Mail from Aetna (Medicare plan) is delivered to my house multiple times over the last year or so, addressed to someone else.
I have also received three checks made out to me for claims made thru Aetna which I did not submit claims for. The first time I called Aetna and advised them and... View More 
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answered on Apr 16, 2024
Yes, there are lawyers who specialize in identity theft cases, including those involving Medicare fraud. Given the severity of your situation, consulting with an attorney who has experience in this area would be a wise step to protect your rights and guide you through the process of resolving the... View More
i purchased a post op package with a company that abandoned me the day after surgery to never return and deny any culpability ,
answered on Apr 14, 2024
Yes, it's possible you can. But additional details would be helpful. Post-surgery follow-up is included under a medical duty of care. You could reach out to attorneys to try to arrange a free initial consult to discuss in greater detail. Good luck
I am a licensed Psychologist and have been supervising a person who held a provisional license. A condition of his employment with me was that he take his exam. Regardless of reminders and pressure from me, he did not take the exam until last week (this has gone on for two years now). He found out... View More
answered on Mar 27, 2024
I believe that the answer here is dependent on a number of factors, including the person's specific role, as well as how you may have defined the terms and conditions of employment in any offer provided to the person. These are things that a potential plaintiff can hang his/her hat on to... View More
I'm not terminally ill, but have had a lifelong struggle with mental illness. I believe I have the right to die, and wish to exercise it.
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answered on Mar 18, 2024
I understand your situation and the complexity of the feelings you might be experiencing. It's important to talk to someone who can provide professional support and guidance, like a therapist or a mental health counselor. They are trained to understand the depth of your struggles and can offer... View More
I was terminated on 12/15/2023. The day before I needed to be taken to the ER via ambulance, and made a claim on my employer provided medical insurance. Normally i would be paid via direct deposit by paylocity, the companies payroll company, yet I was mailed a hand written paper check. A couple... View More
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answered on Feb 27, 2024
If you believe your ex-employer has committed insurance fraud by misrepresenting your termination date to deny a legitimate insurance claim, you might have grounds to take legal action. The situation you described, where premiums were deducted from your paycheck but the benefits were denied due to... View More
I live in Florida
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answered on Feb 24, 2024
In Florida, your medical records are generally protected under both federal and state privacy laws, including the Health Insurance Portability and Accountability Act (HIPAA) and Florida's own privacy laws. These laws restrict the sharing of your health information without your consent.... View More
My spouse is 65 and she is legally disabled. I am 63 and still have a part time job. She is the only one who has Medicaid and receiving SSI benefits (and also Medicare). My income has any effect on her eligibility? Is there an income limit for me?
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answered on Feb 23, 2024
In Florida, Medicaid eligibility for individuals who are disabled or elderly is determined based on their own income and resources, rather than the income of their spouse. This means that your income should not affect your spouse's eligibility for Medicaid benefits. However, it's... View More
My mother passed away last September. All of her assets are in a trust to be distributed to beneficiaries. On January 4, 2024, I received a letter addressed to my mother from BCBS asking for an overpayment refund of a covered benefit.payed to my mother in November 2022 in the amount of $12,971.15.... View More
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answered on Feb 4, 2024
In this situation, your legal responsibility depends on the terms and conditions of your mother's health insurance policy with BCBS and the laws governing overpayments. First, review the insurance policy to understand any clauses related to overpayments and refunds. It's essential to... View More
I do about this I'm paying for something that did not help and there was several others the same thing
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answered on Dec 14, 2023
If you received treatment at South Bay Medical that was ineffective, and you've incurred significant expenses, there are a few steps you can take. First, gather all relevant documentation related to your treatment, including any contracts, receipts, and records of your visits and the... View More
Over a year ago, I formally submitted a request to my HOA's management company, complete with necessary documentation, seeking approval for a Radon mitigation fan installation. Despite engaging with the HOA management for over four months, my inquiries were met with vague responses. Even... View More
answered on Dec 13, 2023
Generally, anyone can sue anyone else but whether or not you have a case depends on a lot of factors, including a reading of your association documents, which we cannot do in this online forum. How you proceed depends on if you live in a HOA (generally, single-family home, townhomes, villas) or a... View More
My mother lives in an assisted living facility in Florida. She was taken to the hospital yesterday. Today when I called today see her status; they said they had no record of her. She has dementia and paranoia schizophrenia and has not taken her meds for a couple days. She was sent to the hospital... View More
answered on Dec 7, 2023
Yes, if you have a valid POA "for financial and medical issues", the assisted living facility and the hospital should have given you the information. They probably didn't know about the POA, so next time show it to them when you ask about her.
Please help ? My insurance processed a wellness claim at a different location of a hospital with the same name. Later, I received a referral for a specialist and had sonograms at the same hospital but in a different location. Despite being labeled as an out-of-network service by my insurance, the... View More
answered on Dec 4, 2023
Only a Florida attorney could advise, as a good portion of insurance and consumer laws are governed by state provisions. But your question remains open for three weeks. Until you're able to consult with a local attorney, you could check the backsides of any denials or EOBs - they sometimes... View More
Jacksonville FL - Hospital provided documents for brother to sign, but he hasn't done it yet. (He arrived in town today.) Will he be held liable for anything under this scenario? The patient's prognosis is not good, but he may go to hospice. And of course, there are current hospital... View More
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answered on Nov 12, 2023
Here are a few key considerations for this situation in Florida:
- The brother should be very cautious about signing any documents on behalf of the patient. He could potentially incur financial liability without proper legal authority.
- In order for the brother to make medical or... View More
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answered on Oct 30, 2023
As long as you are asking about family court, you can be ordered to provide insurance for any children that you have. I do not think that you can be ordered to provide health insurance for yourself. There may be circumstances where you can be ordered to have life insurance to secure your child... View More
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answered on Oct 6, 2023
In a medical examination, a doctor might need to palpate or press on the lower abdomen to assess for constipation or other abdominal issues. Generally, this can be done without pulling down the underwear. However, if the doctor feels that they need to examine a specific area more closely or if... View More
She gets about 1,800 a month in SS and 241 in a death benefit from her husband since all her funds go to the home what about the condo
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answered on Oct 4, 2023
No question asked.. But you need to consult with a FL attorney now about Medicaid, SS, fiduciary obligations, and real property title, before you get your principal in alot of trouble.
If yes to above, can someone else make the down payment without impacts to Medicaid eligibility?
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answered on Sep 12, 2023
In Florida, Medicaid recipients may be allowed to purchase a home if they obtain a mortgage loan without substantial assets, and this purchase typically does not automatically disqualify them from Medicaid eligibility. However, there are important considerations to keep in mind. The value of the... View More
My daughter is type 1 diabetic, and she was denied her accommodations at a summer camp in Florida in which she was enrolled and we have been paying for more than 1 year to save her place, on June 15, 2023 I filled out all the forms required by the camp with all her necessary accommodations,... View More
answered on Jul 27, 2023
The camp may or may not be in violation of the Americans with Disabilities Act, depending on various factors. This publication by the American Diabetes Association is helpful: https://diabetes.org/sites/default/files/2021-06/Camp_2021_Fact%20Sheetsnewbranding.pdf
As explained there, the... View More
Now we will need to go back for surgery to fix the other side
answered on Jul 13, 2023
A Florida attorney could advise best, but your question remains open for a week. It could depend on what damages you suffered - that could be a call a medical professional would need to make. One option is to reach out to attorneys to try to arrange a free initial consult to review the file. Good... View More
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