RESOURCES
Clarity • Support • Advocacy
This Resources Page is designed to help seniors, caregivers, and families better understand medical bills, insurance, Medicare, and patient rights. Everything here is written in clear, simple language so older adults can feel confident and supported.
🌿 Medicare Resources (Senior-Focused)
Understanding Medicare
Medicare can be confusing, especially with multiple parts and coverage rules. We provide clear explanations of:
- Medicare Part A (Hospital Insurance)
- Medicare Part B (Medical Insurance)
- Medicare Part C (Medicare Advantage)
- Medicare Part D (Prescription Coverage)
- Supplemental “Medigap” plans
Medicare Summary Notice (MSN) Help
We explain how to read your MSN, what each section means, and how to spot errors or unexpected charges.
Common Medicare Billing Issues
Seniors often face:
- Duplicate charges
- Incorrect coding
- Out-of-network surprises
- Denied claims
- Unexpected copays
We help identify and resolve these issues.
Medicare Appeals
If Medicare denies a claim, we guide seniors step-by-step through the appeals process and help gather the information needed to challenge the decision.
🧾 Insurance Basics
Understanding Your Coverage
- Deductible
- Copay
- Coinsurance
- Out-of-pocket maximum
- Allowed amount
- Prior authorization
Explanation of Benefits (EOB)
We help clients understand what an EOB is, what it is not, and how to compare it to actual bills.
Out-of-Network Issues
We help seniors and families understand when out-of-network charges are valid and when they can be challenged.
🧠 Medical Bill Help
How to Read a Medical Bill
- Hospital bills
- Specialist charges
- Lab and imaging fees
- Emergency room bills
- Ambulance charges
Common Billing Errors
- Duplicate charges
- Services not received
- Incorrect coding
- Upcoding
- Balance billing
Before You Pay
We teach clients what to check before paying any medical bill to avoid overpaying.
📑 Appeals & Denials Support
When a Claim Is Denied
- Why the denial happened
- What steps to take next
- What documents are needed
- How to communicate with insurance companies
Types of Appeals We Support
- Medicare appeals
- Private insurance appeals
- Medicaid-related billing issues
- Prescription coverage denials
- Long-term care billing disputes
👵 Senior Protection & Caregiver Support
Avoiding Medical Billing Scams
- Fake bills
- Fraudulent charges
- Scare tactics
- Overbilling schemes
Protecting Personal Information
- Medicare numbers
- Insurance cards
- Medical documents
- Phone calls requesting information
Caregiver Guidance
- Organize medical paperwork
- Understand insurance rules
- Track bills and EOBs
- Communicate with providers
🏙 Local Cincinnati Resources
Senior Centers
We connect clients with local senior centers offering support, meals, activities, and community programs.
Legal Aid
We refer clients to organizations that help with:
- Elder rights
- Healthcare disputes
- Consumer protection
Community Health Partners
We maintain relationships with local clinics, hospitals, and community groups to ensure seniors receive coordinated support.
🔒 Confidential, HIPAA‑Compliant Support
All guidance and services are provided in a private, secure, and respectful environment. We protect every client’s information and follow all HIPAA standards.