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Healthy Paws - Response from Healthy Paws CEO & Update (Beyond Massive Premium Increase)
Attaching the response(s) from Healthy Paws' CEO and team, including mine back.
You can't make this stuff up....
Original context:
Protected Since: 06/08/2011
• Current Monthly Premium: $431.58
• New Monthly Premium Starting in 63 Days: $1,207.12
Oh- and they limited comments on their Instagram after I have been posting this increase there too.
Cigna - Therapist stopped accepting EAP and did not tell me
In early 2024 I made an appointment to start seeing a therapist, specifically one that my insurance (Cigna) listed as one accepting EAP.
I called the office and confirmed with them they do accept EAP, so I scheduled an appointment.
My six EAP covered sessions ran out around September 2024, so I called my insurance, got a new code for six more covered sessions, sent it to the office by both text and email (and also over the phone to confirm it was correct).
Come March 2025, I’m on my last of the second round of therapy sessions covered by EAP. I check in at the office for my sessions, and they tell me an owe around $300 for my last several sessions. Confused, I tell them that EAP covers my sessions aside from an establishing bill of like $69 once a year. The office tells me they do not accept EAP and that I’m overdue on my bill.
I have never been told, in all the times I physically check in for my appointments (I never do virtual) that I owed anything. This is the first I’m hearing about it, or that they do not accept EAP because I confirmed when I made the very first appointment that they did accept them. Hell, I had called to give codes for each batch of six sessions.
Now, if they had told me this sooner, I would’ve stopped going to find someone else. Not a big deal, it’s their business and they are allowed to handle it however they want. But it feels really shady to suddenly spring a mystery bill on me and say I’m overdue for the last six sessions. They had six months to tell me when I came in or email me or call me.
I showed them all the proof of me contacting them (I always leave paper trails) about the EAP codes and confirmations it was accepted.
The legal advice I’m seeking is, is it legal for a provider to do that, suddenly stop taking EAP and secretly bill you without informing the patient? I’m assuming they will drop my bill once they review my evidence, but if not, can I legally ignore that bill (if it even comes my way at all)?
Embrace - State Based Premium Increases
I have recently had a 117% premium increase from Embrace. One of their justifications was the state I lived in, CA. I’m curious what other states have had such egregious increases ( regardless of company).
United Healthcare - Type 1 diabetes/health insurance in ohio being married
I am wondering if anyone has figured out the best insurance available in ohio that is budget friendly? I use to have medicaid but they kicked me off a few months ago and ever since I've been on this healthcare marketplace insurance with united healthcare but in still struggling with paying it and living my life lol...
I have omnipod and dexcom g7 and they barely cover that... I'm also wondering if it would help to find separate insurance from my spouse? Or just to stay on the same insurance?
Comenity Bank - Help me improve my credit score
I applied for a comenity card through Forever21 (big mistake). I had a total debt of $300 dollars on that account. The customer representative took down the wrong address and name so I never received a physical credit card resulting in not being able to make the payment. I had to leave country for a month and I couldn’t receive any calls from comenity resulting in a 60 days late payment. My credit score plummeted from 715 to 533 (Feb 2024). I am trying to get my credit score up. Despite my $2000 spending every month on my Amex card, my credit score has gone up to 581. I moved to US in 2022 so I don’t have a long payment history.
What are my options here? Should I contact comenity? Or should I try to contact Transunion? I’m worried that I will get not get an apartment now that my lease is coming to an end.
ASPCA - AKC pre-existing conditions confusion
I have 2 rescues.
Dog 1 we got at birth and found out she has auto immune hepatitis and will need medication for life. We had to pay $4,000 to find this out.
Dog 2 is of unknown age and he was a stray so we had no knowledge of his health. We since found out he has IVDD and degenerative valve disease. So he will need ultrasounds 2 x year plus medication eventually. ASPCA has not paid a cent after a year. They chalk everything up to pre-existing conditions.
I feel like I’m not understanding the AKC clause that says they pay for pre-existing conditions after 365 days. I’m not happy at all with ASPCA’s customer service and the rates were comparable at the time I signed them up last year. I’m sure if I get a new quote before my ASPCA plan renew, AKC will ask about pre-existing conditions and quote premiums accordingly.
I tried looking for the info on their website but it seems so vague and I don’t know where else to get further clarification.
Anthem Blue Cross Blue Shield - Contradictory EOB? Let's play the in-network or not game.
What am I missing here? It looks like Anthem BCBS is acknowledging my provider is in-network and then processing it as out-of-network.
* Provider has been processed as in-network for visits both before and after the visit in question, always with a $30 copay and no balance. This was another routine, non-emergency visit with the exact same provider.
* EOB clearly says in big bold print that "Going to this doctor uses in-network benefits" and elsewhere has the words "(in your plan)" after the provider's name.
* EOB shows no copay, a portion applied to my deductible, and a balance in the "Your total cost" column.
* EOB gives a reason code: "015: The amount shown here is more than your plan allows for this care. If this was not an emergency, the doctor/facility might bill you for the difference between what your plan allowed and what the doctor/facility charged."
How is this possible for an in-network provider? It seems this EOB is just contradictory on its face. I've been trying to get them to fix it, but haven't had any success yet. Any advice?
State Farm - Will it be repaired or totaled ?
Waiting days on State Farm to get back to me! I got a shop estimate for around 5,630 for repairs. Wondering if it’s likely to be fixed or totaled ? 2015 Honda accord base model 144k miles. Any way I can get them to hurry up? My 6 year old is on dialysis 3 times a week 2 hours each way 😩
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I rejoined British Columbia Automobile Association (BCAA) last year, after a short time away. I like the extra comfort in having them as a backup for my driving. But, when I renewed this year, they had to fix a double payment issue. I had not caught the double payment myself. I paid online with a credit card. They charged the credit card the next month, without me knowing about it. FYI. Still staying with them for back-up but will check payments closer in the future. I got a refund and 9 months extra. fyi.
Cigna - Understanding Potential Timeline With COBRA & Receiving Cigna ID
Last month, I was laid off. I opted into COBRA with a start date of 04/01. The paperwork was sent to me last Wednesday, I elected into it Thursday, and paid my premium on Friday.
Today, I logged into Cigna and it's showing I'm inactive with no insurance. After a few hours of customer service between the COBRA intermediary (WageWorks), they assured me I'm active and it takes a couple of weeks for Cigna to process. They sent things over yesterday and said my insurance would be dated 04/01.
On the chat, Cigna wasn't able to help very much (which I understand).
Is there anything else I should work on during this transitional time? Or, have others had success with waiting and letting the process work itself out?
Thank you all so much!
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