Can You Use Health Insurance for Cosmetic Procedures?
This is one of the most common and often confusing questions in employee benefits. The short answer is: it depends entirely on how your health plan defines...
Claims & Appeals
520 posts
This is one of the most common and often confusing questions in employee benefits. The short answer is: it depends entirely on how your health plan defines...
If you’ve ever priced COBRA after leaving a job, you’ve probably had the same reaction as everyone else: the premium looks high. Then the next step is...
Pre-authorization, also known as prior authorization or pre-certification, is a critical cost and quality control process used by health plans. It requires...
Most employers buy benefits vendors the way they buy software: compare price, confirm integrations, nod at a slick implementation plan, and sign. Then six...
Most wellness-program HIPAA advice boils down to: don’t share people’s health information with managers. True-and also not where most employers get burned....
Waiting periods for specific treatments are a standard, yet often misunderstood, feature of employer-sponsored health plans. They are predefined timeframes...
Determining if a specific treatment, procedure, or medication is covered under your healthcare plan is a fundamental yet often confusing task. The answer...
Mental health benefits are usually discussed in two familiar ways: parity (“cover it like medical”) and access (“add more providers”). Both matter. But...
Navigating healthcare benefits can feel like deciphering a complex code, leading many employees to leave significant value-and savings-on the table. These...
The email lands in your inbox at 4:47 PM on a Friday: "Only 23% completion on annual safety training. Audit is Monday." You've seen this before. Another...
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