Working Out the Medicare Puzzle - Beatrice
Preparing for retirement can be challenging. Knowing how your Medicare works and what pieces you need is important in your planning. This presentation will arm you with the basic knowledge you need to ensure your Medicare is correctly in place.
Working Out the Medicare Puzzle - Wahoo
Preparing for retirement can be challenging. Knowing how your Medicare works and what pieces you need is important in your planning. This presentation will arm you with the basic knowledge you need to ensure your Medicare is correctly in place.
Question 3
Question
Is there a faster way to appeal when I have a medical emergency?
Yes Answer
Correct!
If waiting the usual number of days for an internal or external appeal decision would seriously jeopardize your life or health, or if delayed treatment would jeopardize your ability to regain maximum function, you may request the expedited version of both internal appeals and external reviews.
No Answer
Incorrect!
If waiting the usual number of days for an internal or external appeal decision would seriously jeopardize your life or health, or if delayed treatment would jeopardize your ability to regain maximum function, you may request the expedited version of both internal appeals and external reviews.
Question 2
Question
Is there more than one stage of the health claim appeal process?
Yes Answer
Correct!
There are two stages to the process for appealing a health plan decision:
1. Internal appeal: If your claim is denied or your health insurance coverage is cancelled, you have the right to an internal appeal.
2. External review: For certain types of claims denials, after you have completed the internal appeal process, you have the right to request an external review by an independent third party.
No Answer
Incorrect!
There are two stages to the process for appealing a health plan decision:
1. Internal appeal: If your claim is denied or your health insurance coverage is cancelled, you have the right to an internal appeal.
2. External review: For certain types of claims denials, after you have completed the internal appeal process, you have the right to request an external review by an independent third party.
Question 1
Question
Is my insurance company required inform me about my right to appeal a denied health claim?
Yes Answer
Correct!
If your health insurer refuses to pay a claim or rescinds your coverage, you have the right to ask the company to reconsider its decision. Insurers have to tell you why they denied your claim or ended coverage, and they have to let you know how you can dispute their decisions.
No Answer
Incorrect!
If your health insurer refuses to pay a claim or rescinds your coverage, you have the right to ask the company to reconsider its decision. Insurers have to tell you why they denied your claim or ended coverage, and they have to let you know how you can dispute their decisions.
