SOS: Speaking of Seniors - No Record Found
On March 7, 2017, I helped a senior citizen client from Portage, Indiana. She visited my office with bills for me to check.
With our client in the office, I phoned Medicare. To our surprise, the medical biller never filed one of the claims with Medicare. The medical biller was telling the senior citizen to pay $433.50 without first filing the claim with Medicare. That’s a violation of Medicare rules.
Because the claim was not filed properly, neither Medicare nor our client’s Medicare supplement insurance policy had any chance to review and pay their portions of the claim. If this was caused by a mistake, it was a serious mistake. If this was caused by fraud, the intent was to “shake down” a senior citizen for more money than the Medicare system allows.
I wrote a letter to the medical service provider and told its staff what we had discovered. I asked them to do the right and honorable thing and file the claim with Medicare and stop seeking $433.50 from our client.
All the help that I gave this client was FREE OF CHARGE. The owners, managers, and staff of this insurance agency really do care about our senior citizen clients. We prove it by “going the extra mile” to protect them from financial harm when the Medicare system breaks down. Does your insurance agent or agency give this high level of service to senior citizen clients? If not, maybe you should switch to an insurance agency that does.
This article is printed with the permission of the author(s). Opinions expressed herein are the sole responsibility of the article’s author(s), or of the person(s) or organization(s) quoted therein, and do not necessarily represent those of American Clarion or Dakota Voice LLC.
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