Take Care
Navigating the healthcare system can be overwhelming—Take Care is here to change that. Hosted by healthcare leader and industry expert Melody Mulaik, this podcast breaks down the complexities of healthcare so you can be empowered, informed, and in control. Whether you're managing your own care or supporting someone else, each episode delivers clear, practical insights to help you take care of what matters most. Subscribe wherever you listen to podcasts, and join us in making healthcare less confusing—and more human.
Take Care
What Can I Do If My Insurance Won’t Approve My Surgery? | Ep. 14
Learning that your insurance company won't approve a necessary surgery can be terrifying and frustrating. But a denial is rarely the final word. In this quick-hitting episode, host Melody Mulaik demystifies the insurance approval process and provides a clear, step-by-step action plan to fight back. Drawing on her extensive industry experience, Melody explains why denials happen, how to effectively partner with your physician's office, and the critical importance of documenting "medical necessity."
This episode equips you with the tools and tenacity to challenge a denial and advocate for the care you deserve, turning a stressful "no" into a successful "approved."
Featured Topics:
- Why an insurance company’s lack of approval is often a request for more information, not a final decision.
- The crucial role of "medical necessity" and how to prove it.
- Step-by-step instructions for navigating the approval process.
- How to effectively collaborate with your doctor's office to build a strong case.
- Tips for staying organized, persistent, and empowered throughout the process.
What You’ll Hear:
- 00:00 - Introduction: Why a "No" Isn't the Final Answer
- 00:48 - Step 1: Understand Your Denial
- 01:55 - Step 2: Partner with Your Doctor's Office—Your #1 Ally
- 03:20 - Step 3: The Appeal & The Power of Proving "Medical Necessity"
- 04:50 - Persistence, External Reviews, and Final Encouragement
Want to Ask Melody: https://melodymulaik.com/ASK Don’t forget to subscribe so you won’t miss an episode. If you've ever faced an insurance denial, this episode is a must-listen.
