the claim advocate 2

What Health Insurance Covers for Preventive Care, and What Costs Extra

Understanding how your health insurance coverage works is the best way to manage your medical expenses. While the Affordable Care Act mandates that most plans provide certain preventive care services at no cost to you, it is common for patients to receive unexpected medical bills. Knowing the difference between routine screenings and diagnostic services can […]

How to Read a Health Insurance Explanation of Benefits

Many people open an Explanation of Benefits, see a page full of numbers, and assume it’s a bill. Then they either panic or toss it aside. That reaction makes sense. An EOB can look cold and complicated, even when the message is simple. It is a summary from your insurance company after care, not a […]

Why Was My Claim Denied? (And What You Can Do About It)

One of the most frustrating things you can experience is receiving a denial for a medical claim—especially when you thought everything was covered. After spending over 25 years working inside the health insurance system, I can tell you this:a denial doesn’t always mean the service wasn’t covered. Sometimes, it means something went wrong. Here are […]