I have met my Medicare deductible. I have plan G Medicare supplement which pays all co-pays, etc. I am being billed by a doctor’s office in spite of the fact that I have no further liability for co-pays. What is the best way to resolve this as the doctors office keep sending me a bill.

Location: Indiana I have just been informed that my son's great grandma (who has never ever had her address used for our Medicare nor been approved to know anything about his or my medical info) has been receiving all of our Medicare information. I have over 5 letters for both him and I in regards to our benefit explanations, they even stopped his benefits and I had no idea!!! I'm upset because he has an upcoming appointment very soon for his 18 month check up and I don't even know if he will be covered by then. I have no idea how they even got her address. She recently moved, and I didn't even know her new address. But somehow, they have all went to her. I'm so confused as to how this has happened?! And I'm really mad that she had (if she chose to open the mail, but she did not open any of it) complete access to our information like that. What can I do about this? I plan on calling Medicare tomorrow but I really think this is a huge issue and I'm pissed honestly.

Virginia Medicaid (cardinal care smiles) helped me see a dentist for the first time in a hot minute. Long story short, I just received correspondence that the crowns I need have been "partially denied." The exact denial was worded as, "We decided to partially deny the request.". They did not elaborate on why. What do I do from here? They stated "Your provider can ask to talk to our dentist that made thsi decision." So, do I have to reach out to the practice to REQUEST they advocate for me? Or were they also now notified? I was so excited to finally make headway with my dental health. I'm feeling like the grandma from that one scene in the incredibles right now haha. Thanks for any and all advice.

My insurance denied two claims. I appealed it and they denied my appeal. I received a letter letting me know I can request an external appeal through my employer. I submitted a letter, signed doctor's letter of medical necessity, signed medical records release form and a few clinical studies showing effectiveness of treatment. I received a letter in the mail today from Network Medical Review Co. The letter states: NMR has received a request for external review and has been notified from the plan that the request is eligible. NMR has accepted the request for external review. You, the claimant, may submit in writing to NMR, within 10 business days following the date of receipt of this notice, any additional information that you wish NMR to consider in reviewing your claim. NMR will review all of the information and documents timely received, and will provide written notice within 45 days after NMR receives the request for the external review. I'm not sure if my employer would send everything that was sent to them or if I have to send everything all over again. I sent them the original doctors letter of medical necessity so all I have is a copy.

Location: New Mexico, USA Hello, I work at a bed n breakfast. I make $15/hr, work about 20-25 hours per week with some fluctuations, 3-4 days per week, and will not work for 2 months out of the year when it is closed. I live nearby in a camper off grid. No criminal history. My employer pays in cash and does not offer health insurance or any benefits. I am working to apply for medicaid since my application for insurance through the marketplace flagged as possibly eligible for medicaid. They said I need a letter verifying my hours and wage from my employer. When I asked my employer for this, she said she didn't want to because of not wanting to draw attention to the business. So now I'm stuck without health insurance and wondering what to do. I am thinking that she may not be running the business legally on her end after this since she said she didnt want to have anyone from the state asking about the business. I am wondering, if I contact medicaid and inform them of this, will the business be audited and ruined? She is very vindictive and I just want to be cautious about my next move. I want health insurance of course, but it is a very rural area and the only business for 35 miles in any direction, so a lot of people rely on it. Should I just quit? Should I just get coverage through the marketplace? I don't really have much money so I would like to try and limit my expenses. Thank you for any information or advice.

I live in Minnesota where insurance companies are required to cover 48 hours of inpatient care after a vaginal birth. https://www.revisor.mn.gov/statutes/cite/62A.0411#:~:text=Every%20health%20plan%20must%20provide,a%20mother%20and%20her%20newborn. My insurance (Medica) is trying to make me pay $1850 of the $8300 billed to them for room and board after I gave birth. The stay was less than 48 hours. Is this legal? Do I have a course of action here?

I had an ER visit back in Dec 2024 and I got a bill yesterday for 1000$. On my insurance app (MI Medicaid) it says I owe 0$ and the claim was denied but I still got a bill. Am I responsible to pay this bill still? I submitted a claim with my insurance because it was an emergency and at night no urgent cares were open. It’s Sunday so nothing is open and nobody else I can talk to right now. What should I do?