With 20 years of experience working in healthcare and medical oncology for pharmaceutical giants like Pharmacia, GlaxoWellcome and Sanofi-Aventis, Katherine Woodfield, now a consumer educating health insurance broker, is fighting to save you money. A two time cancer survivor, Katherine has been called “the Suzie Orman of Health Insurance."
Health Care Insurance Education, in the news
Katherine Woodfield on the Radio:
RUNNER-UP Don’t Buy That Health Insurance – Katherine Woodfield
Katherine Woodfield and her book referenced in Fox News
What do you do when your doctor doesn't take insurance anymore? Do you still go to the same doctor?
Doctors or service providers who do not accept insurance have made a business decision not to sign any contracts with any health insurance providers.
Essentially, they have decided that the payment the insurance company is offering for their services is inadequate and have declined to with work providers.
When you are looking at your insurance options, you may be considering "Out of Network" coverage. This usually means that your insurance provider will pay a certain per cent of the bill from an out of network provider. You will be expected to pay the health care service provider at the time of services. Then, you may apply to your insurance company for reimbursement for some of you bill or for a credit toward your deductible.
If the service providers file this request on your behalf, it is called "Courtesy Billing". If they want you to do this, they will give you a Universal Claim Request (UCR) and you will mail the form to your provider and follow up with the insurance company as to how this visit will be addressed.If you know in advance that there are doctors who "Don't Accept Insurance", should you sign up for "Out of Network"
Coverage during open enrollment? Maybe yes, maybe no. It depends upon the terms of your plan and the contract. It also depends upon the type of services that you are receiving and how your plan is designed. There are several questions you will need to ask your plan administrator before making a choice:
- If I am seeing an out of network provider, how do you allocate credit for services received?
- If you have a child with special needs who is receiving supportive services from your state, how will the plan manage your co-payments?
- How much credit do I receive for services received by an out of network provider - is it a flat percentage?
Reprinted from CentralJersey.com
Somerset county author hopes to educate consumers on the health insurance industry in her new book 5:15 PM, Dec 10, 2012 Written by Jennifer Engelhart @jen_engelhart
Katherine Woodfield took learning about health insurance to a new level. In her self-published book, “Don’t Buy THAT Health Insurance: Become an Educated Health Care Consumer,” Woodfield said she provides a great way for the typical buyer to become more educated on the topic.
Woodfield said that much of the literature published on health insurance is incredibly complicated and not easily readable for the average consumer.“I was looking to develop a tool to educate people and let them understand that the insurance industry is a chess game, and we haven’t been told what the rules are,” Woodfield said. “We are being moved around like pawns on the board.”
Woodfield has a 20-year career in the health care industry and has invested time into becoming an educated health-insurance consumer. She is a licensed broker, adviser and an advocate for the health-insurance consumer.
Woodfield attributes the inspiration for her book to “Deadly Spin” author Wendell Potter. She said she learned through Potter’s writings a significant amount of information on how the insurance industry is intentionally marketing to consumers in a manner that they knew is not healthy for them.
“The insurance companies have literally patterned themselves on this intentional marketing,” Woodfield said. “The everyday person needs to know this information.” Woodfield said there is an array of reasons why the average person does not fully comprehend the world of health insurance. She said that many people feel that insurance is boring and most allow their bosses or human-resources departments to deal with it.
She said that insurance companies thrive on their consumers’ lack of knowledge. “There is no for-profit organization talking about how we need to become educated,” Woodfield said. “We have been kept completely ignorant by design on the topic of insurance.”
Woodfield hopes to change this through her book. With chapters including “You Are Not the Beneficiary of Your Health Insurance,” and, “The Answer to Why Your Health Insurance Rates Keep Increasing,” Woodfield said the consumer will have a much better understanding of all things relative to health insurance.
“One of the things I want you to do before buying health insurance is to become an educated consumer,” Woodfield said. “My book is the foundation for this understanding.” Woodfield said she enjoys explaining to people how “not” to give your money to health-insurance companies. She said the consumer can control their rates as long as they choose to engage.