What happened? Mary was going in for bariatric surgery. She confirmed all details with her health insurance provider, including the authorization for services. On the day of surgery, Mary checked in at the in-network hospital. Approximately fifteen minutes before being taken to the Operating Room (OR), she met her anesthesiologist, who explained the process for […]
Surgery – Why Did I Get a Bill for Authorized Services? Read More »
There are many changes in health care, and physicians are making choices regarding their practice. Some key issues physicians face are managing a practice day to day operations in the ever-changing health care environment. They are also managing contracts and payments with insurance companies. Many physician groups are choosing alternative options like concierge medicine and
What is Concierge Medicine Read More »
Preventative healthcare or preventive medicine is about being proactive in taking advantage of your preventative benefits that were mandated under the Accountable Care Act (ACA). This allows for disease prevention and instead of disease treatment. Most health care plans per the Accountable Care Act (ACA) offer preventative screens at no charge, as long as you are
Health Care Enrollment 2020: Understanding Preventative Benefits Read More »
As you prepare for open enrollment, which starts November 1st thru December 15th for individual and family plans. It’s essential to understand the differences between plans. Differences between an HMO and PPOwas recently covered in a post. The purpose of this article is to provide an overview of the POS, EPO, and HDHP plans. Point of
Health Care Enrollment 2020 POS, EPO, and HDHP Plans Read More »
Understanding all the health care acronyms, plans, and associated costs can be overwhelming. As you are considering purchasing your plan for 2020, be sure consider the out of pocket costs, copays, deductibles, and coinsurance. These can significantly impact your decision making and outcome to your budget and health care options. Premium A premium is your
Health Care Enrollment 2020 Out of Pocket Costs Read More »
Open enrollment starts November 1st thru December 15th for individual and family plans. The purpose of this article is to provide an overview of the difference between HMO and PPO plans. Health Maintenance Organizations (HMO) An HMO has its own network of providers, hospitals, and other providers such as Durable Medical Equipment (DME), Physical Therapy
Health Care Enrollment HMO versus PPO Read More »
November is a busy month for planning your future for health care insurance. 1) November 3rd is Election Day so please get out and vote and let your voice be heard. 2) open enrollment for health insurance November 1st and runs through December 15th. Understanding the different types of plans, acronyms can make choosing the
Health Care Open Enrollment 2021 On-Exchange versus Off-Exchange Read More »
Welcome Savvy Health Care Consumer, I’m excited to start this blog. My goal is to provide information to YOU the consumer to inform, unravel the complexity of health care, and promote smart decision making. This blog is targeted for the baby boomers, Gen Xers, Millennials, and Gen Z’s. Are you a consumer of health care
Welcome Savvy Health Care Consumer Read More »