Health Care Financial Issues

• Medical bills - investigation of physician and hospital bills to ensure that your health plan has paid its contracted amount and you are not being billed inappropriately.
• Denied Claims - investigation with your health plan.
• Termination of coverage and benefits - investigation with your health plan of termination of coverage for outpatient physical therapy, inpatient care, or other health plan benefits.
• Health plan disputes and appeals - professional representation with your health plan in situations involving inappropriately denied claims or termination of coverage and benefits.
• Out of network care - investigation and, if possible, resolution.
• Hospital and physician bill negotiations - when feasible, professional representation to achieve reductions in amounts due.

Health Insurer and Health Plan Choices

• Employer-sponsored health plans - evaluation of options.
• COBRA continuation coverage upon termination of employment - COBRA versus other health insurance options.
• Individual health insurance - evaluation of options with healthcare.gov, state insurance exchanges, or health insurer direct sales.
• Medicare coverages - evaluation of Medigap supplements, Part D prescription plans, and Medicare Advantage plans.
• Enrollment support - assistance in enrolling in an employer-sponsored health plan, individual health insurance, Medicare Part A, Medicare Part B, and other Medicare coverages.

Health Care Advocacy

• Treatment options - providing credible, research-based information to help you make an informed and reasoned treatment decision.
• Second opinions - coordination of a second opinion appointment with another physician.
• Expertise search - identifying experienced physicians with particular expertise in treating or managing a specific medical condition.
• Health plan disputes and appeals - professional representation with your health plan in situations involving inappropriately denied claims or termination of coverage and benefits.
• Physician office visits within the Greater Philadelphia area - accompanying you to your doctor visit to ensure that all appropriate questions are asked and responded to in a satisfactory manner.
• Care coordination - in selected situations, ensuring that your medical team is working together to provide or arrange for appropriate health care.