Tag Archives: health care

Step Therapy

This is a term with which many of us are not familiar, but which represents a nightmare for us when it is applied to our health insurance claims.  So what does it mean and when is it applied? Step therapy is a protocol used by insurance companies to determine whether a particular health plan will […]

Leave a comment Continue Reading →

I Can’t Find A Doctor Who Will See Me!

We have received phone calls from many individuals who signed up for health insurance through the Marketplace without a broker and are now struggling to find participating providers. Their key question: shouldn’t every provider who participates in a particular network be required to accept all patients enrolled in plans that use that network whether through […]

Leave a comment Continue Reading →

Marketplace Update

Now that we are in our third year of the Affordable Care Act many of us have prepared ourselves for the ongoing nightmare of working with our clients to qualify for Marketplace subsidies. The last two years have been marked with website crashes when we tried to enroll individuals electronically and interminable time on hold […]

Leave a comment Continue Reading →

Do I Really Rarely Use Medical Services?

I have spent a bit of time recently writing about how to determine what type of health insurance plan best suits our needs based on how much healthcare we use. While thinking about this I discovered that who I thought I was is really different from who I really am. If asked, I would say […]

Leave a comment Continue Reading →