The Most Complex System to
Understand and Navigate
Are you Confused, Frustrated and Angry
Navigating healthcare is complex
Your source for practical information
The following are "HOW TO"S" for planning your healthcare.
HCNC Saved Me $681
My daughter had emergency surgery while at college. I received many bills and asked HCNC to review them. They found the hospital processed an insurance payment wrong and was billing an additional $681 to me. They called the hospital, explained the problem and the hospital adjusted the bill.
I Received a Bill that was 18 Months Old
I received a $181 bill from my doctor that was 18 months old. I asked HCNC to review. They contacted the insurance company and doctor’s office to discover the bill sent to me was result of an audit performed by the insurance company requesting their payment back. The bill was not my responsibility and was adjusted.
Out of Network ER Bill was $5200
I went to the ER and the total bill was $5200. I had an insurance policy that had a $5000 deductible. My insurance was out of network and it paid $98. I made many calls to the hospital to find out if they would discount my bill. No Luck; I contacted HCNC. The hospital committed to a 20% discount. Other Insurance plans receive a 40% discount. We asked for a 40% discount and was turned down. We have filled a complaint with the State Department of Insurance requesting a meditation hearing. More to come.
I Received a $4000 Bill from My Surgeon
I had hip surgery and the procedure code used by the surgeon was denied because it was “experimental”. Multiple attempts to reverse the denial were unsuccessful. I thought I did very thing right before and after the surgery. I was wrong. I contacted HCNC and they investigated the claim on my behalf. They were able to negotiate and convince the billing office to write off the $4000.
Saved a Patient Over $1200
The patients' hospital account was sent to a collection agency. He was eligible for financial assistances. HCNC help in completing and managing the process with a result of the hospital writing off over $1200.
Section 1: Government Sponsored Programs: Medicare, Medicare Advantage, Medicaid and Social Security Navigator
Government supported programs can be very difficult to understand and navigate.
Our goal is to help the consumer navigate Traditional Medicare, Medicare Advantage, Medicaid, Social Security and Nursing Homes
Section2: Develop Your Healthcare Personal/Family Planner
Planning for your healthcare annually can be very daunting. As the healthcare landscape changes, this process will become very important. The goal is to help the consumer with a practical approach to plan for their healthcare.
Consumer Trends Navigator: Healthcare changes rapidly. The Consumer Trends Navigator will provide you with up-to-date information that will inform consumers about current issues, trends and legislation changes. In addition, we are including a section regarding hospital spending, waste and are hospitals fiscally responsible.
- Consumer Trends
- Politicians and Concerned Voters: Healthcare Waste Identified
- Kaiser Bill of The Month
- And More…
Healthcare Quality, Pricing and the No Surprise Act Navigator
Quality in healthcare means providing the care the Consumer needs, when the Consumer needs it, in an affordable, safe, effective manner. Quality healthcare also means engaging and involving the Consumer, so the Consumer takes ownership in preventive care and in the treatment of diagnosed conditions.
- HOW TO NAVIGATE THE HEALTHCARE PRICING MAZE
- HOW TO FIND HEALTHCARE PROVIDER QUALITY
- HOW TO NAVIGATE THE NEW CMS NO SURPISE ACT
- AND MORE…..
Consumer SCAMS: What You Need to Know
Consumer scam and fraud comes in many different shapes and forms. However, the official definition describes it as “deceptive practices that result in financial or other losses for consumers in the course of seemingly legitimate business transactions.”
Basically, this means that goods or services are sold using some form of deception. The goal is to make consumers pay more than would be reasonable, sometimes for products or services they will never receive. The practices are deceptive and unlawful and unsuspecting customers are conned out of a lot of money. As technology evolves, consumer scams evolve as well. This is why many now originate on the internet.
A lot of people believe that only unwitting people who are naive will be duped. In reality, however, anyone can be victimized by consumer fraud. For instance, you may be paying too much for a magazine subscription. This is something minor, but it can also be as bad as having your identity stolen.
The Healthcare Consumer Navigator Center is your all-inclusive healthcare reference site to guide you through the healthcare maze.
SHARE YOUR HEALTHCARE STORY WITH US:
GO TO CONTACT US ABOVE; SELECT “SHARE YOUR STORY” TELLS US
WHAT HAPPENED…WE MAYBE ABLE TO HELP YOU
NEW: CARING FOR AGING PARENTS can be a complicated maze of managing personal care and navigating the healthcare system. HCNC has published “CHECK LISTS” to help caregivers navigate the maze. By beginning to prepare for what might come you will make both your lives (you and your parents) much easier. Find the information in our Consumer Information Navigator above.
NEW: The No Surprise Act (SURPRISE BILLING) is effective January 1, 2022. Our goal is to provide the consumer with an easy-to-use guide to help navigate the Act. Find the information in our Consumer Information Navigator above.
NEW: CONSUMER HEALTHCARE SCAMS. Located in our Consumer Trends Navigator, this section will help guide you understand and guide you to manage healthcare scams.
NEW: Our new HEALTHCARE MEDICARE/MEDICARE ADVANTAGE NAVIGATOR will focus on issues relating to the older healthcare consumer. This section will have timely and valuable information.
NEW…Check Out Our Pod Casts..Hosted on Buzzsprout:
NEW: A GUIDE TO MANAGE YOUR PATIENT BALANCE OR MEDICAL BAD DEBT
Click on the Link Below
The Healthcare Consumer Needs Help
The typical healthcare consumer, at some point in time, will have a negative experience with or navigating the healthcare process. The consumer lacks a basic understanding of the healthcare system. This is a deadly combination that creates consumer frustration and, at times, financial risk. Consumers are being asked to do more and pay more for healthcare. These new variables will force the consumer to plan and implement a Personal/Family Healthcare Plan. The plan will help the consumer select the correct healthcare providers and budget for annual healthcare expenses. Healthcare is changing rapidly. The following are several examples:
- High deductible health plans are becoming the norm
- Provider networks are changing and are shrinking
- Consumer are forced to assume more medical and financial risk
These changes are forcing the consumer to plan! HCNC is committed to assist the Healthcare Consumer.
FAQ’S About Healthcare Consumer Navigator Center
- What does Healthcare Consumer Navigator Center do?
HCNC is a national organization that provides FREE guidance, advice and information to the Healthcare Consumer.
- What Information do you provide consumers?
HCNC provides information, such as:
1. How to develop a Personal/Family Health Plan
2. What type of healthcare discounts are available to the consumer
3. What type of health insurance plans are available to the consumer
4. Monitoring and reporting on current healthcare consumer trends
- Can I ask you questions about healthcare concerns?
Yes. Email us and we will answer your questions.
- What is a Personal Family Health Plan?
A Personal Family Health Plan lays out the medical and financial requirements on an annual basis. Healthcare consumers plan for vacations, college, retirement, etc. but never for healthcare. The planning process guides the consumer to think and plan for healthcare.
Latest Blog Posts
- No Surprises Act: Perspectives on the Status of Consumer Protections Against Balance Billing - Brief Apr-18-2023 | Hoadley J , Lucia K , Volk J , Walsh-Alker E , Swindle R , and Wengle E One year after implementation of the No Surprises Act (NSA), the law is largely protecting consumers from the…
- Navigating the Healthcare System My Healthcare Story and What I Learned - It was a Sunday morning in November and all of a sudden what began as a relaxing day turned into an ER visit followed by…