Virginia Medicaid (Cardinal Care Smiles) - Denied dental services on medicaid- what's my next move?
Virginia Medicaid (cardinal care smiles) helped me see a dentist for the first time in a hot minute.
Long story short, I just received correspondence that the crowns I need have been "partially denied." The exact denial was worded as, "We decided to partially deny the request.". They did not elaborate on why.
What do I do from here? They stated "Your provider can ask to talk to our dentist that made thsi decision."
So, do I have to reach out to the practice to REQUEST they advocate for me? Or were they also now notified?
I was so excited to finally make headway with my dental health. I'm feeling like the grandma from that one scene in the incredibles right now haha.
Thanks for any and all advice.
Medicaid - Medicaid in New Mexixo
Location: New Mexico, USA
Hello,
I work at a bed n breakfast. I make $15/hr, work about 20-25 hours per week with some fluctuations, 3-4 days per week, and will not work for 2 months out of the year when it is closed. I live nearby in a camper off grid. No criminal history.
My employer pays in cash and does not offer health insurance or any benefits. I am working to apply for medicaid since my application for insurance through the marketplace flagged as possibly eligible for medicaid. They said I need a letter verifying my hours and wage from my employer. When I asked my employer for this, she said she didn't want to because of not wanting to draw attention to the business. So now I'm stuck without health insurance and wondering what to do. I am thinking that she may not be running the business legally on her end after this since she said she didnt want to have anyone from the state asking about the business.
I am wondering, if I contact medicaid and inform them of this, will the business be audited and ruined? She is very vindictive and I just want to be cautious about my next move. I want health insurance of course, but it is a very rural area and the only business for 35 miles in any direction, so a lot of people rely on it. Should I just quit? Should I just get coverage through the marketplace? I don't really have much money so I would like to try and limit my expenses.
Thank you for any information or advice.
MI Medicaid - Insurance denied claim for ER visit and says I owe 0$ but I got a 1000$ bill from hospital in the mail.
I had an ER visit back in Dec 2024 and I got a bill yesterday for 1000$. On my insurance app (MI Medicaid) it says I owe 0$ and the claim was denied but I still got a bill. Am I responsible to pay this bill still? I submitted a claim with my insurance because it was an emergency and at night no urgent cares were open. It’s Sunday so nothing is open and nobody else I can talk to right now. What should I do?
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