Patientadvocate.org

Health Insurance Matters

WEBPatient Advocate Foundation. 421 Butler Farm Road. Hampton, VA 23666 US. (800) 532-5274. Back to top.

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URL: https://www.patientadvocate.org/explore-our-resources/understanding-health-insurance/health-insurance-matters/

Five Things to Know Before Choosing Health Insurance

WEBIf your medication coverage is of particular importance to you when choosing your health coverage plan, make sure you know these five key elements before you make your …

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Healthcare Reform

WEBHealthcare reform is the term used when discussing major health policy creation or changes that ultimately affect a patient’s experience within the medical arena. In recent …

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STEP-BY-STEP GUIDE FOR CHOOSING A HEALTH PLAN

WEBOPEN ENROLLMENT STEP-BY-STEP GUIDE FOR CHOOSING A HEALTH PLAN. 3. Doctor Considerations. Open enrollment is a good time to think about making changes …

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What is Covered in Essential Health Benefits

WEBThis article will teach you that comprehensive health insurance is insurance that offers some coverage for every aspect of health care, including doctor visits, prescription …

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The Language of Insurance

WEBA Patient’s Healthcare Glossary. Illustrated in recent survey data, Patient Advocate Foundation has documented that for some of the most commonly used terms …

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Sample Appeal Letter for Pre-Authorization Denial

WEBUse this sample appeal letter for guidance when your health insurance company has denied a test, medication, or service before you’ve had it.

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Understanding Drug Tiers

WEBDrug availability. Clinical effectiveness and connection to standard of care. and other cost factors, including delivery and storage. Tier 1. These drugs offer the lowest co-payment …

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Making Sense of the Different Types of Plan Structures

WEBConsider these major elements of each structure. Health Maintenance Organization (HMO) Plan – In this plan, your Primary Care Provider (PCP) is who you will need to reach out …

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Do I Qualify For Health Insurance

WEBDepending on your income and household size, you may qualify for financial assistance and lower costs for your insurance purchased through the marketplace. Submit the …

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Co-Pay Relief Program

WEBCall Co-Pay Relief directly at 1-866-512-3861. Welcome to the Co-Pay Relief Program! Welcome to Co-Pay Relief! "We are indeed grateful for the PAF presenting and …

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Finding Care When Uninsured

WEBContact your local Department of Health for more information. — Use free clinics or income-based sliding scale clinics for preventative, routine and primary care. — Search …

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PAF Case Management

WEBPAF Case Management is free for patients and families living with a serious or chronic health condition. To get services, a patient must be in, just starting or just ending …

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Uninsured and Facing an Emergency

WEBAn emergency is any situation that is: Severe or life-threatening. Causes serious impairment to your bodily functions or organs. Involves imminent childbirth for a pregnant woman. …

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Where to Start if Insurance Has Denied Your Service and Will Not …

WEBYour insurer must provide to you in writing: Information on your right to file an appeal. The specific reason your claim or coverage request was denied. Detailed instructions on …

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Things to Include in Your Appeal Letter

WEBPatient name, policy number, and policy holder name. Accurate contact information for patient and policy holder. Date of denial letter, specifics on what was denied, and cited …

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Reading Your Insurance Card

WEBTake your insurance identification card with you whenever you seek care. This ID card will come in the mail or will be available electronically after you enroll in a health benefit …

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