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Short
Term Issues
Among the most significant
questions asked by families immediately after a catastrophic
injury or illness are:
- Identifying health insurance benefits.
- Obtaining the "master provider
contract" from the health insurer to review exclusions,
limitations, and definitions that can be used to deny benefits.
- Apply for state and federal medical
benefits.
- Prepare a comprehensive discharge
plan utilizing and coordinating benefits from all available
sources.
- Appoint a guardian when necessary.
- Identify any third party claims
(claims against an individual or company that caused the
injury).
Long Term Issues
Among the most important questions asked by families concerning
long term medical benefits/legal rights are:
- Apply for Social Security Disability
(SSD), Supplemental Social Security benefits, Medicare and
Medicaid.
- Coordinate health insurance benefits
with school district benefits, waiver programs and any other
sources to pay for long term needs.
- Investigation of the accident to
determine if a personal injury claim should be pursued.
- Work with an attorney/advocate to
prepare for school re-entry (IEP process).
- Identify and negotiate for extra-contractual
benefits.
- Filing all necessary health insurance
appeals in a timely manner.
Mr. Romano's
office will provide immediate assistance to answer the above
questions.
To Have Your
Questions Answered Call: 1-800-331-4134
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