S. O. S. – SPEAKING OF SENIORS: SAVED POLISH COUPLE $180
By Woodrow Wilcox
On November 9, 2017, an agent at our office in Merrillville escorted a couple to my office so that I could help them with a Medicare related medical bill problem.
I was delighted to learn that the couple spoke Russian and German, too. So, I spoke with them in Russian and German as much as I could. I’ve forgotten much of those languages that I used to know much better.
The wife had gone to a hospital and used a Medicare Advantage policy which our agency sold to her. With that policy, she was responsible for a $75 emergency room co-pay. She knew that. But, she received a bill from the hospital for $180 more than the $75 co-pay. The couple wanted to know why.
I phoned the insurance company and questioned the matter. The representative said something which raised my suspicion that the claim had been processed incorrectly. So, I asked to speak to a supervisor.
In my discussion of the claim, I explained why I believed the claim was processed incorrectly. From the conversation that I had with the first representative, I suspected that the rules of a Medicare supplement policy had been applied instead of the rules of a Medicare Advantage policy. The two types of policies have different procedures and rules. I believed that someone at the claims department of the insurance company was new, tired, or distracted and made a mistake when the claim was processed.
I was correct. The supervisor reviewed the matter with me and realized that I was correct. He ordered the claim to be reprocessed correctly and for a letter of apology to be sent to our client for the mistake.
I saved our client $180. All the help that I gave this client was FREE OF CHARGE. This insurance agency is proud to have a reputation for “going the extra mile” to help our clients in such Medicare related medical bill problems.
If your insurance agent or agency does not give this high level of service to senior citizen clients, then I suggest that you switch to our agency.
Note: Woodrow Wilcox is the senior medical bill case worker at Senior Care Insurance Services in Merrillville, Indiana. He has saved clients of that insurance agency over one million dollars by fighting mistakes and fraud in the Medicare system. He wrote the book SOLVING MEDICARE PROBLEM$ (www.SolvingMedicareProblems.com) and posts articles at www.WoodrowWilcox.com.
Disclaimer: The views expressed by Woodrow Wilcox are not necessarily the views of advertisers, business associates, guests, interviewees, or other parties that have …
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Written on November 9, 2017 by Woodrow Wilcox
Wilcox News Service, P. O. Box 744, Griffith, IN 46319