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Insurance companies are constantly reviewing us. Are we too old? Do we live in the wrong place? Is our credit score high enough? Well, now it's time to turn the tables. Do you charge too much? Will you pay my claim quickly? Is your coverage worse than it seems? We can review you too.
Plymouth Rock - Plymouth Rock App tracking me without my consent
Just switched to an android from iphone and when my battery gets low to 15 percent, I get a notification from the Plymouth Rock App that "Trip recording is suspended." It also says low battery is preventing Plymouth Rock from recording trips, this is genuinely scary as I never set up anything with them to record my trips. I gave them a call and they said that my account doesn't have it set up so they're not sure why. Anyone have an idea why it would say that?
Kay Jewelers - Lost Wedding Rings
Hi, I recently sent my husband’s wedding band, my engagement ring, and my wedding band in to get polished and resized. Kay jewelers has lost all three rings.
The section on the bottom of the receipt reads as follows:
“In accepting said merchandise, it is understood that this store, or any of its employees, are not responsible for identification or condition of stones or jewelry at the time of receipt. This store accepts the merchandise listed above solely for the purpose of repair and does not undertake to act as an insurer of this merchandise.
I agree with the description and values of the merchandise listed above.
IF ANY MERCHANDISE LISTED ABOVE IS LOST OR DAMAGED, I UNDERSTAND THAT I WILL RECEIVE REPLACEMENT MERCHANDISE OF LIKE OR SIMILAR VALUE UP TO AND NOT EXCEEDING THE AMOUNT STATED ABOVE. MERCHANDISE MAY LEAVE PREMISES, CUSTOM DESIGN JEWELRY IS NOT RETURNABLE.” - basically waiving them of any legal obligation. My husband and I have requested a refund for the value of the rings, which they have denied. They have offered to replace the rings, but my husband and I want to be done with Kay. Do I have any power to take them to court to get a refund?
Location: Indianapolis
Pets Best - Im real broke these days, Dog turned 8 and insurance doubled
My dog just turned 8 and her insurance with pets best doubled. Where im at financially is not great, im just able to get by with my exisiting bills, part of why i have pet in isurance, for the chance something terrible happens like a broken tooth or torn tendon or whatever may happen. Shes healthy. Has allergies but theyre not on her med record as far as i know. I just am trying ti debate if i should set the money aside each month for an emergency fund for her, rather than pay the insurance fee. My fear is something qill happen before i have a good savings, though i usually try to have $1000 emegency money for pet or car stuff, im not quite there yet atm. I have decent credit so if something happe ef im sure i can do a payment plan of some sort. Idk im just wondering if its worth it anymore at the price theyre expecting. My 3 yo dog is clumsy as hell so im keeping his insurance. I just know theres going to be a day he falls the wrong way and tears a tendon or something hahaha!
Any advice is really welcome, im just so broke these days and i really want to find the best option that ensures my pup can get the treatment she may need in an emergency.
Fetch - Should I go off Pet Insurance?
Our dog insurance is $450 a month for a HCOL area in California. We use Fetch. It covers two small dogs, a 13 year old and a 6 year old. We have had pet insurance for 5 years, and not once have we needed to use it. Instead, it's just paying an exorbitant amount for a potential issue that has never appeared. It has become completely unaffordable for our family.
As a result, we are strongly considering going off pet-insurance for the foreseeable future. My family members and I have different ideas of how to handle future medical issues, however. I would do anything for our dogs and believe prices are reasonable to save my dogs' life. But my parents (note: I am a college student) believe it's too great an expense, and if a major condition arises that costs over 10k, the best option would be to put the dog down.
Do you know of any cheaper options? Or other ways we can ensure medical treatment?
Lemonade - What’s the deal with lemonade pet insurance!?
I submitted a claim on 4/12 for my three year old domestic shorthair cat for a diagnosis of FHS. On the claim I asked for reimbursement of the medicine ( Gabapentin ) and the cost for the emergency visit. I submitted all medical records as requested. Today 4/29 and the claim is still in review. I signed up for Lemonade when my cat was a kitten. He has no pre existing conditions and I take him to all his annual vet appointments. Lemonade is not very communicative. I only received correspondence when I reached out to them asking for an update. They say they are working on processing the claim as quickly as possible. Is this normal turn around time?
Embrace - Weird Pet Insurance Dilemma
Hi all, I am in need of advice. I'm not sure if this is the most appropriate place to ask.
Ive had Embrace insurance for my two kitties for a year now. For one cat, it's amazing. For the other, Daisy, it's been kind of a nightmare. I had to increase her coverage midway through which restarted the medical review. That was my first big mistake, because while I knew it would come back with a temporary exclusion of a one time ear infection, I did not expect a permanent exclusion for ALL SKIN MASSES including cancer.
Now, yes she has a small polyp on her outer ear that has never been diagnosed officially. It has been told to me by multiple vets that it's not a big deal and to leave it alone since shes had it since she was 2 and it was harmless. So when I saw that exclusion, I went through her medical records and found that I mentioned to the technician that she had a "growth" in her ear that was not impacting the ear infection, and my statement was put on the official medical records despite the veterinarian never putting it on her notes or as a diagnosis. She had one diagnosis: ear infection.
A two month long appeal process would ensue where no one asked me anything despite me sending my specific concerns via email to the vet about wanting it known to the insurance it's not a cancerous mass, it's a polyp and it should not exclude all forms of cancer. The insurance would only speak to the vet who obviously had more important things to do than to deal with insurances, so it took forever for this process to come to a conclusion. The vet had no record of the mass, other than my statement to the technician, and ultimately that's what she told the insurance: There is no diagnosis of a mass and she has never noticed one on my cat. The insurance concluded that the mass didn't exist and officially documented the rescinded exclusion.
My next mistake: I didn't say anything after because who would?? After a nonstop, 2 month, constant back and forth to get everyone to work together, there was a solution so I shut up and let it go for peace of mind.
Now I feel absolutely f*cked because the polyp needs to be removed because she wont leave it alone and its turned into a deep cut that doesnt heal. The technician today wrote that she's had it since she was two and it's officially been diagnosed. Its a benign polyp, it's been biopsied after the appeal. Im so afraid to keep her insurance or submit a claim now in case im now "withholding information" or being fraudulent. I never denied she had a mass, I just denied it was anything more than a polyp and that's what I was trying to fight.
What do I do??? She gets it removed tomorrow. Im afraid this being found in her medical records will impact future claims and I won't be able to move forward with removing any other temporary exclusions like the ear infections. I also have another cat on the policy who really needs insurance and im scared if they drop her, they'll drop him too.
If you got to the end, thank you for reading this 🩷
Ohio Insurance Company - Should I sue my hospital?
Age: 37
State: Ohio
In December of last year, I was recommended to get a colonoscopy due to family history. When I spoke with the specialist doctor, he said that "since you'll be under (anesthetics), we could also do an EGD." He then asked if I ever get heartburn, and I said sure but it was infrequent and I knew the triggers and how to take care of it, but if, like the colonoscopy, my insurance completely covered it and I wouldn't be paying, I'd be okay with that. He said sure, they could do that.
Fast forward a month later and the hospital is charging me because they submitted the EGD as diagnostic. So the doctor ignored the condition under which I agreed to the procedure.
I've been fighting this ever since then. The hospital investigated and since they don't keep audio with the cameras, and don't have call logs (the doctor's assistant called me a few days beforehand and said they convinced my insurance to cover the EGD, and I confirmed with her that I wouldn't have to pay for it), they're refusing to do anything about it. The bill is about $1,900.
I've filed a complaint/appeal with my insurance, but that takes up to 60 days, and is still going through the process (I had called them the day before the procedure and confirmed it's "covered," and the CSR said yes, she sees that that's been approved). I e-mailed the state department of health, talked with the state hospital association (they have no legal authority and can't do anything), filed with the BBB, filed with the state attorney general, filed with the Centers for Medicare and Medicaid, sent my story to the local newspaper, left a Google review, and am waiting to hear back from the state insurance department (they can't do anything until my insurance appeal gets resolved).
My last option is to sue them in small claims court. The lawyers in my area said they don't handle cases like mine. What umbrella term would this fall under? Misrepresentation / promissory estoppel? The only lawyer who agreed to a consultation said it's better to go after the insurance company, but I don't see this as their fault. I can also call the hospital and negotiate a lower repayment, but I'm angry I have to pay anything at all when a promise was made to me that I wouldn't owe anything. Is this something I just have to bite the bullet on?
Edit: Thank you to the 20% of people who explained what the hospital staff should have explained to me, gave me options to pursue, and ideas on how to protect myself in the future. The rest of you, I hope you understand that the vast majority of people don't work in this industry, and blaming the victim of a convoluted and broken system is real shitty.
Fire and Rescue - Fire and Rescue health insurance issue
I had to get ambulance twice between that time my job switched insurance company. Incident was in 4/2024 while I had old insurance, I just got an invoice this January. First notice, now I have new insurance and they aren’t covering it but I have one from January and my new insurance is covering. How do I go about this? I should have been got an invoice from the last year event that happens all the way in April, and just got both because I had an incident in January of the new year.
Pets Best - Denied claim due to "pre-existing condition" even though diagnosis changed.
About two months ago, I took in a stray cat. On his second vet visit, I brought him in because I suspected conjunctivitis-his eye looked irritated. The vet also mentioned the possibility of entropion but said I’d need an eye specialist to know for sure.
I followed up with a veterinary ophthalmologist, and they diagnosed him with eyelid agenesis, not entropion. It required a $4,000 surgery, which I went through with to give him a better quality of life.
Unfortunately, Pets Best denied my claim saying The eye issue was mentioned at an earlier appointment, so they’re calling it a pre-existing condition, even though the actual diagnosis changed significantly.
Has anyone had any success appealing a claim like this? Is there a way to argue that it’s a completely different condition? Or does the fact that “something was wrong with his eye” early on automatically void any coverage?
my insurance company - Rear ended by uninsured driver/Diminution of Value
I was rear ended by a driver with an out of state license, but his truck is registered in this state (Texas), he seemed to be a shady individual as well to me when dealing with him.
The police came and wrote a report but it didn’t technically put him at fault even though he rear ended me. I did however get him on video admitting he was at fault. I filed the claim with his insurance, but it was a slow response from them. I went ahead and filed with mine to get the ball rolling because I needed to get it fixed. Well turns out that was a good move because come to find out he wasn’t covered by his insurance company at the time. So basically he got away with having no insurance when the police arrived because he had a paper saying he did.
My question is now that my truck is fixed and back to normal, I received a diminution in value evaluation form from my insurance company for me to fill out. Is this to provide a compensation due to my truck now losing some value to the accident? It had never been in an accident previously so what can I expect towards compensation based on the value of the truck. Its KBB value ranges from $15-$19k. It’s in excellent condition though. How would diminution work according to that? Will my insurance company send me a check or something?
Also on a side note, can I contact the police to inform them that his insurance company called me and said that he was not covered at the time? Could they pursue a ticket to him even though he has an out of state license?
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