Would you use a consultant to help you understand your insurance for infertility services?
I have been working as financial counselor for an infertility practice for 8 years and have been in the insurance end of healthcare for 16 years. Thinking of starting a consulting business to help patients in choosing an employer based or individual insurance plan while helping them understand insurance in laymens terms and not doubletalk. Answers to the most commonly asked questions, like, "What is the difference between an HMO, PPO or POS plan, and which should I choose based on my needs?". I would also give help to those who have received rejected/denied insurance claims, appeal those claims and give patients tools to communicate with insurance companies effectively to get the information they need.
Would you pay for these services?
Is there a need for these types of services?
Any feedback is appreciated!!
Tagged as: 8 years · consulting business · financial counselor · individual insurance · Infertility · infertility practice · insurance · insurance claims · insurance companies · insurance plan · laymens terms · ppo · quot
all the feed back you can get is better than no feedback. So try lots of different avenues to get to where you want
yes.
This employment postion is called being an insurance agent.
Any agent worth his salt will explain the very thing you are speaking of and will do it in such a manner that the policy holder will know what they have though not all agents can begin to explain ALL aspects in the brief period that they usually have with the new client.
Having been an insurance clerk/collection clerk in 2 different facilities,there are just some people who will never understand every aspect of their policies….too many to grasp at one time and the agents know this.
People just need to seek out a reputable insurance company and talk extensively to the agent…..they are there to provide a service and their time is your time,take as much as you need until you are satisfied.
Medical facilities have a certain obligation also to make sure that the patient understands what is covered and what is not covered and their insurance clerk should be able to explain that and if not,that person will know where to find the information.
If a claim is denied there are many reasons why it is denied and the insurance clerk should be able to resolve that problem by resubmitting the claim with the correct codes and sometimes a letter of necessity is needed from the physician.
No,I would not pay for this type of service but then again I know about this stuff and I learned it on my own. Many people could do the same and with the cost of insurance being what it is,this service is just another expense that many people can’t afford.
Another reason I would not pay for this service is because it IS the responsibility of the insurance agent/company and the medical facility to take care of this.
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