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Kaiser - Are covered california certified enrollment counselors trustworthy?
My question in the title does not in anyway mean as an attack, simply my genuine curiosity based on my personal experience.
My parents recently migrated to California so we went to a certified enrollment counselor in NorCal. For some reason this counselor keeps pushing BenefitsCal and also to sign up for her clinic's health care plan. I am already a Kaiser member myself, so I wished to sign my parents up for Kaiser as well. But she kept pushing back, I assume because she benefited if we signed up for her orgs plan.
The whole thing made me very uncomfortable. Wondering if anyone has experiencedthe same?
Uber - Uber crash with injury: how to follow up?
Hello all,
I was involved in a crash Saturday night around 11PM. I was in the backseat of an uber with two friends when the uber driver allegedly ran a red light (according to the other people involved in the crash) and we got in a pretty violent accident. Luckily everyone in the uber walked away unharmed expect for me. I dislocated my finger (it was sideways after the crash) , and I walked into the hospital ER (we crashed a 5 minute walk from a big hospital in our city). I was treated and had it put back into place, and now have a follow up tomorrow. I am expecting this will continue to affect me for months. I am a student, starting grad school to become a physician assistant in August. This is going to affect me in school as I will struggle to type and struggle to be able to learn the hands on clinical skills for at least first first part of the semester. This has so far been extremely painful and I am only beginning to know the extent of medical treatment I will need and recovery timeline. This was also an extremely traumatizing and upsetting experience for me. After the accident, police were called and they spoke to me and the other riders at the hospital. I also believe the other people in the crash filed a report too. When I got home from the ER I spoke with uber and reported everything and their insurance is supposed to reach out to me. I already provided my ER discharge papers and pictures of the injury. What are the next steps here? Do I just wait to hear from uber? Also, what are my chances of receiving real compensation for my pain and suffering (like a couple thousand? Or should I expect less than that?)
Thank you
Blue Cross Blue Shield of Michigan - BCBSM vs Medicaid Question
Hi all,
I’m in a common and frustrating position revolving around paying for health insurance. Here is my situation.
I work part-time and go to school part-time, so I don’t qualify for full-time benefits for work or any equivalent part-time healthcare offers in Michigan So that’s the first part.
I gross about $600 a month working and my healthcare premium is $650 a month alone for BCBSM HMO Gold plan. It just is not feasible to pay that much for healthcare anymore- especially, out of pocket in full.
What I do have is Medicaid and CarePayment accounts that help me cover the costs and pay down medical debt in a reasonable time frame. I need some coverage because I have a mental health condition and commonly use: medications, psychiatry, therapy, and labs.
I am wondering if I can get by just with MI Medicaid. Is that risky since Medicaid has very low reimbursement rates? Or is it reasonable to go with Medicaid and just try to be frugal medically?
What I want to avoid is going for routine procedures and leaving with a $1200 bill, AND paying $650 a month only to use it half hazardously.
Thanks.
The other driver's insurance - Drunk driver hit my parked truck — now I’m missing work and rental coverage is being denied. What can I do?
Last Sunday, I was having dinner with family when a drunk driver left the restaurant parking lot and decided to take my parked truck with him. Thankfully, nobody was in the vehicle, but the damage was significant — around $6,000 according to the repair shop.
The other driver's insurance accepted liability and is covering the damages to my truck, which is good. But here’s where it gets frustrating.
I live alone in a rural area and have no other transportation. I work weekend shifts (Friday–Sunday) with regular overtime (usually two extra 12-hour days). Because I had no vehicle, I missed work this weekend. The truck was towed to the shop, but they can’t begin repairs until *two Mondays from now*.
The insurance company told me they won’t cover a rental car until repairs actually begin, even though their policyholder was 100% at fault and drunk. How is that fair? I'm out two weeks of transportation and potentially $1,800 in lost wages because of this.
I’ve never filed a claim before, and I feel totally lost in this process. Some questions:
1. Can I push the insurance company to cover a rental now, not just when repairs start?
2. Is there a way to claim lost wages due to this incident? I have no PTO, and this is directly affecting my livelihood.
3. Should I be speaking to an attorney about this, or is there another route to escalate the claim?
Any advice or guidance would be really appreciated.
Update- I live in Maine but the accident happened in new Hampshire if that makes a difference.
her insurance - Neighbor Scraped My Car and Denies It — Should I Deal With Their Insurance Adjuster or Go Through Mine?
My neighbor scraped my car in our shared apartment garage. I park right next to her every day, and the scratch on my vehicle lines up perfectly with damage on hers. To top it off, her paint color is visibly transferred onto my car and vice versa..
She’s claiming she didn’t do it, but I’ve already filed a claim with her insurance and an adjuster has reached out. The adjuster says they’re still trying to determine liability since my neighbor is denying everything.
Here’s where I’m stuck:
-Should I keep working with her insurance and try to prove it to the adjuster directly?
-Or should I go through my own insurance (which would mean paying a deductible upfront) and let them fight it out behind the scenes?
I’d prefer to avoid paying anything out of pocket, but I also don’t want to risk her insurer denying the whole thing and leaving me with the bill. Any insight from people who’ve been through this or know the industry would be really appreciated.
Thanks in advance!
Lemonade - Claim Denied!
I have Lemonade and they denied my claim because the covered illness was “discounted” on my invoice showing nothing due. I have a care plan through my vet that I’m paying $150 a month for. I submitted a claim for the exam and testing that my dog received which was included in my care plan. Am I wrong for expecting Lemonade to reimburse for this? Even though the invoice shows no charges, it’s only because I’ve been paying in advance with my care plan. I’ve had pet insurance before (24 Hour Pet Watch) and they reimbursed me for things that were included in my vets care plan. I see nothing in my policy that states they don’t reimburse what your care plan covers. They told me their “guidelines” say it will not be paid. I’m thinking about filing a complaint and canceling my policies with them.
Progressive - Help getting the best rate for car insurance
I’m moving from Oregon to Los Angeles & my wage is still quite low, but the move is justified because I should go up in salary much quicker in due time.
I have to change my car insurance over & my rate with Progressive will go from $133 for comprehensive to about $400.
What insurance do I really need in the event of an accident & how can I lower this cost as low as possible? Anyone have really cheap rates with other companies? Car is a 2015 Nissan Altima.
MetLife - Thinking of getting MetLife pet insurance for my dog
I’m thinking about getting MetLife pet insurance for my dog and wanna know if it’s actually worth it. I’ve seen they cover stuff like vaccines, dental cleanings, flea/tick meds and give about 80% back after a $250 deductible. The price seems okay too.
But I’ve also heard some people had their claims denied for weird reasons (like needing medical records from before they adopted their dog which makes no sense). So I’m kinda torn.
Would really appreciate honest opinions. Thanks.
Blue Cross Blue Shield of Texas - BCBS TX - suddenly out of network
Over halfway through pregnancy. Blue Cross Blue Shield of Texas on Monday stopped the majority of my local hospitals from being in network. Was told to fill out a continuation of care and I would be fine.
I’ve called BCBS customer service and have received either non-answers, or have been told that since I’m pregnant, the only thing they will cover is my OB’s costs. That means: labwork would be out of network, my hospital/facility fee would be out of network, my child’s care would be out of network once they are born. My OB only delivers at the out of network hospital system.
I’ve been trying really hard to find someone that is in network in my area to take me as a new patient due to being so far along.
Any insight?
GAP - GAP CLAIM DENIED
Hi,
I got into accident and my car was total loss. It had a loan amount of $40k. Primary insurance paid market value $32k and pending was $8k, which suppose to be covered by GAP.
I went to Gap, submitted all documents. The purchase agreement I had was under the name of A (lets say) Autos and Gap document had name of B autos. These two different dealerships had partnership at that time. Now Gap asked for original bill of sale and I provided it by reaching out to B. Now both documents Bill of Sale and Gap have same dealer name on it and they denied my claim saying ‘dealer name mismatch’.
They denied a document and then denied the claim on basis of document that was never accepted by them.
Please tell me what should I do. Its been 8-9 months I’m dealing with dealer at B autos and he is just saying same thing every time that he is talking to Gap sometime they respond sometime dont. Sometime this guy doesn’t answer my calls.
Its costing me my mental heath, time and money without owning a car.
Any leads appreciated 🙏
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