My client’s policy with CNA states:

After a(n)… Alternate Care Facility stay of 90 days, including the Elimination Period, you do not have to pay any future premiums. It states that the waiver of premium generally does not apply when the client is receiving care in an individual residence.

My question is: How can I find out under what…[Read more]

Hello Advocates,
I am trying to see if anyone has run into this obstacle. attend my client’s appointments in person. He is over an hour away; however, he has a Telehealth appointment coming up.
I contacted his doctor’s office and there response is that the Link only works in the client’s area.
I asked if he copied it to me would that work? She…[Read more]

I received a contact from someone seeking assistance for a client in El Paso TX who is acutely hospitalized and sounds complex enough that she needs an advocate onsite/at the bedside. If anybody is local to that area and available to help, please message me and I can pass the information along to help you connect.
Thanks!

I am looking for insurance options for New York City residents that cover out of network. I have found nothing on the NY State of Health (NY Marketplace) that covers out of network.

Any suggestions for a PPO policy available to NYC residents?

Hello,
I am working with a family in San Diego. My client is from out of state and is a complex case. His daughter is an only child and she received funds from friends to assist her in her stay to be by her father’s side since she is also from out of state. She is able to “work from home” from here but, her funds are depleting. Hospital offers…[Read more]

Good morning,

I am new to this organization and cannot express how thrilled I am to have found a “tribe” of like minds. I am board-certified as a nurse practitioner in hospice and palliative care. I am excited to start my advocacy business but cannot and do not want to give up my credentials for various reasons including the requirement at where…[Read more]

CMS starts paying for patient navigation: https://cancerletter.com/conversation-with-the-cancer-letter/20240105_1/ Hope this link works.

Although this article speaks mainly to cancer navigators, it appears that CMS has developed four new codes for reimbursement that are not just for cancer navigation. Anyone with insight into how this may or…[Read more]

I received a call from Steve Wilson who said he is with Helpvet.net (not Helpvets.net) yesterday evening and he said he was looking for a health advocate to refer veterans to who need health advocacy services in my area. He spent quite a while telling me all about the great things the organization does, had me go to the website and look at…[Read more]

Hey – I’m looking for someone who has relevant experience with getting infertility – specifically IVF – covered by Aetna. The woman has had some procedures done but they won’t cover IVF.

You can have the client referral!

Hello, and Happy New Year!

Does anyone have experience with nonemergent interstate medical transport companies?

I have a client who lives in Colorado but was recently hospitalized in California. At this point, he has been discharged to a skilled nursing center in California. His family wants to transport him to a skilled nursing center in…[Read more]