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Medicare - Health insurance
I have met my Medicare deductible. I have plan G Medicare supplement which pays all co-pays, etc.
I am being billed by a doctor’s office in spite of the fact that I have no further liability for co-pays. What is the best way to resolve this as the doctors office keep sending me a bill.
Trupanion - Trupanion claim denied - should I appeal?
So about a month ago, I took my dog in for her routine dental cleaning. While she was under anesthetic, the vet discovered that she had gotten a stick that was wedged right across the roof of your mouth and had punctured her gums on both sides, requiring 2 of her premolars to be extracted.
I filed a claim but it was denied because years ago (all the way back in 2019) there was a record of some peridontal disease at a completely different vet. Trupanion is saying they won't cover this latest incident because of that prior history, even though I've been with Trupanion since I got my pupper.
Is it even worth the effort to try appealing this? I just feel like the damage to her teeth was not really caused by periodontal disease, it was more of a freak accident because she chewed a stick.
Cigna - Employer offers three tiers of health insurance, open market plans are similarly priced
I work for an employer that does Cigna healthcare with three tiers, but the costs for all three plans are similar to the three tiers that Blue Cross Blue Shield offers on the open market. I currently have a premium plan with BCBS for ~$1400/month and my employer’s premium plan is also ~$1400/month.
How do companies get away with “offering” healthcare insurance that isn’t subsidized at all? This seems very disingenuous
Figo - Is making a switch from Figo worth it at this point?
I have a six-year-old lab mix (50 lbs) who is in good health, but a couple months ago, she was limping a little bit and had an x-ray in which the vet I saw said there was some minor flattening of one of her hip joints. I have a family member who is a vet in another state, and she said from the scan she saw, there was nothing worth noting or treating and she seemed to be in perfect health for her age. She’s also stopped limping entirely about a week or so after that appointment.
However, I know that the vet we saw does have it in her chart. I tried to file a claim on this, but as with literally every other claim I have ever made (nothing serious or crazy expensive so I let it go), it was denied. I have had Figo since I got her at 1.5 yo (rescue), but the same plan that I still have since I signed up shortly after adopting her started at about $25 a month, and now is creeping up to almost $125. My annual renewal date is mid February, so I have been thinking about making the switch.
However, I am wondering if because of this last visit, if she were to develop hip dysplasia later in life, they would use that as an excuse not to cover anything. Barring any accidents or random injuries, it doesn’t seem at this point that anything else is concerning or showing signs of future problems at this point. She’s an inside dog and has always been up-to-date on her shot and flea, tick, and heartworm meds. The vet did bloodwork when I took her in for x-rays, and everything came back crystal clear, as it has any other time she has had blood work done.
I’ve just become increasingly frustrated with Figo given the price hikes every year and their refusal to accept anything. I feel like I’m wasting my money, but don’t want to get screwed over later on if a new company sees it a pre-existing condition. But I’m also too anxious to not have any insurance at all.
Anyone have experiences similar to this? Any advice? Do I just tough it out and keep shelling out the cash just in case? I know I should have probably switched years ago, but here we are.
Lemonade - Pre-Existing Condition - Vomiting. Need advice !
I have an 8month old puppy. He had some bile vomiting before our insurance kicked in. Long story short, he was sick recently and we thought he swallowed something. When I put the claim in Lemonade denied me. They said vomiting is a "pre-exisiting" condition. Which is nuts? Has anyone dealt with this?
Am I crazy to want to switch insurances? Will this ever go away?
FSA - FSA never paid claim
I had a fsa in 2024.. before the plan expired I submitted two big expenses that were “authorized”.. however, money never got deposited to my account. Now they are saying the claim was valid but the amount was paid toward “unverified” receipts. Now that the plan year is closed they are refusing for me to submit receipts.
The claims that were “unverified” were hospitals and doctors.
Is this normal? Anything I can do? This is over $1200 in lost money
Geico - Reimbursed after spending out of pocket for an auto body claim?
Hi all,
Just got my car back from a shop. Took over a month after multiple supplements and back and forth between geico and the shop. Geico ended up being $1000 short still from what the shop wanted and I ended up paying out of pocket to get my car back.
Geico said they would not reimburse me (when I brought it up), however after some research and speaking with some on reddit and the shop, they state geico will reimburse me bc of my policy with them.
Can anyone provide any insight or guidance in how to proceed if this is true? Thank you
Erie Insurance - Someone took out a policy on my home
We purchased (with a mortgage) our house April 2023 in WV. Sorting and opening mail today. I opened an envelope from Erie Insurance assuming it was my renewal paperwork. No it's a policy continuation notice for a tenant policy held in someone's name I'm not affiliated with in anyway (it is addressed to them but did not realize as I just opened without looking assuming it was my policy info). 20k personal property coverage with a monthly premium of $245.
We're new to the area, having moved here from TN and have kept to ourselves. Small town with a population of barely 2k. So I 💯 do not know the person or have ever spoken to them. The kicker? When I look this person up he's a cop for my county. And the agent that wrote this policy is 5 blocks from my house off the main road thru town.
WTF do I do here? I'm concerned that this is a policy held by a local younger cop near me. A LONG time ago this was a multi unit home, but the previous owner we purchased from owned for 10 years as a single family home so it's not likely it's a policy that has just been continually carried over (why I mentioned they're younger) for the last 10+ years.
State Farm - [MN] Other party insurance not able to contact their policyholder
A few weeks ago, my car was hit in my workplace parking lot here in Minnesota. I made a police report and got security footage of the incident. While the footage didn’t directly show the other car making contact, one angle captured the only vehicle near mine, and another angle showed my car rocking from the impact.
The police reviewed the footage and agreed that the vehicle likely hit me but noted that we needed to identify the specific car since we didn’t have a license plate. Fortunately, since this happened at my workplace, we were able to find a matching vehicle based on make, model, decals, and wheels. Upon inspecting the suspected car, it had scratches exactly where the damage on my car lined up. While I understand this is circumstantial evidence, it strongly suggests that this is the car that hit me.
I filed a claim with their insurance (State Farm) and provided all the evidence. However, I’ve been calling every other day for updates, and State Farm keeps telling me they haven’t been able to reach their policyholder. At this point, I’m stuck waiting with no progress.
I’m considering small claims court, but that’s really a last resort since I work with this person, and they’re actually my cubicle neighbor. I’d prefer to resolve this through insurance if possible.
For those who have dealt with similar situations—what are my options? Is there anything else I can do to move the claim forward?
Blue Cross Blue Shield - "All inclusive" copays
I'm going to keep this as short and to the point as possible..
Before my job forced us to change insurances, my BCBS plan had an all inclusive copay, meaning when I visited my specialist(or anyone for that matter), I paid $70. That was it. I had been getting bimonthly infusions that cost just under $10,000. All covered under the $70 copay. Rad.
When we were forced to switch, we had our choice of hundreds of plans. I tried SO DAMN HARD to get insurance plans to tell me what my infusions would cost under their specific plans and got stonewalled every step of the way. I had all of my billing codes and everything. Long story short, I ended up choosing one that I believed had a similar setup to my last plan: all inclusive copay. Turns out, it is, but they are trying to bill me for the prescription used during the procedure($9,000+). I have to pay for that($300 specialty tier med) AND the copay. They couldn't explain why that is a loophole.
My infusion is a buy and bill, which means it is billed under MEDICAL, not prescription benefits. What am I missing here??
TLDR: "All inclusive copays" have loopholes apparently?
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