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Progressive - Gap + Auto Insurance, Totaled Car
So the story goes: My friend in Texas totaled his car by hitting a mailbox. He has Gap insurance from the dealership, and auto insurance from progressive.
Auto insurance agent told him they're going to pay the dealership instead of him.
Can friend demand direct payment to himself, as the policyholder? Can his insurance just send the check somewhere else like that?
The gap insurance should handle everything on the dealership side, so I don't know why his insurance company would be giving the dealership anything.
Spot - Pet Insurance - Pre-Existing Conditions
Hi All,
Looking for some advice/experience dealing with pet insurance. I have 2 sister cats, 5 years old. I just spent an obscene amount of money on dental work for one of them and am trying to determine if pet insurance makes sense for me going forward.
Cat 1 has had some eye infections in the past, at this point treated but she will flare up occasionally when she's stressed. I'm worried that will be considered a pre-existing condition and won't be covered because she's received treatment before.
Cat 2 is the dental work one, and I am anticipating more cleanings in her future. Does previous dental work trigger a pre-existing condition or have you seen that in your experience? She's also getting treatment right now for an ear infection and I'm worried she's susceptible to those as well and that will also be flagged as pre-existing.
I have no faith that an insurance company will deal with me fairly, so I'm wondering if it's even worth it if any of these issues won't be covered as they're what I go to the vet for usually.
I have a number of options for insurance based on my employer's perk programs. I see a place like Spot will cover issues after 180 days, but then it seems like they only cover $100 on dental cleaning? That doesn't seem like much when for cats they have to sedate them anyway?
I'm sort of rambling but I guess my ultimate question is - is it too late to get insurance for these cats because I've been diligent on getting them treatment in the past?
Aetna - Aetna denied urgent care visit deemed as non urgent
i went to urgent care to get HIV PEP pills. Which must be taken within 72 hours of a potential exposure. i payed my $10 copay and They prescribed me the medicine where I was able to get my medication at the pharmacy that was covered by Aetna. But when I checked they fully denied my visit when I called she said the visit was not urgent. i told her I want to do an appeal. But im
Absolutely disgusted by Aetna im already traumatized. i feel this needs to reported but I don't know which agency I would need to reach out too.
Pennie - Desperately finding coverage
Hello all,
I am desperately trying to find health insurance coverage for my pregnant wife. She graduated college in December and went from a CNA to an RN with a start date of March 10th. Her HR told her that she would have a new open enrollment and that she could let her coverage lapse and gain new coverage when she started as an RN. This was before we knew she was pregnant and we were going abroad for a while and so we did not renew the insurance for 2025 thinking that we would just start it again in March.
We thought that because she was still employed, there wouldn't be a waiting period for when she got her coverage but we found out today that she won't be covered until June. She is due in August so we definitely need tests done before June.
We got denied on Pennie for a qualifying event (PA marketplace), short-term policies don't cover pregnancy, and I am under my mom's coverage so I don't have a policy she could come to.
Please, if anyone has any insight into this, PLEASE help!
Allstate Insurance - Claim has taken 2 months to this point and ZERO update.
Hey everyone. Need some insight from anyone who can chime in! So I am with Allstate Insurance. I had a collision with my truck (driving slow, hit a patch of black ice and my truck goes right into a transformer box(those green boxes that you usually see somewhere in a residential area ) and my truck is totaled.
It’s been 2 months since I’ve filed the claim and I’ve basically heard nothing since. I have been calling 3-4 times a week, leaving 2-3 emails a week. Basically nothing.
Just curious what should I do since it seems like claims never should take this long?
Pets Best - monthly premium more than doubled when dog turns "senior"?
I guess my dog just turned 8 according to the age on my Pets Best profile. My monthly premium was $43 and now my bill is $91?? i am newly graduated from my graduate program and going through job fluctuation... wondering if this is worth it given the steep increase in cost.
she has been fairly healthy the 5 years i've had her. i've never actually used the insurance policy, i just like having it for my own sake lol because i've invested entirely too much of my own mental stability into this dumb little pitbull. i just did the full senior workup with bloodwork and urinalysis and they said she looks good. if anything dire happens i could borrow money from my family
she is my only pet and technically i can afford having only one pet insurance policy. i like the reassurance of having the insurance and it was worth it for me at $43 but $91 has me rethinking
State Farm - State Farm customer service line connects me to someone having a random conversation?
I go through the prompts, I get connected to someone, and I just hear a conversation between two people talking about random things that I can barely make out. They don’t respond to me so I hang up and try again, same thing. What is actually going on? Do customer service reps just answer and then ignore people so they’ll hang up?
Guardian Dental - helping understand guardian dental
Hello! I have Guardian Dental insurance. I just received a bill where I am responsible for $217 - Guardian only paid $47.00. Services billed were D0120 and D4910 (Periodic Eval and Periodontal Maintenance). I went on my Guardian account and it says that both codes are covered 100%. They are both under preventative and the coinsurance is listed as 100%.
"Detailed and extensive oral evaluation (D0160) is not covered. **Oral evaluations, including codes** ***D0120***\*\*, D0145, D0150, D0170, D0180 or D9430, are covered once in any 6 consecutive month period.\*\* The limited oral evaluation - problem focused (D0140) is not included in the frequency limitation or last visit date."
"Periodontal maintenance (D4910) is covered under the Basic service category. Adult prophylaxis (D1110) is covered age 12 and over. Prophylaxis (cleaning) (D1110, D1120) or **periodontal maintenance (D4910) is covered once in any 6 consecutive month period."**
My date of service was 3/6/25. I have not had any other services in the last six months. My last visit was 9/3/2024. My deductible is $50, "Yes" means waived for preventative. To date, I met the $50 deductible and Remaining is "0".
|| || |Individual Dental|Out of network|$50.00|Yes|$50.00|0| ||In network|$50.00|Yes|$50.00|0|
My deductible is $50 and it says I paid it... and my coinsurance is 100%? So even for preventative services, this means I'm responsible in paying all of my dental care beyond the first $50? My yearly plan limit is $1000. What is even the point of having health insurance? Is this because I got basic coverage instead of full coverage? I guess I'm ignorant and thought that preventive care would be covered. I feel really stupid right now! I tried calling, but they aren't open. Any assistance to help me understand is appreciated.
Cigna - Cigna not paying for In Home Sleep Study
Edit: It looks like this was my deductible. It looks like I didn't fully understand how things were billed before/after my deductible was met. Thanks for the help everyone!
I recently received a bill for $275 from an in-home sleep study. When looking at my EOB it says that the ammount billed was $450 and Cigna negotiated a $175 cost reduction, however under "What Cigna Plan Paid" the amount is listed as $0. Also, the provider network status is listed as "IN NETWORK". I was operating under the assumption that this at home sleep test would fall under the other lab work from an independent lab category and would be billed at 15%. Not sure if this is necessary info, but I am located in California.
My questions are:
1. Does anyone know what an in-home sleep study would be classified as when it comes to how it is billed?
2. Is it possible to contest this with Cigna to get them to cover more?
3. Is it possible to negotiate this bill with Virtuox in the event that Cigna will not budge?
Gap insurance - Insurance, Lienholder, Gap insurance dilemma 😓
Hello, I was involved in an accident and I’m currently waiting to be reimbursed by the insurance of the person who hit my car (the 3p insurance). However their policy limit doesn’t cover how much my car is worth. I am trying to retain the car as salvaged because it is my only source of transportation. The 3p insurance is sending the lienholder $15,000 (customer’s policy limit) but the remaining balance is mine to cover ($6,380). However my lienholder says they won’t send the letter of guarantee to the insurance until the remaining balance is covered ($6,380) meaning the 3p insurance cannot send the $15,000. I have gap insurance and I expected them to cover the remaining balance but they said they won’t pay until the $15,000 is sent from the 3p insurance and they see the letter of guarantee. Does anyone know if there is a workaround where I keep the vehicle having to pay ($6,380) out of pocket? Please let me know. Thanks!
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