Questions tagged [health-insurance]
The health-insurance tag has no usage guidance.
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Has, or could, a state or city become a group insurer under federal law?
If a city or state, more likely a state, as part of an insurer being licensed to do business within said state, were required to insure the citizens of a state as a "single group", perhaps ...
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Am I required to disclose that my injury happened on someone else's property?
I recently injured my hand and needed surgery. The injury happened on my father-in-law’s boat. There was no negligence on his part; I simply banged my hand on a railing while jumping in the water with ...
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Why is Medicare not included in the entities of policy change for CMS?
See this link.
https://www.medicaid.gov/federal-policy-guidance/index.html
Why is Medicare not included in this list?
The Centers for Medicare & Medicaid Services (CMS) is responsible for ...
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Does Jimmo Settlement Agreement of 2013 also apply to Medicaid?
The Jimmo Settlement Agreement was passed in 2013. This is under the Center for Medicare & Medicaid. In laymen's terms, this allows a patient to receive help with skilled therapy/nursing ...
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Questionable arrangement with a dentist
I saw an ad on a classifieds site that was something like 'Free AirPods if you let me clean your teeth!'
Turns out its a dentist who does your yearly checkup, bills your insurance say $450, and then ...
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Lapse in Coverage By Becoming Disabled From a Pre-Existing Condition at a New Job?
In the US, most job-based health insurance plans include a stipulation which references the pre-existing condition exclusion period:
The time period during which a health plan won't pay for care ...
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Does a Dental Office have an obligation to tell you they are going out of network when you have been a patient for four years in-network?
I had been going to a dentist from 2018-2022. I had work done in the summer and fall of 2022. They treated these appointments as normal - collected my copay, did the work, filed with the insurance, ...
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Germany: insurance for newborn but change of insurance end of the same month
A child is born to parents (german citizens, german clinic) who are insured by an international private health insurance until the end of the month. The birth certificate was available at 25th of this ...
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What are requirements to determine options for statutory or private health insurance after moving back from abroad (in the EU)?
When a person moves back to Germany after being abroad in the EU (e.g. Netherlands) long enough to have to insure themselves there and not be insured in Germany anymore, what determines if you can be ...
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For non-emergency treatment in California: Can hospital/surgery center deny service/treatment because of lack of co-payment when client has insurance?
For non-emergency treatment in California: Can hospital/surgery center deny service/treatment because of lack of co-payment when a client has insurance? In other words, can a provider refuse to render ...
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Does the Anti-Kickback Statute apply to remunerations when a patient has private insurance?
The Stark Law (42 U.S.C. § 1395nn) and the Anti-Kickback Statute (AKS) (42 U.S.C. § 1320a-7b) are pretty clear that they only apply to federal/state-funded insurance plans. Under these plans, a doctor ...
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How to keep medical coverage for pre-existing conditions when changing jobs in California
I'm sorry for this question being so strange. I'm shaking while I write it. This is very hard.
My mom has really bad cancer. She is in remission, but there is a relatively high chance it will be back ...
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Qualifying Life Event changes in Employer Sponsored Health Insurance
Is my understanding correct that HIPAA in the US defines the concept of Qualifying Life Events as a means to ensure employer sponsored health programs provide a Special Enrollment Period upon being ...
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Do high-asset / low-income people qualify for free medical care in California?
Can people with low incomes qualify for free medical care (Medi-Cal) in California regardless of their liquid assets?
A document on the Department of Health Care Services site (pdf) notes off-hand:
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How to interpret illinois SB 3242 'covered services' definition?
Background: I did a dental procedure during the waiting period of a new dental plan. My dentist contest that contracted prices do not apply during this period despite the fact that the insurance ...
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