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UnitedHealthcare - Insurance company won't provide cost estimate. Neither will provider. Who's lying?
My Dr wants to enroll me in a weight loss support group program. I have a high deductible plan with UHC so I will essentially be paying out of pocket until I meet my annual deductible. Dr's office asked me to call my insurance to check if it's covered, and they told me the billing codes. UHC said it's covered, but the cost ranges from $30-250 (per 20 minute session) depending on what the provider charges. They will pay 90% after I meet my deductible. They say that they don't know how much a particular provider will charge. I asked my Dr what they would charge, and they said the price is set by the insurance company. Who is lying?
Geico - Pedestrian Ran Into My Car, Now Suing Me—Should I Get My Own Lawyer? (California)
Hi everyone,
I’m hoping to get some advice on a situation that’s gotten pretty stressful.
I live in San Diego, California. About two months ago, I was driving around 2 a.m. when a pedestrian ran into my car. He was running across the street diagonally, apparently intoxicated, and hit my car right as the traffic light turned green.
I called emergency services, and he briefly lost consciousness but regained it and was taken to the hospital. I also have a witness who saw the whole thing and gave me their phone number and statement confirming that the pedestrian caused the accident.
At the time, the police report clearly said the pedestrian was at fault. My insurance company (Geico) told me they would handle everything and assured me they had collected the report and all the relevant information.
Fast forward to now: the pedestrian hired a lawyer and is suing me for bodily injuries. I just received a letter from Geico informing me about the lawsuit and requesting my statement again (even though I already provided it right after the accident). It seems like only now they are actually trying to gather the police report and contact witnesses.
I feel that Geico hasn’t been proactive at all and may not be acting fully in my best interests. In the letter, they also mentioned that I have the right to hire my own attorney, and if I do, they will communicate directly with that attorney instead of me.
My main questions:
Should I hire my own lawyer in this situation, or is it better to just let Geico handle it?
What are my chances of recovering my insurance deductible from the pedestrian, given that the police report and witness both confirm he was responsible?
Is it true that a police report can be easily dismissed in these cases?
Could hiring my own lawyer make this situation worse or “bigger” than it already is?
Any guidance, suggestions, or similar experiences would be greatly appreciated. Thank you so much for your help.
your insurance company - Other driver in at-fault accident contacting me about coverage for their rental
A couple months ago I rear ended someone. They were waiting to turn right and I was behind them doing the same. They looked like they started turning, so I pulled up to the crosswalk and looked left to check for traffic, then started my own turn when the coast was clear - only to bump into their rear corner and realize they hadn't actually turned when I thought they did; they were still just waiting there in front of the crosswalk. I was at fault for beginning my turn without looking and rear ending them (I know you're advised to not accept fault at the scene of an accident but I'd never been in an accident before and I was pretty flustered). I apologized to the other party and we exchanged insurance and contact information. Neither of us wanted to call the police and they assured me they weren't hurt.
The other driver asked me to call them in about an hour after they got home, but insisted I don't leave a voicemail if they don't pick up. I agreed but the more I thought about it the less sense it made to me if we were just going to go through insurance anyway, but I called regardless and sure enough they didn't pick up. They filed a claim later that day, I was found 100% at fault, and I thought that was it.
Earlier today, however, I received a voicemail from that other driver asking me to call them when I could. I didn't see a reason to if our insurance settled it, but against my better judgment I went ahead and called them back. They told me that my insurance had refused to pay for their rental car, and wouldn't give them a "satisfactory reason" for the denial. They asked me if I could get in touch with my insurance company about it, and while I wasn't really sure what I can do about that, I told them I'd try. They did \*not\* ask me if I would be willing to pay for it myself, and I did not offer to do so, but I kind of got the vibe that they might have wanted me to if my insurance doesn't cover it. They also gave a specific number for the amount of the rental, leading me to believe they'd already rented it and were seeking reimbursement.
So my question is, do I actually bother contacting my insurance company about this? I assume that they had a reason to refuse to cover it; the amount the other driver paid sounded like too much to me, but this is just my speculation. Even if it's just my insurance being stingy, this seems like an issue that the other driver should be settling with them or going through their own insurance for, rather than something they should be contacting me about personally. What could I even do? Calling my insurance company and asking them "hey uhh could you cover the rental for that person I rear ended a couple months ago, they said you won't for some reason" doesn't strike me as a good idea.
My gut instinct is that the other driver is shit out of luck for getting an expensive rental before confirming that it would be covered, and I should refuse further contact, block their number, and let them deal with in
Healthy Paws - Healthy Paws 188% Monthly Premium Increase
Got a policy update email that will take effect in 63 days. Going from $196/month to $567/month. This is actually insane. I got on phone with them and they said it’s not my amount of claims but they consider the state of CA and thst since it is pooled insurance it is what works best for everyone. I was like, this payment is like a luxury car?! The only thing they said to do is lower the reimbursement and up the annual deductible; right now I have 70%/$500 and if I switch to 50%/$1000 it is $372. My dog is 14 years old for the record. I just feel stuck and frustrated. Especially cause switching to a new one means everything becomes pre-existing. Does anyone have a similar experience? Advice?
State Farm - State Farm Homeowner Claim
Long story short.
Storm came thru Pittsburgh region. Pretty moderate wind and hail damage to roof, windows, screens, gutters and downspouts.
Had 2 adjusters that never called me back.
3rd adjuster scheduled a “ladder assist” inspection.
Had 2 seek now inspections. (Needed a re-inspection since first one was done with a wet roof.)
Adjuster 3 said “I put you in for a full roof replacement”.
2 days later I now have adjuster #4 assigned to my case.
Adjuster #4 states “your old adjuster didn’t have the authority to issue you a full roof replacement, management is disputing your claim, we’re having a engineer come out to your house for an inspection, the hail in your area wasn’t that big in diameter”.
It’s been 40+ days since the storm and I have an interior leak…. They just came out 2 days ago to inspect the inside.
Has this happened to anyone else? What’s my next move?
I have pictures of my roof from September 2024 when I had my chimneys re-pointed with no damage.
Now you can tell I have shingles bent from the storm.
It at a loss on what to do.
Edit #1: 1” hail came thru the area.
Edit #2: Correction to edit #1 - Roof is 10 years old. Looking into weather report now. 1.75” hail in my location. 60mph winds. 1/4 mile away a roof was blown off a grocery store. 4 of my neighbors have already had their roofs replaced.
Progressive - Progressive is canceling my policy because I filed a claim within the 1st 60 days of the 180 day policy. Is this normal?
If this is normal I'm not going to fight it, just stupid because I had NEVER been in an accident before and mine would've been minor had it not damaged my front radar sensor.
Enterprise - Other party (Enterprise rental) denying liability insurance claim, what can I do?
Got hit and run on the freeway in California a couple of months ago. Other party was at fault. My car is badly damaged in the front with paint transfer from the other car. I wrote down the license plate #, make, model, color, and went to file a police report and insurance claim the next morning. I don't have collision insurance so all my insurance could do was follow up with the other party's liability insurance and see what they said.
Turns out the other party was a rental car from Enterprise. Enterprise called me recently to get more details and my side of the story. They finally just emailed me saying "After a thorough investigation of the facts, we do not believe the operator is legally liable for the damages being claimed in this loss. The renter claimed no accident occurred at the time of rental. Upon returning and inspecting the rental car, there were no damages reported to the vehicle. There has been no evidence provided proving our renter hit your vehicle. We must therefore respectfully deny your claim."
What recourse do I have, if any? :(
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
PetsBest - Thoughts on this insurance appeal for PetsBest
Recently, my cat had to be rushed to the ER due to urinary blockage (FLUTD) , I submitted his bills, which rounded up to 7k, but the insurance denied it as pre-existing.
* Pet had not prior diagnosis or sign of illness in the past with a clean record
* Vet stated that he had issues peeing in an instance of stress due to construction and not due to FLUTD, and recommended Feliway Diffusers
* Vet also wrote a letter for me specifying that the symptoms were not related to pre-existing FLUTD
Now at the time that he started to show symptoms of blockage and straining the policy was already active and the waiting period was over. Am I crazy for thinking that them using past symptoms that were specified to not be related to deny my claim is actually wrong, and this emergency should fall under coverage?
Unum - Unum dental - no one seems to know about this PPO plan?
So my employer recently enrolled us in the Unum dental PPO plan. I've been calling offices near me and no one seems to know what insurance plan this is. Unum confirmed with me over the phone these offices are in network and every single one of them are saying they don't accept the insurance because they haven't heard of it. My insurance card also doesn't mention DenteMax or Connection Dental, so it's through Unum itself.
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