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Insurance companies are constantly reviewing us. Are we too old? Do we live in the wrong place? Is our credit score high enough? Well, now it's time to turn the tables. Do you charge too much? Will you pay my claim quickly? Is your coverage worse than it seems? We can review you too.
Sedgwick - (US) My Protected Health Information (PHI) was Shared with my Employer and they Retaliated Against Me. Can I Sue?
I am located in the US and like the title states my PHI was shared from my companies absence manager (Sedgwick) to my employer. Essentially someone at Sedgwick forwarded all my documents needed for the leave to my employer and they retaliated against me by accusing me of being too sick to return to work even though my doctor cleared me. This went on for about 10 months before I was allowed to return.
I spoke with a representative from Sedgwick on a recorded line and they stated it would be against the law and HIPAA to disclose my records with my employer beyond the fact I was approved for the leave. I am in a high earning job ($150,000) and lost out on nearly $120,000 worth of wages during this time. Would I be eligible to sue Sedgwick for the lost wages considering I was cleared to return to work and my documents were leaked to my employer resulting in retaliation and harassment?
Liberty Mutual - Insurer offering ~10% of repair cost
This is my first rodeo with homeowner’s insurance (Liberty Mutual) and it’s a nightmare. Looking for advice on how to proceed. The backstory is that a local company installed a new appliance in my home and bungled it. Their mistake caused some water damage to my kitchen and major damage in the finished room directly below. The appliance company gave information for their insurer, but when the initial water remediation was done and uncovered the extent of the damage, I filed a homeowner’s insurance claim instead and figured they would subrogate.
I currently have a wall in my kitchen down to the studs with some cabinet boxes, trim, and the dishwasher removed and sitting in my sunroom. The counter is being held up by a piece of scrap wood. There are some minor signs of gapping in the hardwood floor that is usually hidden from view, so I’m hoping to let it ride. Meanwhile the room beneath the kitchen is uninhabitable. One wall is down to the studs with no insulation (exterior wall), LVP flooring removed, and holes in the ceiling from water remediation equipment. I received a repair estimate from a local contractor for $25k (HCOL area, home value approaching $1mil). This includes insulation, sheet rock, plaster, paint, baseboards and trim, ceiling repair, LVP flooring downstairs to replace what was there, reinstall of existing cabinet boxes, and plumbing. It does not include new cabinets or counters.
My claim with Liberty has been in process for 8 weeks and a field adjuster came out 2 weeks ago with radio silence since then. The contractor has also been contacting Liberty for updates. Liberty called today and said the field adjuster calculated $700 to repair the kitchen and $2300 to repair downstairs for a total of $3k. I understand it’s an initial offer and figured I won’t come out of this without burning cash of my own, but it doesn’t cover the cost of materials let alone labor. And there’s not even a guarantee that my custom cabinets and counters will come out the other side looking the same.
What do I do from here? Do I eat $20k up front and turn around and sue the appliance company to be made whole? I thought that was why I had homeowner’s insurance but this is a real nightmare. And to top it off I’ll be adding a newborn to the mix in less than 8 weeks with my house in shambles and no dishwasher (first world problems, I know).
Chase - Am I Eligible for Chase $900 Bonus?
I originally signed up for the Chase $900 bonus approximately 18 months ago, but didn't end up depositing any money into either the checking or savings accounts (ended up not having enough liquidity at the time due to unexpected events).
They ended up closing both accounts after 30 days with a $0 balance on both. I confirmed this with a Chase representative on the phone. However, he claimed I was not eligible even though I would appear to technically meet the eligibility criteria (account not closed in the last 90 days; no accounts closed with negative balance in the last 3 years; only allowed to receive one new checking and one new savings account opening bonus every two years from the last coupon enrollment date and only one bonus per account). He claimed that I had closed my account too recently, even though the plain text of the offer would seem to suggest otherwise.
Has anyone had any experience with a situation like this?
Is there something else I'm missing here as to why I might not be eligible?
Will Chase let me know whether I am eligible or not when I open the accounts? Or do I only find out when I end up receiving (or not receiving) the bonuses?
Thanks in advance for any advice.
Trupanion - PetsPlusUs is great, Trupanion is trash
I wanted to share my experience, as reading other people’s stories on reddit is what made me go with this company and i’m so glad I did.
I’d heard lots of good reviews, and my partner had no issues with reimbursement with PetsPlusUs so I decided to try them out for my dog and cat.
After my cat had surgery to remove an obstruction, they paid me back the exact amount I expected to be reimbursed, and it was very straightforward! I even forgot to update my address for my insurance so it didn’t match the bill, and it was fine (I think partially because I only moved 5 minutes away so my premiums weren’t affected).
The only slight annoyance was I needed to give them ALL vet records, and they wouldn’t process my claim until I did (so please keep all your pet records safely in one place), but I suspect the same would be true for all pet insurance companies. My cat is about 1.5 years old, and her insurance is $35 a month and they repaid $2,100, so it’s been absolutely worth the money.
While at the ER, a dog came in that was hit by a car and trupanion wouldn’t cover a penny. I overheard the staff talking about how terrible trupanion is for repayment (and its way more expensive than pets plus us).
Healthy Paws Pet Insurance - Healthy paws pet insurance
Is it even legal for Healthy Paws pet insurance to increase premiums at almost 200% in CA? This is outrageously high!! Anyone experiencing the same?
#healthypawspetinsurance
Blue Cross Blue Shield - Hospital is overcharing and lying. How can I appeal the bill?
I went to a urology visit at UIC in Chicago. The whole visit was around 10 minutes, no longer, since I was called in: blood pressure and oxigen check, a few questions about my health history and then came in the doctore that in two minutes, without even using special pieces of equipment, gave me the diagnosis.
Only few weeks ago I recevied the bill and surprisingly I was billed twice: one bill for the doctor service and one for the use of the infastructure tislef. Basically the doctor just "rent" the room and equipment and provides the service.
For the first bill, the total was covered by insurance excpet a small co-payment ($40), but the second one is covered only partly . It was $460 and after reductions, I have to pay out pocket, 250$.
The code associated with this item is 99204: "New patient office or other outpatient visit, 45-59 minutes, Level 4"
(https://www.ama-assn.org/practice-management/cpt/cpt-code-99204-new-patient-office-visit-45-59-minutes#:\~:text=Additional%20CPT%20resources-,CPT%C2%AE%20code%2099204%3A%20New%20patient%20office%20or,outpatient%20visit%2C%2045%2D59%20minutes)
If you read thorugh the link above, this code should be applied when: "Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 45-59 minutes of total time is spent on the date of the encounter."
Basically, none of these createria were met. Even if I descalate to Level 3, it still require 30-44 minutes and a thoroughly examination of past and current conditions.
Now, what actions would you suggest me to do? Trying to reason with the hospital itslef or can BCBS help me with this matter?
Fortunately, I can afford to pay this bill. But it is just frustating that it's literally a mafia, a scheme out there, and nobody does nothing. I can't imagine the people living paycheck by payecheck and being frauded by private health.
New York insurance - New York insurance is getting out of hand
I am looking everywhere for insurance and the best rates I could find are around $1,200+/mo for 10 months. I know I am a new driver but that price is WILD!! Any helpful comments would be appreciated.
Fetch - Pet insurance Fetch increased premium
My dog is 10 years old (small mix 21 lbs) and we have had fetch insurance for 10 years. The premium increases yearly have been high, but this year it is ludacris. I just got an email that my premium will be increased from 1500 to 3000 this year!!! She has been pretty much a healthy dog except this past year she needed dental extractions. ideally, I wouldn’t want to change companies since she is an older age, but I cannot be paying $3000 a year. I have been looking for possibly switching insurances however, my concern is now that she is older and has had teeth removed—Is this considered a pre-existing condition?
Sidenote, interestingly enough, I requested a brand new quote through fetch and they quoted $150 per month with the same coverage. Hmmm.
Does anybody have recommendations for pet insurance plans?
Blue Cross Blue Shield - BCBS terminated policy due to non-payment of $0.00
Long story short, I got a bcbs plan through the marketplace last month and I kept getting bills for $0.00 saying I needed to pay or my policy would be canceled. The first time I got a bill for that amount I went online and paid a penny. Then I got another bill for the same amount of $0.00. I figured it was nothing to worry about. Fast forward to today, I have a doctors appointment tomorrow, and I get hit with an email saying my policy with bcbs has been terminated due to non-payment. Non-payment of what? Nothing? Why?
Cigna - Understanding Potential Timeline With COBRA & Receiving Cigna ID
Last month, I was laid off. I opted into COBRA with a start date of 04/01. The paperwork was sent to me last Wednesday, I elected into it Thursday, and paid my premium on Friday.
Today, I logged into Cigna and it's showing I'm inactive with no insurance. After a few hours of customer service between the COBRA intermediary (WageWorks), they assured me I'm active and it takes a couple of weeks for Cigna to process. They sent things over yesterday and said my insurance would be dated 04/01.
On the chat, Cigna wasn't able to help very much (which I understand).
Is there anything else I should work on during this transitional time? Or, have others had success with waiting and letting the process work itself out?
Thank you all so much!
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