During a financial analysis of healthcare expenses and plan options, Caribou learned more about the son’s medical cost drivers. His condition was rare, so they frequently received insurance denials and one out-of-network cost stood out from the rest. The analysis indicated that adequate network care wasn’t available and Caribou advised to pursue an appeal of the denial of coverage on that basis.
With the support of excellent record keeping by the client, an appeal documenting the lack of in-network care was submitted and the denial was overturned. This resulted in a refund of more than $76,000 to the family.
How Caribou's team of Healthcare Advisors assisted:
Brian was better informed about his options while making decisions, and him and his financial advisor felt confident about the mother's needs and the associated costs.