RMACHADO GROUPINSURANCE INTERMEDIARYRMACHADO GROUP · THE MAGAZINE
The answers you are looking for about health. Choose an editorial series and explore one question at a time.
12 articles
Life in the policy
A reference to transport after discharge and a transport-booking service do not have the same effect. See how two arrangements differ in specific policy wording.
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The procedure’s number of K units and the euro value per K have different roles. Read a fee limit without confusing it with the final reimbursement.
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Separate psychology, psychiatry and inpatient care. Learn how to check mental health cover, limits and procedures without assuming everything falls under outpatient cover.
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A general chemotherapy reference does not establish every technique’s position. Compare inclusions, exclusions and the answer for the actual procedure.
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The period runs from delivery of the policy. Identify the discrepancy, request correction and retain evidence without confusing the request with cancellation.
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Distinguish clarification from a complaint after a health claim refusal. Organise the timeline, reasons and relevant records.
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With an outside-network prescription, check who requests prior authorisation, which channel to use and how to track the response.
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Check the process, documents and expected output of a second-opinion benefit. An expert opinion is not authorisation for every recommended treatment.
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Check the approved sessions, treatment and period before arranging physiotherapy. An authorisation does not mean unlimited sessions.
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Check whether a document shows only the invoiced amount or also payment. Prepare a legible reimbursement request without modifying the original records.
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When a health appointment changes, compare the booking with its preauthorisation and ask whether the insurer needs an updated request.
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Prepare questions about a home medical visit, identify the service required and clarify your health insurance procedure.
Read articleInformation to help you understand insurance. Conditions and acceptance depend on each contract.
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