Category Archives: Interacting With Your Insurer

What Does an Approved Pre-Authorization Mean?

In this article, we discuss how a pre-authorization is a restriction placed on certain medications, tests, or health services that require your doctor to first check and be granted permission before your plan will cover the item and the steps required to get one.

Navigating Pre-Authorizations: Procedures or Testing

This article describes that a pre-authorization is a restriction that requires your doctor to get the go-ahead from your benefit plan before a procedure or test will be covered and other pre-authorization facts.

Understanding Drug Tiers

In this article you will learn that one of the biggest healthcare barriers patients hit can be navigating the details of their prescription drug coverage options. If you know that you’ll need prescription drug coverage, it is important to research and choose a plan that covers your medication. Under a healthcare plan, the list of covered prescription drugs is called a formulary. The formulary is usually divided into tiers or levels of coverage based on the type or usage of the medication. Each tier will have a defined out-of-pocket cost that the patient must pay before receiving the drug. During…

Insurance Challenges with Medication

This article discusses common insurance challenges that may happen when you're trying to access your medications.

What Do I Do if I Can’t Get Answers From my Insurance Company?

This article describes that sometimes it's not much fun trying to get answers out of your insurance company. Typically, each time you call, you speak with a different customer service representative and you may get different answers to a question you have. This inconsistency is really frustrating and upsetting, but here are some tips that might help you communicate with your insurer. But remember when speaking with them:

If it is Not a Bill, Why is the EOB Important to Me?

This article discusses the importance of keeping your Explanation of Benefits, known as EOB, in an organized system, usually by date of service, to reference as you progress through the insurance and payment portions following your care and medical treatment.

What Your EOB Contains & Why You Should Keep Them

This article explains what's on your EOB and the reason it's important to keep them for potential future disputes you may have with your insurance company.

Tips to Maximize Your EOB

This article provides tips to maximize your EOB to help you keep up with your medical bills.

EOB vs Medical Bill, What’s the Difference?

This article describes the differences between the EOB from your insurance company and the medical bill from a medical facility.

EOB Vocabulary

This article provides important EOB vocabulary to help you better understand what your EOB means.