282113?1206138090
Amir Mostafaie  
Male
Gold River - CA

Specialties: health insurance, insurance

eHealthInsurance
11919 Foundation Pl. # 100
Gold River - CA
Claim denial
Dec 14, 2009 04:09PM in the Health Insurance Expert Forum
Dear Lisa33167, Regarding your question "even if I said I had experienced problems for years and not been treated or obtained treatment for say heart problems; they can use that information to deny a claim?". That depends; first on whether or not the insurance carrier can argue that the symptoms you had were severe enough that a prudent person w...
Claim denial
Dec 10, 2009 01:50PM in the Health Insurance Expert Forum
Dear Lisa33167, You mentioned in one of your posts that you went to a weight loss clinic in 2007 & again in 2008. I suggest contacting that clinic ASAP & a) ask them for a copy of your medical records to see if any of the “prior medical history” (as quoted by the carrier) is noted there & b) if any other entity has contacted the clinic requ...
Question on health insurance relating to motor vehicle accident
Dec 07, 2009 12:26PM in the Health Insurance Expert Forum
Dear Sarge09, To protect yourself against "future" risk & liability you can obtain AFLAC Accident Insurance. Most work places offer it through a licensed/authorized AFLAC representative or you can also go to www.aflac.com & look for an AFLAC Sales Office in your area. As for your ER charges most plans pay claims that rise from true em...
Surgery not covered by my insurance company
Nov 23, 2009 07:35PM in the Health Insurance Expert Forum
Dear MedInsuranceQ, We often see carriers covering certain benefits at a lower rate because it was performed out of network but it is rather unusual to see one not covering the service all together because of using an out of network provider. The first step is to call the clinic & ask them to help you figure out why your claim is being denied. Is ...
Prior Authorization on Rx
Nov 23, 2009 07:19PM in the Health Insurance Expert Forum
Dear orangeblossoms, Thank you for sharingthe good news; I am very happy that your PA was approved. Happy Holidays, Amir Mostafaie
tooth pain
Nov 17, 2009 02:04PM in the Health Insurance Expert Forum
Dear member, I suggest calling Caresource's service center at 1-800-488-0134 for specific benefit questions. Sincerely, Amir Mostafaie