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United Healthcare - United healthcare denying claims.
So I have really bad neuropathy and have had for like 15 years. Can't feel anything below my knees. I developed a foot ulcer that was just not healing and after going to a foot specialist for 3 years my GP sent me to a wound specialist in Jan. My company had just switched to united health care so I wasn't very familiar with them. I went to the wound specialist every week or every other week for 2 months and
I was actually seeing a lot of improvement and was feeling pretty good about it when my insurance told me they were denying a lot of the services so now I owe over $6,000! And this is on top of the $200 I had to pay every time just to go see him as a specialist.
But the things that they are denying are things like the wound pad and the gauze that they wrapped my foot in for me to leave the office. The Doctor cuts away a lot of old flesh every time and its on the botton
of my foot so am I just supposed to leave his office with a big open wound? Am I supposed to bring my own gauze? It's also saying that I got a device several times, but I never got any type of device. Also the amount that the doctor's office is charging for just a little bit of gauze is insane. It's saying that the gauze or pads are 16-48 sq in and they were just small squares so maybe my doctors office was padding the bill, but I'm not sure.
I've tried appealing it but what else should I be doing?
I've stopped seeing the doctor because I can't afford that so now I'm just back to not healing and having a constant worry that it's gonna get infected and I'm going to end up having my foot amputated.
The claims say things like:
Service description:
A saline- or hydrogel-soaked gauze pad, 16-48 sq. In., used to cover a wound. The dressing protects the wound.
Claim codes:
Benefits for this service are denied. Your plan does not cover this medical supply, prosthetic, orthotic appliance, or durable medical equipment.
Service description:
Any one item used during a surgery.
Claim codes:
Benefits for this service are denied. Your plan does not cover this medical supply, prosthetic, orthotic appliance, or durable medical equipment. Please refer to the Exclusion and/or
the Additional Coverage Details of your plan document for additional information. (CAD128)
Service description
Any sealant, protectant, moisturizer or ointment. The product is used no to protect nntont the the skin ckin against against tears tears or or breakdown breakdown caused caused by by tape or other adhesive material.
Claim codes:
Benefits for this service are denied. Your plan does not cover this medical supply, prosthetic, orthotic appliance, or durable medical equipment. Please refer to the Exclusion and/or
the Additional Coverage Details of your plan document for additional information. (CAD128)
Service description:
A sterile pad, 16 sq. In. Or smaller, made of gel fibers to cover a wound. The pad is used as a protective dressing
Claim codes:
Benefits for this service are denied. Your plan does not cover this medical supply, prosthetic, orthotic appliance, or durable medical equipment. Please refer to the Exclusion and/or
the Additional Coverage Details of your plan document for additional information. (CAD128)
FedEx - PSA lost cards to grade
I was part of a bulk submission of cards. We insured them for shipping with FedEx for $26,000. FedEx deliver the box but it was kind of damaged. PSA signed for the box then decided that they were gonna refuse delivery and return to sender. PSA just then lost the box. PSA is taking responsibility but offering a low ball replacement value to people. For example, I had vintage cards and I've done the insurance about $200 and they are offering $10 a card. Is there any recourse?
GEICO - Is it normal in California??
Is this auto insurance premium reasonable? ($1,208.10/year for two cars)
Vehicle 1: 2008 Lexus IS 250 – $715.48
Vehicle 2: 2008 Honda Civic LX – $494.38
I'm in California and just renewed my auto insurance. I've been with GEICO for a while, but the premium keeps going up every year.
Is this normal?
State Farm - Does anybody know or have had an awful experience with State Farm?
Does anybody know or have had a awful experience with State Farm? They have kept my car at a body shop. It was a front end collision. They fixed all the outside of the car. Even things that did not need to be replaced. When went to pick it up it was not drivable. We told them at the time of the crash that they stability. Track went out. They refused to fix that. They told me to have it towed to my dealership. And guess what? I can’t get a hold of their roadside assistance. And every time I call they act like they don’t even know Like there is no claim! How can that be? They still have my vehicle at the shop.
Davis Vision - Can I dispute this??
I went to LensCrafters for an eye exam and new glasses and gave them my insurance information, signed the usual intake documents and paid for the retinal imaging. They told me I was all set and didn’t owe anything else. I have Davis Vision which is covered under LensCrafters but apparently my exam is not covered as I received a call from them asking me to provide a second insurance and that the coat is $179 if not. No one told me before, during, or after my exam that my insurance wasn’t in network and I didn’t think anything of it bc Davis Vision is almost always within network.
Even during my visit, one employee had me wait so they could “double check my insurance information”. That would have been a perfect opportunity for them to tell me it’s not in network and discuss the subsequent payment.
What do I do here? Can I dispute this?
Metlife - Metlife is quiet possible the WORST pet insurance we have ever had (more in comments)
insurance - Self-employment / debt advice
Here’s my situation:
I’ve got 27k in debt across 3 credit cards, thanks at an accident last summer that insurance wouldn’t cover. I own my home outright. Zero mortgage, 8k/year in taxes.
The obvious answer is to take out a home equity loan, but here’s the rub: I’m self-employed and have zero proof of income. I don’t draw a paycheck, and haven’t filed taxes since 2021 (reportable income has been less than the standard deduction, so I was advised I didn’t need to).
The business sustains itself with profit, which is all reinvested in the company.
Other than becoming the Gustavo Fring of the Southeast, does anyone have suggestions?
Nationwide - Anyone have nationwide and get their dog tested for allergies
I’ve tried meds and special bland food and the dog is still scratching excessively. I got a quote for testing at like $1500 plus a $300 consultation fee. Was wondering if anyone knows if this is covered. When I called nationwide they were very vague, saying it depends and they can’t guarantee if it’s covered. Smh
UnitedHealthcare - High mammogram bill from UH
I have a high deductible UnitedHealthcare plan through work and my primary care doc referred me to a local radiology clinic for a mammogram and ultrasound for a lump in my armpit (everything turned out okay). I got the bill the other day and almost choked, $635! I called UH and they said since it was billed as diagnostic and they don't offer any discounts, they only paid about $50 and I paid the rest, essentially it barely mattered that I had insurance. I am 35 so they aren't covered yet as preventative.
Should I appeal this? It's so much money after being laid off for 7 months before.
Geico - Gap from dealer with geico
I bought a almost new used camry and i almost got into a huge wreck this last weekend, pretty much I was fishing and this drunk idiot sideswiped my friends car with his boat while pushing his empty trailer nearly off the cliff towards the river, thankfully the hitch stayed locked in we were able to drive it to safety minus scratches either way they exchanged information.
Afterwards, we were talking about it. I still owe almost 30k for my brand new camry even if I didn't notice who the driver was
Would there be any way that gap would cover my car if it were to have fallen or got heavly damaged due to the small cliff?
I.had previous vandalism to my car last year and it was a headache through insurance
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