State is Michigan. I want to keep this as private as possible. Basically I had a double mastectomy back in the beginning of January. It was supposed to include liposuction on my sides to prevent 'dog ears'. I traveled 9 hours for this surgery. The swelling was so bad under my armpits I couldn't really see the open wounds. When I would do my cleaning and dressing changes every day I noticed a lot of discharge and blood. I had both of my sisters look at the wounds since I couldn't see them. I ended up going to the ER. The did cultures of both side wounds and started me on an IV antibiotic and an oral one. I contacted my surgeons office and got scheduled with a PA. They tried saying there was no infection and just to put Vaseline on it. They then extended my LOA at work. The ER contacted me and said that I had E. Coli and a staph infection. They changed the antibiotics because the one they prescribed wouldn't treat the infection. I relayed this info to my surgeons team. At this point I still haven't met with my surgeon after two months. I googled how to treat the wounds and took the care into my own hands. No doctor in my area will touch the surgical sights since they didn't perform the surgery. Two months later and I still have an open wound with discharge. Fast forward to this past Friday my health insurance sends me a subrogation claim letter to fill out. I have never heard of this before. It wanted me to file a police report and a LARA report. It also asked if I've hired an attorney. I called the state police post and they said to call the attorney general for any medical malpractice suits. So my question is how do I find the proper attorney and what are my steps now? I live in a small town and don't even think there are any attorneys that deal with medical malpractice. I have very detailed documentation of my infection and medical reports. Any advice is welcome.

Hi I would like to hear your thoughts on Wawanesa Insurance? Plan to switch from AAA to Wawanesa. AAA double my insurance, no accident or traffic ticket. Please let me know. TIA.

My car was involved in an accident around July 4th, 2024. A little bit of backstory about the car. I had purchased a car used at the end of December for about $12k in cash. It felt like a solid car to drive, was well within its KBB value, and was signed off by a mechanic before its purchase. I needed a car for work since I had been reprimanded by my boss for not returning to the office when our Return to Office mandate was in place. I was eventually laid off for being out of compliance with this mandate a month later. Below is the account of the incident from my sister, who was driving during the time of the accident: * 7:15 pm - Leave the house to go to Whole Foods. * 7:50 pm - Gets pulled over by a police officer for having the taillights out. The two side tail lights were out, but the top one was still working. The officer mentions this to her and says that she should go home before it gets too dark. * 7:51 pm - Makes a stop at Whole Foods since she was a minute away * 8:38 pm - Leaves Whole Foods * 8:45 pm - He had to make an emergency stop for a flock of geese and gets rear-ended. She mentioned that she was able to stop, and there were other drivers around here who were also able to stop, but the person behind > her most likely wasn't paying attention. * 8:47 pm - The police were called onto the scene. * 9:00 pm - My brother arrives to pick up my sister, and my car was towed to a lot. I was not able to get any information from the police department on the stop that was made before that night. When I tried to file a claim through my insurance (Progressive), my claims specialist mentioned that there was nothing that they could do since I only had accident coverage, not collision. However, they felt that the other party was completely liable for the accident. From the accident report, I was able to get ahold of the other party's claims specialist (Allstate). They had mentioned that their party already filed a claim and that they would be reaching out to the driver for an account of what happened that night; my sister mentioned everything that I had written above. The specialist called back the following day, stating that the case would be going to arbitration and that I would be notified by mail on the resolution. She also mentioned that I could supply any information about the car to help my case. I provided some pictures of the car as well as the still functioning top taillight. I called back around the end of August to see if anything had been settled, but they again mentioned that I would be contacted by mail when a resolution had been reached. Fast forward to December of 2024, and I still hadn't received anything in the mail. Since I lost my job in February and was struggling to find work, I had to terminate my lease at my current apartment. And since I would be moving back to my childhood home, I wanted to make sure that the letter that I would be receiving was going to the right place. When I contacted the other party's specialist, they mentioned that not only was the case primarily for their party's damages, but it was also thrown out in September. They also let me know they would only be willing to cover 50% of the damages to my vehicle since my sister was aware that the car had 1/3 working taillights. With this in mind, I decided to call a few collision specialists in the area to get an estimate of the damages. Of the few places that I reached out to, only one would give me some information without going through insurance; that of which they mentionedd it would be anestimatedd $8k - $14k in repairs. Considering what I paid for that car, I'm not too sure what to do. I feel that the only thing that I can do now is try and see what I can get back from the scrapyard. Also, this is the first vehicle that I've ever owned, so I'm new to insurance and accidents as a whole. I also still don't have a job at the moment, so it probably wouldn't be in my best interests to try and spend $4-7k in repairs. The car is at my house for the time being, but I'd rather do something with it sooner than later. Typing this out makes me realize how terrible the decisions that were made have been up until this point. Any help would be greatly appreciated.

I was in an accident 12/29. My car was totaled by my insurance company (State Farm). They called my creditor (Upstart) to get a payoff total. They gave my claims agent a “10-day guarantee payoff quote.” The insurance company sent the payment in full and it processed within 4 days. The insurance company now owns the title of the car (I’ve confirmed this twice). I theoretically should owe nothing on this loan as the quote given was paid in full and the title has already been transferred. However, the creditor is still trying to charge me my monthly payments. My claims agent said they called and confirmed with the creditor that everything was indeed taken care of and the car has been paid off. He said I should no longer be getting charged payments. I figured maybe it would just take time to process the transfer or the loan payoff but my account is now past due because they’ve tried to take 2 more monthly payments. I have called several times to dispute it (because I was told it should not be my responsibility as the loan was already paid in full!) but they just say they’ll transfer me to a supervisor and then I’m on hold for 30 minutes before the line just disconnects. I’ve emailed. I’ve called. I don’t know what else to do and I cannot afford to pay these extra payments with accrued interest and late fees but it just keeps accruing. Nor should I have to since the creditor doesn’t even own the car anymore and they got all the money they asked for. Any advice in this situation is appreciated.

This might be a doozy, but here I go. Thank you advance. I decided to get my own insurance (so my insurance wouldn’t be tied to my job in the event of job loss). I searched in marketplace. I entered my criteria to find a plan that covers my PCP, my daughter’s pediatrician, and my medications. Marketplace found me a plan that covers it all and I enrolled in December to start in January. Today I had an appointment with my PCP. As I checked in, I handed them my insurance card, and they let me know he was not in network. Which is WEIRD considering I made sure I picked a plan that he was in. I left and called my insurance. They told me he was in network. They confirmed his address and phone number - it was incorrect. It was his old hospital from over two years ago. I gave them the new information. She left me on hold for a while and came back and apologized, saying he was NOT in network with my current plan. She said since I got my insurance through marketplace, I need to contact them. So she transferred me to marketplace. I’m now on the phone with marketplace. I speak to the representative (who was clearly in a bad mood) and he had no idea what was going on so I had to explain the situation again. He put me on hold and when he comes back, he says that he’s not sure why I’m talking to them when I should be on the phone with BCBS. I told him that I got insurance through marketplace, and I only picked my plan because it was in network with my doctor, which was clearly incorrect! He said that I was not entitled to 100% accurate information on marketplace and it was my duty to double check to make sure my doctor was in network. Which, according to BCBS, he WAS! At his OLD PRACTICE. From two years ago. And he is not now. I asked about changing my plan so I can actually see my physician and he said open enrollment was over and I would have to qualify for special enrollment which we could not do today. He told me to call BCBS again. I call BCBS again and the new CSR I spoke to was even worse. She basically told me to call marketplace. I told her what they told me and she said that was incorrect information and it was up to them. I am on the verge of tears right now. I’m playing this back and forth and I don’t know what to do. Do I make a complaint with marketplace? How do I go about it? None of this is my fault but they’re either blaming each other or blaming me. I just want to see my doctor, man. TLDR: got insurance, was told he was in network, turns out he isn’t in network because of incorrect address on file, and now I’m trapped in a limbo with BCBS and Marketplace and no one is being helpful. ETA - unsure if this is relevant in this situation, but I am 32, in Oklahoma, and gross income is over 100k. Maybe 140.

Got hit and run on the freeway in California a couple of months ago. Other party was at fault. My car is badly damaged in the front with paint transfer from the other car. I wrote down the license plate #, make, model, color, and went to file a police report and insurance claim the next morning. I don't have collision insurance so all my insurance could do was follow up with the other party's liability insurance and see what they said. Turns out the other party was a rental car from Enterprise. Enterprise called me recently to get more details and my side of the story. They finally just emailed me saying "After a thorough investigation of the facts, we do not believe the operator is legally liable for the damages being claimed in this loss. The renter claimed no accident occurred at the time of rental. Upon returning and inspecting the rental car, there were no damages reported to the vehicle. There has been no evidence provided proving our renter hit your vehicle. We must therefore respectfully deny your claim." What recourse do I have, if any? :(

Hi. I have an HO3 policy with Citizens in Florida and I’m trying to understand in what situations they would actually cover water damage since the reps, my insurance agent or adjuster are not able to clarify this. I have a water damage under my flooring, but again neither the field adjuster, water mitigation company, nor the leak detection specialist have been able to find the exact source of the leak. Insurance wants to send out an inspector who I assume would work in their favor. I’m trying to prepare in case they deny my claim and I need to bring in independent specialists to help me figure it out. I have vinyl flooring installed on top of hardwood floor, and noticed a soft spot so I removed part of the vinyl and found rotten wood. I've never noticed any water on top of my flooring. From what I understand, Citizens excludes gradual leaks and seepage, but they have a clause that covers hidden water damage if it was unknown and concealed beneath floors, behind walls, or in ceilings. I’m wondering how that actually works in practice. Since there's no known active leak it must be caused by something situational, hidden or accidental spill. I'm having a hard time determining the fine prints since it gives conflicting information. I've included a few pages from my insurance declaration related to water damage in link below: https://imgur.com/a/sc50G9K Would Citizens cover situations like: - Moisture buildup under flooring due to a failed vapor or moisture barrier? - An AC leak inside the walls over time from a pipe failure or faulty installation? - Sporadic leaks from an air handler that was poorly installed? - A cracked condensate line or even a sewage pipe leaking beneath the slab? - Water spilled sometime in the past which got under the floor? Has anyone had Citizens approve a claim for something like this, or did they deny it as a maintenance issue? If they did cover it, what kind of evidence did you need to provide? I want to be ready in case they push back on the claim. It's been over a month already and I am not able to get the renovations started since adjuster wants me to keep it as is for now. On top of that the adjuster wanted me to keep the damaged flooring (with mold) bagged indoors. And he also advised that we live home since the mold did not seem to be a big issue from what he was able to tell from the photos (despite water mitigation company saying that it was over 10sq ft and asked that we find temporary stay since we have a small child until they send a higienist, which they did not get an approval for from adjuster)... I would really appreciate your help. Thanks

I wanted to share our ongoing battle with CNA Surety. Contractor licensing bonds are supposed to protect homeowners by ensuring that contractors meet their obligations and pay out when they don’t. But here’s the problem: CNA Surety claims they have no duty to investigate or pay out unless there’s a court order—meaning you’d have to sue and win in court first before any funds are released. This issue is now under review by the California Department of Insurance, which is conducting a broader market review. Redacted snippetof their stance: [CNA's Stance](https://imgur.com/a/xVNebbg) Has anyone here ever actually received a payout on a contractor licensing bond claim? What do you think is really going on with this practice?

I’m looking for a new dentist and almost every dentist I calls either is out of network for Anthem or isn’t accepting new patients. I have an HSA account so I have the funds to cover any fees that I might need to pay currently but I’m unsure moving forward if I should just drop my dental insurance and just move to a dentist that I like? I need some crown work currently so I could get that work done before dropping insurance but otherwise I just need regular cleanings and an occasional filling here and there.

I'm currently age 64 and in the throes of buying a LTC upfront 120k premium, "return of premium" for One America LTC insurance, and am working with a "financial advisor" who requests all my personal financial, living wills, etc. I feel like I'm being sucked into a ruse of their playing a role of financial advisor for a fee, when all I want is purchase of the policy, which, I thought, only needs my medical records? Help me out here...please. For upfront payment, am I being played that I have to provide personal financial info?