Turning a No to a YES! Winning Over Your Insurance Company

Episode Summary

In Episode 34 of Think Like a Pancreas-The Podcast host Alicia Downs and her guest Elizabeth Spencer discuss the complexities of navigating insurance for diabetes management.

They emphasize the importance of patient advocacy, self-advocacy, and effective communication with insurance companies.

The conversation highlights the challenges faced by individuals with diabetes, particularly regarding Medicare and coverage issues, and offers strategies for overcoming these obstacles.

Learn how to take control of your healthcare journey and advocate for your needs.

Key Topics Discussed

• No is always the first answer; persistence is key.
• Set aside dedicated time for health insurance tasks.
• Organize your health insurance information effectively.
• Understand the importance of ICD-10 codes in insurance.
• Document your interactions and burdens with insurance.
• Leverage out-of-network care when necessary.
• Utilize community resources and support systems.
• Advocate for your needs with healthcare providers.
• Keep track of your insurance coverage and benefits.
• Be proactive in seeking help and guidance.

Chapters

00:13 --Turning No into Yes: The Journey Begins

04:58 -- Meet insurance advocate Elizabeth Spenser

09:30—Always question a No when it comes to dealing with your health insurance

10:43 – What is involved in a prior authorization

12:30— Self-Advocacy in Healthcare

21:36—What to remember when dealing with insurance companies

29:07—Key point to get your insurance to say Yes!

32:12—How to keep your insurance company accountable

36:16— BONUS!! Recap and extra tips from Alicia

Links

ICD10 Codes

How to get past the insurance gatekeepers

Disclaimer

The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

 

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If you would like to book a consultation with an Integrated Diabetes Services Team member go to:

https://integrateddiabetes.com/how-to-start-the-process/