What to Expect from Your Medicaid Attorney

Medicare is a government funded health care program that is designed for people who meet certain strict low income guidelines and have other conditions that qualify them for services such as a disability or age guidelines. In essence Medicaid pays for the medical expenses of people who can't afford to pay for their own. For many people who are living on a limited income and live below the poverty line, Medicaid is the only source of medical insurance they have available to them to ensure they can see a doctor when needed. 

The problem that many people face is the fact that even though they think they qualify under the strict government rules and regulations that control the program, they have been denied coverage or they have coverage but a needed medical expense was denied. Since this is such a confusing topic many people don't know who to turn to for help or even how to begin the process to appeal a denial.

The first step is to stop stressing. It may be easier said than done and it is certainly a stressful situation to be in since most people who are applying for or using Medicaid are doing so out of a need and not as a luxury. A claim denial can seem like the end of the world to you when you have pressing medical bills that are coming due and ongoing medical issues that require attention but stress won't change the outcome at this point and you need to concentrate your energy into a plan of action. 

The second step as you develop a plan of action is to find an attorney that can help you appeal the denial. A Medicaid attorney is a legal representative who specializes in assisting people who have been rejected for Medicaid coverage but feel they were rejected unfairly. The appeal process can be just as lengthy as the application process and a Medicaid attorney can often navigate the waters better than someone who is new to the experience of government red tape.

Your Medicaid attorney can begin the paperwork to appeal the denial and will probably direct you to contact your medical care providers to let them know the Medicaid denial is being appealed in order to keep your bill from being sent to collections and making your situation even more stressful.

You should expect your Medicaid attorney to go through your denial letter and draft a response letter to your case manager about your claim as well as attempt to make verbal contact with the case manager about your claim. You should also expect your Medicaid attorney to do some follow up and push for your claim to be accepted. 
Since Medicaid is a government run program it comes with a lot of pitfalls but it also comes with a lot of rules and regulations that can ultimately help you get your claim reexamined and ultimately accepted.