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State Farm - I need help
I am a 37 year old female. I have one child age 10. I do not smoke or drink. I have applied for 2 life insurance policies. One thru all state 6 years ago. One thru state farm 30 days ago. I am a recovering addict and have been clean for 12 years . I have passed every drug screen since than. I keep getting denied because I'm in a matt program. I have taken this medicine for 12 years. I have been denied because on this medication. Any advice on where I can apply?
Aflac - Aflac Claims
I have every option that was offered with Aflac through my job.
What type of things can you claim? I feel like they are so vague on this. I’m trying to get money back for things if I am able. I haven’t had any SERIOUS hospital stays or such. But I know you can claim yearly for annual physical, also for pap smear under cancer screening to get money back.
Not trying to scam or anything but it seems that unless I am dying or stay in the hospital then these policies don’t pay anything.
Anyone know the ins and outs? Because at this point I’m just paying a lot to have a policy.
Insurance Company - Health insurance and doctor office billing help.
I'm in a pickle with a doctor's office billing after insurance says they paid. What are my next steps?
Appointment in Sept 2023 with a verified in-network provider.
Doctor office submitted an insurance claim under a different OON provider who I never met/saw/knew about when I went to my appointment. Insurance didn't pay but applied it to my OON deductible.
Then a couple weeks later Doctor office submitted a new claim (NOT A REVISED ONE) for the same date but listed an in-network provider. Insurance covered it 100% less copay. Even though it was under a different provider, I know he works closely with the PA I saw so figured it was accurate enough for insurance purposes.
I thought this was settled. From my view of EOBs it looks like insurance paid my bill and I paid my copay.
Fast forward to now, I get a bill from my doctor office saying you owe us for the original appt. I had no idea there was a balance and I've been to this practice about 30 times since the original appointment in Sept 2023.
I told them I have EOBs showing that they were actually paid by insurance, I forward them to them to verify. They are sticking to their guns saying I owe.
I called insurance. They said it is too long ago for them to re-work the claims but from their point of view, they believe I should not owe anything beyond the initial copay.
Doctor's office billing will not go over details on the phone. They want all communication to go through email, of which I've sent 2 (one with the 2 EOBs and one asking them to please look again at the second EOB which shows they were paid for the appointment), both emails they responded "please pay your bill".
Where do I go from here? Insurance doesn't seem interested in stepping in to help since it's an almost 2 yr old charge. And doctor office is being very difficult to deal with.
ETA: if it matters the doctor's office was recently or in the process of being bought out by a private equity company from a different state when I went in 2023. The OON provider they initially billed insurance with is the owner or CEO or something with the private equity.
Progressive - Work Truck on freeway had a rock from it’s trailer hit my windshield (Oregon)
Was driving on the freeway and a ~2 inch rock came out of their un-tarped trailer and hit my windshield at about 65 mph. They did not have a rear license plate visible. Front registration plate was orange and I believe it to be an Oregon apportioned truck plate. I was not able to get a clear picture of their plate.
I spoke to our state police and they gave me a case number for insurance purposes. Went to file a claim with Progressive and it turns out my deductible ($500) is more than replacing the windshield ($388) so they just recommend I pay for it without insurance.
Shouldn’t the other truck’s insurance be paying for this?? I don’t know what to do other than pay for the replacement out of pocket and hope to make contact with the other party’s insurance after the fact.
He wouldn’t stop as I tried to get his attention but I was able to take some pictures… on the side of the rear trailer is a logo for “The Shaw Group” and some sort of identifying number (T1210xx… censored for this post).
Kaiser Permanente - Unusual COBRA situation
Age: 40+
State: California
Income: 0 (unemployed)
tl;dr: I had some election snafu made by the COBRA management company where they just re-enrolled me in PPO which was $900/mo. I opted to go for a cheaper Kaiser option for $300/mo. Somehow I see when they fixed it, my PPO still shows covered and I have nothing regarding being enrolled in Kaiser... what should i do?
Longer:
So in my COBRA payment portal it shows I'm paying for Kaiser (cheaper) option and I have been paying for this coverage since the start of 2025. I haven't had to use it and I am just now needing to refill a prescription.
Also, my old company switched up their insurance at the start of 2025, so even if I stayed on my PPO it would have changed providers.
Anyways now that I need to refill a prescription I started looking through the docs I received and realized I never got any sort of Kaiser welcome packet but did receive a PPO insurance card, so I figured I would register on their site to see if it would let me. Surprisingly it did and the PPO shows I am covered.
Now, normally I am one to do the right thing, but insurance is inherently evil... so part of me wants to go fill my RX using this PPO coverage and see what happens. Is this a bad idea? I definitely cant afford for them to go back and charge me an extra $600/mo.
What do you all think?
Aflac - Aflac life insurance
Has anyone filed a life insurance claim through Aflac? How long did it take them to process and pay out? My father recently passed away. We filed our claim, they said part of a page was missing, so I refaxed the claim form again. They are slightly difficult to receive info from, and curious if anyone has a timeline of their policy payout.
MetLife - MetLife family plan
I put my three dogs on MetLife’s family plan sharing one annual limit and deductible because it was the only company doing it and all the others including Fetch, who I already had, were getting way up there on premiums, especially for my oldest dog.
Started out sharing $10k annual, $250 deductible, 80% reimbursement, around $115/mo. Dogs were 9, 6 and 4 mo.
After one year and no claims MetLife bait and switched me, lowering my deductible to $200 and raising the price by $30. Their other offerings for less were with higher deductibles that didn’t result in anywhere near my original set up in cost. I was ticked off but ended up doing nothing about it. And yes, I know the rates go up as they age.
Renewal came up and they did it again, changing my limit to $10500, lowering my deductible to $150 and raising my premium by $80 to $228/mo!!!
I never put in a claim this whole time!
I work at a vet hospital and get a discount, did have one dog worked up with labs that didn’t meet the deductible so didn’t bother. However, I imagine as far as other carriers are concerned he now has a “pre-existing condition “ even though we didn’t reach a diagnosis other than polydipsia.
So I called MetLife and went through various policy scenarios to see what that dog would be by himself, moving the now 2 1/2 yo to to a different provider and dropping coverage on the now 11 1/2 yo which I hate to do. I ended up keeping everyone covered at $250/80%/$5k for now at $144/months. Makes me nervous as a previous dog took me up to $8500. But this buys me time to decide what to do.
Has anyone here had experience actually putting in claims with MetLife? How were they in honoring claims? Did they yank you around changing coverage and raising premiums substantially at renewal?!
You would think there would be some kind of reward for not needing to submit claims! These tactics are BS!!!
Tricare - All my referrals are gone on Tricare except for a doctor I've never heard of. Is this happening to anyone else, what can I do?
Anthem Blue Cross Blue Shield - Pre-exposure Rabies Vaccine cost so much.
Hey y'all
This is my first time posting here. I am going to be starting a job here soon where I need to get my pre exposure rabies vaccine prior to starting. The issue I am having is my health insurance (Anthem blue cross blue shield) doesn't cover it and it is gonna put me down like $800 with finical compensation from my employer. I live in Kentucky. I was wondering if anyone has any advice or ideas of ways I could try to get that price down. I'm not sure of theirs any good answers but figured I would ask. Thank you all.
Blue Cross Blue Shield - Radiology lab billed under "lab", not doctor, what to do?
I went to NYU langone raadiology lab (its inside hospital) for a ultrasound
before the ultrasound i looked up the cpt code on the bcbs website and it gave me an amount allowed of like 200$ before deductions, and i was okay with that
now i got the bill, and the amount allowed is like 900$
i called the insurance and they said its because the lab billed under the lab but not the doctor itself -- the amount estimated on the website is under a doctor . bcbs does not know what is the amount allowed under the "lab"
i dont know if this is normal, but it was my first ultrasound and i dont know what to do.
if i ask nyu langone to bill under a doctor will they do that? it was just intern/PA that did my ultrasound so does that even count?
what should i do in this case?
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