When a health insurance company is deciding whether to pay for your medical treatment, the company generates a file around your claim. All the records associated with your case should be part of your ...

You try to dot every “i” and cross every “t,” but errors can slip through. Those errors could be the reason your insurance ...

While the appeals process is time-consuming, you can and should always appeal claim denials. Americans file appeals on as few as 0.2% of coverage denials under ACA marketplace plans, but appealing can ...

The biggest surprises in health cover are rarely about premiums. They are about definitions, disclosures and small clauses ...

Millions of Americans in the past few years have run into this experience: filing a health care insurance claim that once might have been paid immediately but instead is just as quickly denied. If the ...

The targeted killing of UnitedHealthcare CEO Brian Thompson in December became a turning point in the public's growing frustration with the health insurance industry. People began sharing stories ...

Health insurance has become necessary, with large and unpredictable health care costs always looming before each of us. Unfortunately, the majority of people have experienced problems when using their ...

Discover which services are typically not covered by health insurance, including cosmetic procedures, fertility treatments, ...

Most people in the United States are happy with their health insurance, but many still struggle with denied claims, delays and rising costs.

A consumer court ruled that health insurers cannot deny claims based on exclusion clauses unless clearly disclosed and accepted by policyholders. Star Health was ordered to pay a policyholder the full ...

India's insurance watchdog, IRDAI, has fined Care Health Insurance Rs 1 crore. The penalty stems from serious lapses in how ...

As we enter health insurance open enrollment season, patients should be aware of an alarming trend—the escalating rate of health insurance claim denials—and what they can do to advocate for themselves ...