Managed Care and Insurance

walk photo Hemophilia of Georgia recognizes how the high cost of treating bleeding disorders can impact a family financially. Many families have difficulty obtaining insurance and paying costly out-of-pocket expenses. Hemophilia of Georgia's staff is here to help clients with insurance and billing issues. The Managed Care Contract Specialist works with clients to understand and manage their insurance benefits.

Hemophilia of Georgia also develops relationships with managed care companies to assist clients in choosing the HoG pharmacy. Hemophilia of Georgia is an in-network provider for many plans including Medicare. HoG also serves as an in-network provider for people who receive Medicaid for the disabled. Clients who wish to use the HoG pharmacy but don't see HoG on their plan should contact the Managed Care Contract Specialist. And, clients are encouraged to use the Health Care Plan Comparison Worksheet to determine which health care plan is best for them.

Billing Services

Hemophilia of Georgia always files insurance claims for clients. The HoG billing staff has more than twenty years of experience in specialized billing services for the bleeding disorder community. The billing staff works with clients to manage their insurance benefits by

verifying coverage
obtaining any necessary pre-approvals
providing letters of medical necessity
determining if the claim is major medical or drug card
following up on outstanding claims

HoG also keeps clients informed by providing monthly statements showing exactly what was billed to their insurance provider and what the client's balance is, if anything.

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