3 minute read

for Most Seniors

A client brought medical bill papers to our Schererville office in the shopping center at the northeast corner of U.S. 30 and U.S. 41. That office copied the papers and sent them to me. I reviewed the papers and immediately knew it would be a complicated case. I phoned the client to come to my office to work with me.

I needed the client with me to give permission for me to speak and question for the client on every phone call to comply with federal privacy protection law. The bill and Medicare Summary Notice about the bill showed me that the client’s Medicare file was fouled with false information. The bill was for $975 because Medicare refused to pay anything on it. Until the Medicare file got fixed, our client would continue to get bills like this that Medicare should but wouldn’t cover.

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We phoned two offices of Medicare to try to fix the problem. But we had to phone an insurance company and a chiropractor’s office to pursue fixing the Medicare record. The problem was that the insurance company never told Medicare that our client had finished treatment for a car accident in 2021. When our client got treatment in 2023, Medicare refused to pay anything because it thought that the car accident matter never had been settled. The insurance company never got a final report from the doctor so that it could close its file and notify Medicare to end the car insurance matter.

I know what happened. The insurance company sent money to our client instead of directly to the chiropractor. The chiropractor’s office did not know that it was supposed to notify the insurance company of the ending of treatment of our client.

This system is too complicated for most seniors to work to fix. In addition to this, our client was a little “hard of hearing”. How is a senior on Medicare supposed to know how to fix a “bad info in Medicare file” matter? Fortunately for her, she got her Medicare supplement policy through our agency and I am helping her.

Note: Woodrow Wilcox is the senior medical bill case worker at Senior Care Insurance Services in Merrillville, Indiana. He has saved clients of that firm over three million dollars by correcting medical bill problems. Also, Wilcox wrote the book SOLVING MEDICARE PROBLEM$ which is available through book stores and online.

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