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United Healthcare - Looking for advice on next steps regarding backdated insurance termination and denied medical claims (Texas)
I was insured through United Healthcare via my employer in Texas. My employer paid premiums monthly to cover the following month’s insurance (monthly payroll).
On March 12, 2025, all employees were notified via work email that we were being placed on unpaid furlough effective immediately. We were told we would still be paid for work performed from March 1–11, with payroll running as usual at the end of the month.
I didn’t hear anything else from my employer until April 2, when I received a letter in my personal email stating that we had all been officially terminated effective March 21, 2025.
The issue is that I saw a specialist and had exams done on March 24, unaware that I had technically been laid off on March 21. The same day I received notice of separation (April 2), I called United Healthcare to check on my coverage. They told me my insurance appeared to be active and didn’t show any indication that it had ended.
However, when I checked the United Healthcare app today (April 5), it now says my coverage ended March 21, and they have denied the claims from my March 24 visit.
I had no way of knowing my coverage (or job) had ended at the time of the appointment. I’m concerned my employer backdated the termination or insurance cancellation, and I’m now stuck with bills for services I reasonably believed would be covered.
Has anyone dealt with something like this before?
What are my options here? Should coverage have continued through the end of March?
Additional information: I have since found out my employer filed for bankruptcy, without letting any of us know, and none of the employees were paid for their time worked in March 1 - 11th.
Any help or guidance would be appreciated I’m unsure how to navigate this situation.
Healthy Paws - Healthy Paws Feeling the Heat?
Got this chat request today from Healthy Paws. I don’t have a policy with them, I just comment when I see the insane premium hikes they’ve been doling out lately.
Healthy Paws, folks are starting to ask questions about your rate sheets and what you publicly disclosed and what you actually charge consumers. I’m not an actuary, so I’m
no expert, but it’s wild to me that any state would sign off on a 200% 500% or even 1000% increase. Maybe they did. But it is feeling a bit shady. You should publicly disclose your algorithm and show us!
There are lots of people here who would love to see this information provided transparently.
We all expect annual increases. It’s the name of the game. But we don’t expect to pay faithfully for years and towards the end of our pet’s life, have our premium jacked up so high as to be an insult. So unless you have some kind of reasoning for that…or a promise to fix it, it’s impossible to recommend you anymore on this sub by most people with brain and a conscience.
Anthem - Specialty Pharmacy and Copay Cards
Hi,
I'm trying to reduce the chances that the insurance company not counting the copay card payments toward my deductible or out-of-pocket maximum.
Does using their specialty pharmacy make that more likely? In other words, are they more likely to side with the insurance company?
I'm with Anthem through the exchange, and their specialty pharmacy is Carelon.
I read that accumulator programs have been banned in Nevada starting in 2025, but even the representative I spoke with at Carelon said that's not the case.
thanks
Matt
Healthy Paws Pet Insurance - Healthy paws pet insurance
Is it even legal for Healthy Paws pet insurance to increase premiums at almost 200% in CA? This is outrageously high!! Anyone experiencing the same?
#healthypawspetinsurance
USDA - USDA Frustration (selling home)
My husband and I are currently in the process of selling our home. The new owners are using a USDA loan. The first 4 weeks of the closing process were a breeze. Our home passed appraisal and we were told the buyers got their loan approval.
The issues started last Thursday. We were supposed to close this past Friday, however I received a phone call from our realtor explaining that the buyers had not been notified that the needed to submit a copy of their W2. They had to go out on a Thursday night to H&R Block to get this final copy. Everything was submitted to USDA on Friday and we were told by the Title office that we were going to close today.
It is now Tuesday and after a stressful weekend, we thought we were going to close today. I received an email from our realtor stating that the USDA system is down and we are having to extend closing once again , but this time they are not setting a date because it is unknown when that system will be back up and running. The title office claims that as soon as we get the approval, we will close but I am starting to get VERY frustrated that we are being lied to.
Has anything like this happened to anyone??
Petplan - Pet Insurance Costs
Hi, I’m trying to find pet insurance for my 4 month old Maine coon but Pet plan is extortionate. I don’t know any other insurance company that pays direct rather than potentially being stuck with a huge bill to pay upfront. £47 a month seems high for a young indoor kitten/cat. Why is Pet plan so expensive compared to other providers, do they offer more or is it because the pay vets direct? Can anyone advise if cheaper policy with insurer that will pay vet direct?
Trupanion - Is Trupanion’s claim calculation method kind of... off?
I recently submitted a claim to Trupanion and it seems kind of weird.
For example, let's say I claimed for $1000. The deductible is $200 and a 90% coverage rate, which means I pay 10% coinsurance.
So based on that, I thought the math would work like this:
* $1000 - $200 (deductible) = $800
* 90% of $800 = $720 → Trupanion pays
* 10% of $800 = $80 → I pay (coinsurance)
But instead, here’s how they seem to calculate it:
* 10% of $1000 = $100 → My coinsurance
* $1000 - $100 - $200(deductible) = $700 → Trupanion’s portion
This feels off to me — like they’re applying the coinsurance *before* the deductible, which doesn’t seem logical. Shouldn’t the deductible come off first, and *then* they apply the 90% coverage to the remaining amount?
Has anyone else experienced this with Trupanion? Am I misunderstanding how their calculation is supposed to work? Is all other pet insurance company calculate the claim in this way?
Pets Best Insurance - Help with canceling Pets Best Insurance
Hello people, I am a bit of a pickle right now :(
I have been trying to cancel my Pets Best subscription/insurance for a good few days with no luck, the main reason why is because their prices have got up by a lot, and it simply isn’t in my budget atm, plus (knock on wood), my two cats are perfectly healthy besides the usual meowing because they aren’t allowed to eat every 5 mins.
I have called them so many times but I have been put on hold for 25-30 mins. It is really frustrating because I am worried they will charge me despite low funds in my account, making my account go into the negatives. And of course, me not wanting to pay 59 bucks a month when it was originally 47 bucks a month when I first joined almost 2 years ago. If anyone has any advice, please share.
State Farm - State Farm changed my roof claims date of loss and screwed everything up.
Ugh. So a couple of weeks ago there was a crazy wind storm in my state. I had some roof damage so I got it inspected by a roofing company who told me most of the damage was from hail, which was enough for a replacement. I was told to put in a storm claim with a date of loss for the last hailstorm in 2024. I put in the claim with state farm and I was very careful to tell them that the date of loss was for 6/25/24 and it was for storm damage. I received an email after I submitted the claim and the email says "Date of Incident: 6/25/24". 4 days later the claim is assigned to an adjuster, and we schedule an inspection. Today he comes out for the inspection and he has the date of loss as 3/14/25 and wind damage. He said he cannot make any changes and tells me to put in another claim. Claim is denied because of not enough wind damage. Again, I was very careful when I put in the claim and I never said anything about wind damage or a date of loss of 3/14/25.
Somehow the claim details and date of loss were changed between the time I put in the claim and the time it was assigned. I still have documentation (an email) that shows the date of incident of 6/25/24, but if I look at the claim online it shows 3/14/25. My local agent is supposedly working on this but I'm not too optimistic. What are the chances this can be resolved and I won't have to put in a second claim that will potentially cause negative effects to me? UGHHH
Fetch - Is it really worth it?
I’m paying close to $190 a month for my 7 year old medium sized dog and 8 year old small dog. They go to the vet maybe once a year and I figured it could be worth it as a preventative measure but it’s honestly really expensive. I’ve been reading about prices increasing too so I don’t know what to do… i have fetch
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