Question

how would you escolain this to patient when he comes to you with the medicaud denial Letter? how would you confirm the patient understood the insurance coverage

Answer 1

1. When a patient comes with the medical card denial letter, first we/ he/she have to identify why the medical card was denied. There are many reasons. First we have to call their doctor, insurance company personnel or hospital. They will give the exact reason for the denial of medical card. Then we can explain the exact reason for the denial to the patient.  

Keep in mind many denials are reapplicable. Many hospitals social workers can assist the patients for dealing with healthcare insurance companies to obtain medical benefits for those who qualify.  They are employed to help patients. Then we can apply or re-apply insurance. File everything electronically and we need to keep a digital paper for the reference when dealing with your insurer. And become aware of entire health insurance policy and need to aware why our insurer denied our health insurance. We need to become aware of both the price of the procedure that was denied. The price how much of your insurer will cover, how much of you will pay with your physician or hospital.  

2. Medical health care information sometimes difficult to patient. But it is very important that to ensure they are clear and understand about the policy. Healthcare professionals to give their explanations about the policies to the patient. Patients with health literacy can understand it easily, but patients with non health literacy can not understand easily. So good communication with health provider make it more easily. Provide information that includes pictures and illustrations that can also help to understand. Ask the patient to ask more questions about instructions in his own words. Give more explanations to their questions. Evaluate the patient's understanding about the health insurance. The we can confirm the patient understood the insurance coverage.