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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.
Acura - AUTO CLAIM HELP!!
Hello!
I was rear ended, and the other party was liable. I submitted my vehicle for repairs at the shop of my choice. The car has been in the shop for way longer than the estimate stated due to shortage of parts. (Estimate was approved for 20 days, and its been almost 5 months lol) Adjuster stated they wont be covering the rental because it was excessive. I know that some shops are not truthful, but I confirmed with Acura. The parts were genuinely on back order the entire time. I told the adjuster that its not my fault that Acura is backed up, and that I wouldnt be in this predicament if their insured hadnt hit my car. He insisted that they wouldnt reimburse me for the rental.
Side note: Originally the adjuster estimated approx $9K in damages, and the shop was in the ball park of $21K in damages. When the supplement was issued, the allotted time to repair still stayed at 20 days, is that normal? My thought process is that if there was more damage, then it would take longer to repair lol.
What do I do? If I seek legal assistance are the odds in my favor? Im in Illinois if that helps.PLEASE HELP
Progressive - Looking for some advice or at least what I can expect dealing with 2 accidents before the 1st is fixed.
So the title basically sums it up.
I had I guy scrape the paint off the driver side front fender and a little bit off the side around the wheel well at a gas station about 4:30 am after I got off work.
I got their insurance info and pictures of the damage, ID, and insurance info (Progressive).
Someone gave me their number to act as a witness and it's on the video at the gas station, and the gas station employees know me from stopping by after work and said they'd act as witness too, so I didn't think it was worth calling the cops over.
The problem is, is that Progressive wanted me to use their website/app to take pictures of the car and then a video of the car (inside too for some reason). Honestly it seemed like a bit of a hassle. Any other time I've had something like that happen I've just had to take it to a shop and it gets fixed.
The car was in perfect condition went it happened, which they asked about when I was filling the initial claim. Unfortunately I put it off for a a couple weeks since my working nights made it so it was dark when I got home and the sun was going down when I got up to leave for work (this was about a month ago when we had less daylight), and off course I procrastinated like I shouldn't have since the car was fine to drive.
Then, about 2 weeks later, I was driving home after work and was in this stretch of the highway that is really dark when something hit my car HARD. I didn't know what it was, it was just some black blur that I didn't have enough time to dodge. I pulled over really quick cause I was dragging something and I didn't know what condition my car was in. Turns out I was dragging a chunk of my fender that was broken off.
Luckily my car was drivable, but I had a hole about a foot in diameter taken out of the front fender closer to the passenger side of the car.
I walked back up the highway and it turns out the semi I was behind shredded a tire and it just ripped threw my car. I've seen people hit by those before and it's surprising how much damage they can do. I honestly thought I'd have more damage from the sound of it and from the feel of the impact.
Now my problem is both that I didn't get the semi truck's info so I can't have them pay for that damage, and because it happened before I made the video I now have damage to the same piece of the car that was mainly damaged by the the guy at the gas station.
So I've just been stressing out about how to deal with it, not knowing how I should go about handling this now that it's gotten complicated. I swear, I go years without trouble then get hit back to back.
So when looking online to help figure out what to do, I found some similar stories on Reddit while trying to navigate this, but none that fit me specifically. So I'm hoping I could get some advice on how to best deal with this, or at least someone that can let me know what to expect.
Sorry for the length of post, and I appreciate any help!
Amerigroup - Explain this to me like I'm 5: Medicaid via third party plan?
My husband lost his job a month after I gave birth and is on unemployment now. I applied for Medicaid and now my son and I are on it. However, we both got a card for some Amerigroup plan which is through Medicaid? My son's pediatrician only takes Medicaid and not this plan but I'm confused. Is this not still Medicaid? And if not, why would we get put on this plan from Medicaid when we never asked to be put on it? Can I reject this and just have us on plain ol Medicaid? Who am I supposed to call to get this fixed?
Age: 32, Son is 5 months. State: GA. Estimated income: $30,000 from unemployment. 3 person household
I don't understand how this works. Can someone explain it to me like I'm 5 lol.
Aetna - Aetna- EOB says your share amount, no bill yet
Hello, I have Aetna insurance and my daughter was prescribed to go for hypoallergenic formula. I spoke with agents, doctor office submitted required docs and they received a fax saying it’s covered. They directed me to Coram where I can order fomula.
Coram and Aetna coordinated and determined I’m covered at 100%
Now, in my Aetna app the claim is denied and my share is $6536. I have not received a bill from the provider(Coram). I’m panicking
Please tell me if I owe the above amount?
Blue Cross Blue Shield - BCBS royalty screwed me over & I have no idea what to do, anyone else experience this?
I’m sorry if this doesn’t make sense or for any errors, I am in shock. I have a state specific BCBS under my parents (meaning I’m the dependent). Last year after I moved out of state, they told me that they cover providers out of state. I’ve never had an issue with this. Now, I’m getting claims that I owe $700, $2,000, etc for every visit I’ve had this year (I have a chronic condition so, lots of visits). Turns out, our plan doesn’t cover out of state anymore. Were any of us informed of this? Haha no of course not silly! When did it start? Last year, ya know, when they were still telling me I was covered. I found these providers on the insurance website which is the big kicker & I had no idea bc I assumed “found on insurance website + office taking insurance + no bills yet = I’m covered”, but apparently I’m just that stupid. I even called to ask about providers. Now I owe $6,000+ that I don’t have. I’m in my 20s & in constant pain. I can’t afford not going to work despite hurting & not being able to breathe & now it seems like I can’t even afford living. They said the only thing I can do is submit a bunch of appeals saying I didn’t know about the policy change. I can’t go see doctors anymore. My job doesn’t provide insurance. If I want a plan that covers my health problems, it would be a minimum of $400/month which is insane. I don’t know what to do. Anyone else experience this?
Aflac - Aflac calendar year?
I submitted a claim for a Wellness Benefit. Date of service: Feb. 2025
Aflac denied the claim on the grounds that a Wellness Benefit had already been paid out this calendar year.
But the last Wellness Benefit had been for a date of service in November 2024, so last year.
The only way I can figure it is that my policy began in May 2015, and that by "calendar year" they mean May-to-April, not January-to-December.
Or.... are they wrong to deny my claim?
Progressive - I'm dumb. What am I supposed to do here?
Windshield claim, Progressive.
Hailstorms for days.
Deductible: $2000
Vehicle: Toyota rav4 2020
Progressive claims person asked do I want to get paid $2000 or pay for the windshield repair and have them pay the rest?
I haven't had to repair a windshield before. I didn't know what to choose.
Haven't gotten a quote but I don't think it'll cost 2k?
I didn't even know there would be choosing.
So before I do next step, adjuster etc: What... exactly am I supposed to do here? (I am feeling... cyberpunk dystopia atm)
State Farm - CA home insurance and trust
Thinking about moving my primary residence into a trust. However, I was grandfathered into a state farm home insurance very affordable for my location and I doubt I’ll be able to get my home insured since it’s now high fire risk since a map redraw.
I am also thinking about moving my home under a trust.
Does changing benefiacury of a home insurance incur a risk of losing my current policy (like separate underwriting is needed?)
State Farm - First car accident March 24. Questions about injuries.
Hi everyone,
On March 24, I was hit on the side of my truck from an individual. This was my first ever car accident, and we are in Florida. After he hit me, we pulled over to the side of the road and instantly I had a headache and my neck was hurting. I called the local police and they asked me if anyone needed medical attention. I stated that I had a headache and my neck hurt, but I was able to drive because I was still kind of more in shock and shook up about the incident and didn’t know what to do and wanted to get out of there. Dispatch told me unless somebody needed serious medical attention to just exchange information document the accident and file it with insurance. I got the older gentleman’s information took a video and a few pictures of the crash and left.
Since that day, I have been living on ibuprofen because I have one of those annoying little headaches that won’t go away. I tend to go to get some x-rays and all of that done from medical but I was just informed from State Farm that the individual who hit me does not have bodily injury coverage.
Unfortunately, I work in construction and build houses and flexibility and mobility are a key to my work. I currently am sitting in my bed and took the day off because it does hurt to rotate my neck and this headache won’t seem to go away.
I’m new to all of this and any advice on what I should do next would be greatly appreciated. I really don’t want to have to come out of pocket to get myself back into working condition on something that I didn’t cause in the first place.
TIA!
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