Caregivers Story

Story

I just helped my mother, age 89, deal with her Medicare HMO. Her primary care doctor referred her to a specialist for a nerve conduction study to see if she was a candidate for carpal tunnel surgery. The office staff did not realize that they were required to get prior authorization for that procedure and the HMO denied coverage for the procedure.
My mother got a bill for over $2000. I helped her go through the grievance process to ensure she met the deadlines and used language that would help her case. I argued that the elderly do not fully understand all the fine print in their insurance contracts, and they rely on their primary care doctor to send in the proper forms and get care authorized for them. The HMO reversed its decision and paid the claim.

by: S.

QUESTIONS

  • are clinics allowed to charge interest on medical bills? are they required to file claims with my secondary insurance after medicare? can they refuse treatment for a balance on an account after medicare has paid?
  • I recently moved to Arizona from Oregon. I tried to be seen by a local internist and was refused service without an explanation. I have no conditions which could make me a concern. I asked the office for their evaluation criteria and they would not provide it. If they are going to refuse service, they should at least state the grounds for doing so.
  • How do I get a list of doctors that participate in the AHCCCS Medical Program in Chandler AZ?
  • I have a question dealing with statute of limitations. I had cosmetic surgery in July 2017. Afterwards I had Ramsey Hunt Syndrome in my left ear. I have lost balance and dizziness problems due to the damage. I had tests performed by a doctor in fall of 2019 which diagnosed the extent of damage from this. Would the statute of limitations be from date of Ramsey Hunt diagnosis or could it be from the date the damage was measured and diagnosed by a doctor?
  • The provider that diagnosed my son with autism is withholding records due to non payment. The law says she cannot do this. What is my next step?
  • What are rules for Medicaid recipients with regard to the other spouses rights? I'm planning for if I would have to go to a Nursing Home.
  • Do I need long-term care insurance?
  • My Mom is an 80-year old senior with legal status, diable, no income, arrived in the US November 2007. She was just recently approved for AHCCCS Federal Emergency Services. I made an appeal to AHCCCS that she be granted a regular full coverage because of her current medical condition. What are the rights of the seniors in Arizona with the same case of my Mom in terms of health care. She has heart disease, severe arthritis, acute glaucoma that needs to be followed-up by specialists. She has been due for medical check up and needs continuous medication for the above illnesses. Your thoughts would be greatly appreciated.
  • What age can you start getting senior help with the des programs?
  • I CANT FIND A LAWYER WHO WILL TAKE MY CASE. I AM SUFFERING FROM A HYPOXIC BRAIN INJURY AFTER BOWEL OBSTRUCTION SURGERY. IM RUNNING OUT OF TIME TO FILE. WHATEVER HAPPENED TO JUSTICE FOR ALL?

STORIES

  • Age discrimination in the workplace. . .
  • He told me that I could actually get all the money I needed by using my home as collateral. . .
  • I just helped my mother, age 89, deal with her Medicare HMO. . .

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OTHER LEGAL RESOURCES

  • State Bar of Arizona
    www.azbar.org
  • Maricopa County Bar
    www.maricopabar.org
    Referral number 602-257-4434
  • Pima County Bar
    www.pimacountybar.org
    Referral number 520-623-4625
  • National Domestic Violence Hotline
    800-799-7233
  • Bankruptcy Court Self Help Center
    866-553-0893
  • Certified Legal Document Preparer Program
    Link

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