premium by instalments.Some insurance companies may charge as much as 15% APR on instalments.You may even receive a discount for paying in full.If you can not afford to pay in full check out what rate a small loan would be you may still save some money.Fill out a online loan application.
5. Increase your voluntary excess.Your excess is the amount paid by you in the event of a claim,by increasing this your insurance company should reduce your premium.
6. Lower your annual mileage.Lowering your annual mileage can reduce your premium,most insurance companies will quote you for around 12,000 miles a year.Try and work out how many mile's you will do if it's likely to be less you may get a discount.Be honest about this as your insurance company may ask to see old MOT'S and service history to verify your mileage in the event of a accident.
7. Have a Alarm,Immobiliser or Tracker fitted.Theft of and from your vehicle play a major role in the calculation of your insurance premium.Having a alarm or immobiliser fitted will give you a small discount to your premium and having a tracker fitted could make you quite a saving.
8. Take the advanced driving test.Passing your advanced driving test will show your insurance company that you have extra skill when driving and are less likely to be involved in a accident.
9. Don't inflate the value of your car.Adding extra value to your car when you apply for your insurance quote will do nothing for you apart from increase you premium.In the event your car is stolen or written off you will only be paid the market value of your car at the time of your accident.
10.Look after your credit rating.Insurance companies are now looking at your credit score as part of the calculation for your insurance premium.Maintaining a good credit rating could avoid unnecessary additions to your premium.
11. Insure your car Third Party Only.Third party only is the minimum cover you are required to have by law it's also the cheapest.If your vehicle is of a low value then you could consider this type of cover.You need to remember that with this type of cover if you was to have a accident that any damage to your vehicle would not be covered for repair.
12. Keep a clean licenceInsurance companies take driving convictions very seriously and can dramatically increase your car insurance premium,by maintaining a clean licence proves to the insurance you are a safe and careful driver.
13. Remove any unnecessary drivers.If you have a young driver on your insurance policy that no longer use's the vehicle you should remove them as this will reduce your premium.
14. Young driver's add a older driver.Some insurance companies will reduce young drivers premiums if they have a older named driver on the insurance.
15. Build up your no-claims discountOne of the biggest factors affecting your car insurance premium is the number of years no-claim's discount.You could receive up to 75% discount for around 5 years of no claims.The more years you can stay claim free the safer driver your insurance company will see you as.
16. Protect your no-claims discount.Although this will increase your insurance premium if you have a lot of years of no-claims you may want to protect this as a small claim may increase your premium by up to 75%.
17. Buy a lower insurance group car.A very important factor to your insurance premium is what car you drive.Most insurance companies adopt the Association Of British Insurance Group Rating.This rates vehicle's from 1 - 20 generally speaking the higher the group the higher the premium.By buying a car with a lower group rating can lower your premium especially for young or inexperienced drivers.
18. Join a car club.If your vehicle is a classic or specialist consider joining a club related to your car most clubs offer insurance schemes which have very good premium rates.
19. Put your spouse as a named driver.Some insurance companies offer discounts when you add a spouse as a named driver as opposed to unmarried couples,they see marriage as a sign of stability and associate stability with safe driving and there for give you a discount.
20. Take pass plus.If you are a new driver consider taking your pass plus.some insurance companies could give you as much as a 25% discount and when you have just passed your test and have no no-claims this could make a considerable saving.
Irs Welcomes Hillary S Igs
The computer man has no idea who the forty-fourth (44th) President of The United States will be, but one or two things are certain. One is that the American people as a whole are fed up with forty-three (43) and with the Bush dynasty. A member of the remote helpdesk team has observed that should Hillary become number forty-four (44), it would not take two terms for the people to also have more of the Clinton dynasty than they could stomach.
America's sons and daughters think Bush - Chaney was in the pocket of big business. But, the Tennessee Mountain Man fears that a Hillary Presidency would make all previous favors won by lobbyists seem little more than the proverbial "drop in a bucket".
Mike Huckabee wanted to "nail the going out of business sign on the doors of the IRS". A great idea. Why not a fair tax? But, realistically, we know the IRS is going nowhere soon. In fact Hillary will need to create a sister agency for them. She wants a federal law forcing everyone to pay a heath care tax.
Hillary talks about it in glowing terms of health insurance for everyone. The one catch to her plan is, everyone will be required by law to purchase this coverage from companies who have always tried to avoid "preventative care". Why? Money! It is cheaper to wait until people are dying and spend a few dollars in their final days or months than to prolong their life and care for their health for extended years.
A Clinton dynasty would not only mean four (4) more years of Bill Clinton running around a White House full of young impressionable interns fishing with his trousers down, but doing so with plenty of time on his hands as the first lady simply does not have the responsibilities and demand on time the President does.
Do we really want to spend the next four (4) years suffering the Clinton's condescension, contempt, and chicanery while we are required to pay off their insurance company friends? What she has planned for those who can least afford it is a federally sanctioned good old fashion shake down in the name of universal health care.
Obama says he understands the need for universal health care but also knows the reason most people who are not insured or who are under insured is not because those folks don't want insurance. But, rather it is because they simply can't afford it, and that there has to be another way. Hillary's other way is wage garnishment or jail or both.
Here come da IGS (Insurance Garnishment Service) or some such federal bureaucracy that will make the IRS seem like the girl next door. Vern Beachy's blogspot refers to it as Hillabeast, and that sounds about right. She has taken special interest money from everyone and their brother. Ask them where Bill made all his money! It may have been American Dollars but it was not from
Americans or our friends and allies. And, they expect you and I to repay it. Obama, on the other hand, has taken no money from anyone except you and I. He owes no one but us. You must ask yourself, "to whom do I wish to be indebted for the next decade?".
The United States government already knows how much money you spend and on what. Do you recall the pony tail bandit? A girl of means, by no means. She should have been under the radar, but not hardly. Big brother is here to stay, but we need not give big sister a lift up.
It is apparently not enough for Hillary that former employers, former spouses, lending companies, financial institutions, the state, and the federal government and a host of other plaintiffs can garnish your wages. We need, she believes, another federal agency to keep the lower and middle classes of this country in line. The result - we already miss John Edwards.
If a person receiving Medicaid or Medicare needs certain services now, especially long term care, he will find his car, his home, and any funds he may have managed to put away seized. Hillary wants to do this on the front end and get it over with all in the name, again, of federally required universal health care.
In the United Kingdom, the Debtors Act of 1869 abolished imprisonment for debt and the United States soon followed suit covering most instances. Although for ostensibly different reasons and under somewhat different circumstances there are those like Jes Beard and Hillary Clinton who want them reinstituted.
The computer man lost tens of thousands of dollars because bad things happen to good people. People who never saw their financial problems looming lost their life as they knew it and because of circumstances beyond their control hurt the computerman. That does not give the computerman or anyone else the right to add insult to injury.
There was a time in the United States when you did not want to be found by the cops with no money in your pocket. It was off to jail. Now you get stopped with "too much" money in your pocket and it is off to jail. The coming twist thanks to President Hillary Clinton, should that come to pass, is to be found sick with no health insurance, and you guessed it..... Here come da IGS! And, God only knows what and who else would befall the American public to enrich the Clinton dynasty should Hillary become number forty-four (44).. Hillary's IGS would make J. Edgar Hoover look like the diminutive little ego maniac he was, and his law enforcement arm like the cub scouts.
5 Easy Steps To Lower Your Auto Insurance Quote
It was not too long ago when contracts were made on a handshake and a promise. Individuals were not particularly concerned with things like insurance because they relied upon the goodwill of their neighbor to compensate them for wrongful damage. For a variety of reasons, including an increase in the speed and cost of auto wrecks, auto insurance soon became an important purchase for responsible individuals. Not long after, the federal government mandated that auto insurance be carried, at least minimally, by all car owners. The increase in the need for auto insurance over the last 10 years has led to increases in the complexity of insurance, while at the same time, amplifying the need to be more cost conscious in auto insurance purchases.
Buying auto insurance today requires as much dexterity as buying the automobile itself. It is important to know the factors that an auto insurance company considers when offering quotes. This will allow you, as the consumer, to know what steps you need to take in order to qualify for a lower quote. The five easy steps to a lower insurance quote are:
1. Portray yourself as a 'safe' candidate: Insurance companies are interested in managing risk. Consequently they offer drivers who are less likely to get into wrecks or at a minimum into wrecks of less severity, a lower insurance quote.
-Maintain a clean driving record, free of traffic violations or accident claims.
-Install anti-theft devices in your vehicle.
-Attend a Drivers Safety Training program.
-Buy a 'safe' vehicle. The National Highway Traffic Safety Administration (NHTSA) and The Insurance Institute for Highway Safety together collect information on safety related aspects of different vehicles. Buy an automobile that is officially designated as 'safe'.
-Park your vehicle in a garage.
2. Show your Credit worthiness: As a risk management entity, insurance companies are also worried about getting paid on time. If you can show yourself to be credit worthy, there is less risk of you not making your payments on time, thus warranting a lower rate.
-Maintain a good credit score and clear up any errors on your credit.
-Cut down on the total number of outstanding credit cards to 2 or 3.
3. Practice Financial Wisdom: The way in which you structure and pay for your policy can lower the risk that an insurance company faces with respect to you as a customer. By taking steps to lower their risk, you receive a lower insurance quote and policy.
-Buy an annual policy instead of a six monthly coverage to get you a lower rate that remains the same for a year.
-Opt for automatic payment deductions from your bank account or your credit card to avoid getting charged for mail payments.
-Increase your deductibles on comprehensive and collision policies to reduce on the rates.
-Get loyalty discounts by buying your home and auto insurance from the same company.
4. Assess your Insurance Needs accurately: This is obvious, the more coverage you get the more it will cost you. Add-ons are killers in the insurance business, strip your policy down to just the minimum of what you need.
-If your vehicle is not used much or you have an old car with little market value, opt for minimum liability alone. It will cost you less.
-After fulfilling the legal mandate on auto insurance, insure according to your needs alone.
5. Other wise things that you can do: There are a number of other considerations that go into your insurance quote. Some of them are not reasonable steps to take, while others you can do with little effort which can translate into substantial savings.
-If your car is used only for a particular purpose, make your agent aware of it, as this will limit the cost.
-Students that make good grades are often eligible for a discount.
-Give up smoking; it can help you get better quotes.
-Change your occupation if you can help. A delivery boy carries a higher risk than a storekeeper.
Shopping Around For Term Life Insurance
Comparison shopping for term life insurance coverage is just a click away. However, before you go around clicking on websites, there some basic information you should be prepared to provide to get preliminary quotes:
Aside from the obvious underwriting information such as your name, age and gender, you will have to provide more detailed information such as:
Weight: If your height weight ratio is not within certain limits (in other words you are overweight) it may affect your rate.
Do you smoke? Smokers pay a higher rate than non smokers. Rates can be as much as three times higher. However if you have quit smoking for at least a year prior to submitting your application, you may save some money.
Health: Companies want to know how much you exercise and what type of lifestyle you live. Do you participate in risky activities like racing, scuba diving, sky diving, rock climbing?
Type of work: Is your job hazardous? For example, if you work in underground mining, high-rise construction or work with explosives, you'll carry a higher rate.
Driving record If you've been convicted of reckless driving or DWI in the last 5 years will increase your rate.
Your familial history Have your parents or siblings had cancer or cardiovascular disease before the age of 60?
You may be tempted to tell the insurance company what they want to hear (even if it's not exactly the truth), but don't. Lying on your application may void your insurance coverage.
Once you've elicited quotes from several companies, compare your rates and make sure your insurance company will be around for the long haul. Check their AM Best rating. AM Best is a company that measures the financial stability/solvency of insurance companies. A very low quote from a financially unstable company won't do you a lot of good if they're not going to be around to pay the claim.
Really Cheap Car Insurance You Want It Cheap Start Here
Is there such a thing as really cheap car insurance? I don't know how that happens unless you have a really cheap car that you hardly ever drive and nobody in your geographical area has had an accident in the last 20 years. That would drive the rates down significantly. The reality of that all occurring is somewhere between very slim and none. Car insurance is given its rates by insurance actuaries. They review claims experience in certain geographical areas along with driver age groups to obtain some of their criteria for determining rates. The kind of vehicle that you purchase has a lot to do with rates. Some vehicles have a very high theft rate. It's just not that simple to come up with a low rate with all of these unknown factors. The logical approach to finding low cost insurance is to gather insurance quotes from several companies and from that you may be able to find the lowest comparative rate.
1. Geographical Area - You have no control over the driving experience in your own back yard. That still doesn't negate the fact that your neighbors can affect your rates. The higher frequency of accidents in your area will increase the rates. The severity of accidents will also affect your rate. You will often find higher frequency fender bender accidents in the inner city while the rural areas may have more severe accidents because of higher speeds traveled on the open highways.
2. Vehicle Types - Older vehicles with physical damage are obviously cheaper. Sports cars and expensive sport utility vehicles will increase the rate.
3. Young Driver Discounts - Some companies have discounts for good students with a 3.0 grade point average along with a drivers training discount. When you put the two together it can be significant.
4. Retired Discounts and Mature Driver - Some companies have retirement discounts and mature driver discounts to lower the rates for senior citizens.
These are just some of the many possibilities. Ask about available discounts when shopping for car insurance. Consider the area in which you live and adjust with the types of vehicles you purchase and how you arrange your coverage. Educate yourself more than you have before and you will help your cause.
Term Life Insurance Definition
Term Life insurance has been with us for a long time. It is the least expensive of all the life insurance policies. Term life insurance is life insurance that provides protection for the named insured over a stated period of time. That is what differentiates it from other forms of life insurance. Term insurance has no equity or cash value accumulation and so it is primarily purchased for the security provided by the death benefit. There are three basic forms of term life insurance.
1. Decreasing Term - This policy is most commonly associated with mortgage protection insurance. The face amount decreases over a stated period of time. A thirty year mortgage for a homeowner is appropriately insured by a thirty year decreasing term policy for the same mortgage amount. The mortgage balance and the term policy decrease at about the same rate and so the homeowner can be assured that his home will be paid for whether he or she lives or dies.
2. Level Term - Level term insurance also provides protection for a specific time period. The face amount remains level throughout the stated period. This policy is often purchased for short term debt or intermediate term debt. You can purchase 5, 10, 15 and 20 year term policies from most insurance companies.
3. Annual Renewable - This form of term insurance is the least recognized of all term policies. It provides a level amount of insurance but the premium increases each year at the policy renewal date. The premiums can be very low at first but can escalate into very high premiums as the insured gets older.
All of these term life insurance policies have there advantages but the common denominators that give term life insurance its definition remains the same. The policy is always for a stated period of time and there is no equity or cash value accumulations. Those two features define term life insurance.
Insurance For Home Car And Health The Not So Hidden Importance
Insurance, in law and economics, is a form of risk management primarily used to hedge against the risk of a contingent loss. Insurance is defined as the equitable transfer of the risk of a potential loss, from one entity to another, in exchange for a premium.
You can purchase insurance from an insurer, the company that sells the insurance, for almost any imaginable risk. The most popular insured risks are: home insurance - to protect against risks of flood, fire, theft, or occupier injury; car insurance - to hedge against risk of accidents, theft, or personal injury; and, medical insurance - to help safeguard the health of you and your family in times of medical need.
Other forms of more exotic insurance include insuring your pet's health, insurance to monetize particular parts of the body like a dancers legs, or insuring a priceless work of art. You may also consider insurance for your business, or the risks associated with owning your own business.
Insurance companies make money by selling large volumes of policies or plans, and spreading the risk of loss across a large segment of the insured group. In theory, the insurance company must sell enough insurance at a price that allows the amount coming in, invested over time, to cover the losses incurred by the insured group. This is important to you because the amount of your insurance premium contributes to the total pool, whether or not you ever need the insurance. However, I would argue that you always need the insurance, you may never use it, but you always need it.
In the event of, for example, a home fire, the monthly insurance premium paid for home insurance (and in particular fire insurance) becomes insignificant to the cost of buying a new home. It does not take much imagination to picture the devastation to your finances, family, and mental health if you were to experience a catastrophic home fire and not have adequate insurance. For the price of a relatively small monthly premium, this devastating loss is completely mitigated against. In my opinion, not having sufficient home insurance is literally playing with fire. If you never use the insurance consider it good fortune; because, it means your house did not burn down and you were able to contribute to the pool of financial resources that assisted a family who's house perhaps did burn down.
Medical insurance is, for most people, equally or more important. A popular and important related type of insurance is disability insurance. In the event of medical problems, having proper insurance to cover hospital expenses, drug costs, and other related medical fees is a must. In the absence of good health insurance you are at unnecessary risk. If, as a result of the same illness, you are unable to work for any significant period of time, disability insurance plays a critical role in providing for the financial needs of you and your family.
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