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Wilber Insurance Recovery - Wilber (Insurance Recovery) Asking for More Money Than I Owe – Anyone Faced This in Texas?
Trupanion - Trupanion's deductible/copay
Hello,
Can someone with experience using Trupanion confirm how their reimbursement actually works?
Here’s the situation:
Let’s say my total invoice is $1,200 (excluding tax and for a single condition). My deductible is $1,000, which has already been met. That leaves $200 of eligible costs. Based on my understanding, I would then pay 10% of the remaining $200 ($20), and Trupanion would cover the other 90% ($180).
However, when I submitted a recent claim, Trupanion told me that the 10% co-pay is calculated based on the total invoice **before** the deductible is applied. So according to them, I’m responsible for 10% of $1,200 ($120), **plus** the $1,000 deductible, and they only covered $80.
But their own website says this:
"Co-payments, also known as coinsurance, represent the proportion of eligible veterinary expenses that the pet parent is responsible for after the deductible has been met. For example, if a pet insurance plan offers a 90% reimbursement rate, **the policyholder would be responsible for paying the remaining 10% of the eligible expenses after the deductible has been satisfied**."
This seems contradictory. Has anyone else experienced this? Am I misunderstanding something?
HO3 - HOA requiring owner to pay or file individual claim for roof damage after hurricane
We live in a townhome in Florida with an HOA. For context, we do have an HO3 policy. After Hurricane Milton, we sustained damage to the roof of our unit, which caused leakage into our garage.
We notified the HOA after seeing the damage, and we were advised that when there is a “named storm”, the individual owners are responsible for paying for roof repairs. The HOA coordinated repair with the company that services our roofs, and we were advised we could pay out of pocket or file a claim with our own individual insurance company. The amount is $2000, but our hurricane deductible is much larger, so we will elect to pay out of pocket IF it’s accurate that HOA is off the hook.
We have a copy of our bylaws but cannot see where we are responsible for this repair. All other times where there have been roof leaks, the HOA covers repairs. We asked the board members to point to where in our bylaws that it states we are responsible, but they refuse to answer.
Does anyone have any insight? I will also post this to the HOA sub.
Thank you!
Medi-Cal - Medi-Cal switched to SSI P??????
Hello all, I am here hoping to find some clarity as to what happened and if I did anything wrong.
For context I am chronically ill and have ESRD (end stage renal disease), I am on dialysis 3 times a week, awaiting a kidney transplant.
For the last 3 years I have had Medi-Cal and it was handled through California DPSS. This has been the case since I applied. Even when I went into kidney failure and went on dialysis, my medi-cal was still handled by DPSS. I even subsequently applied for Social Security Disability and still my Medi-cal was handled through DPSS. I was just hospitalized last month for a week, so I know that my insurance was definitely still active at that point.
Well today, I called my PCP to make an appt and was told my insurance was no longer active. After HOURS of standing in line at the DPSS office, I find out that my medi-cal was transferred to Social Security at the end of March - Without giving me any notice: not even so much as a letter.
I’m baffled… I now have to restart the process of picking out a medical group and all that stuff… how did this happen?? Why?? And did I do something wrong????
Aetna - Is this a surprise act violation? Need help
Update: Thank you for all the responses and suggestions. This is my first time ever dealing with insurance so was a little confused. I believe I have figured out what the issue was.
I was seeing an in network gynecologist and they requested I get an ultrasound. The gynecologist had me scheduled with the hospital but said I can cancel and find another provider to try and find a cheaper place. I found an imaging clinc that says online that they take Aetna and so I scheduled with this place. They took my insurance information and I called them 3 times prior to my appointment to confirm the price of the service. They had stated the service was $245 every time I called and that I wouldn't owe anything more then that. I went to the clinic and before getting the ultrasound done again asked about the price. They said it would be $245 and so I swiped my card. I asked again if I would get another bill later and they said no that this is all that I would owe. I did the ultrasound and before I left I had them print the bill. They printed it for me and it shows that the good faith estimate was $245, which is what I paid upfront. A month later I received a bill from the clinic for $400 and upon checking the insurance claim I see $400 going to deductible and another $401 saying "pending or not payable" with my total share being $801. It seems my insurance is not covering anything. I had no idea that they would not cover anything or that this place was "out of network" as it literally says they take Aetna. I was reassured multiple times that the $245 was all that I would owe. I told them many times that I would cancel my appointment if there is the possibility that I would be charged more. The good estimate bill doesn't even show the actual price of the procedure nor how much my insurance would cover. I am so mad. How do I debate? Do I file a complaint? It also seems like my insurance is unaware that I've already paid $245. Please help!!! Another $800 bill on top of the $245 is insane.
Progressive - Here’s Some Progressive Snapshot Advice
I see a lot of hate on this device.
Much of it is deserved, but I think the biggest issue is that most people are using the app and not the plug-in device.
I’ve had my current one for three months and have a perfect score.
I used it on another vehicle and got 30% off my premium.
It’s not a “scam” as many call it, well not precisely. Progressive does want you to fail.
If you live in the middle of a large city and you drive in rush hour traffic every day – I would not recommend getting it. Find cheaper insurance.
Again, NO ONE should EVER use the snapshot app. It monitors EVERYTHING. Please don’t use it.
The plug-in device ONLY monitors how hard you brake, how fast you take off (press the gas) and time of day. There’s no gps on the device. It doesn’t know if you’re speeding or if you’re using your phone.
Here are tricks that work for me:
1) You have to pretend like you’re driving on ICE.
Pretend the road is covered in black ice the whole time and drive accordingly. It’s anxiety-inducing, but it actually works.
2) Every single move you make with your car needs to be endlessly thought out: your route, all the stoplights on your route, traffic, times of day.
3) You have to stay far behind cars. Watch every car in front of you like a hawk. You basically have to look at each car as if it’s going to pull in front of you or brake hard. Expect it.
4) You need to take the back roads. If that’s going to delay you, leave early.
5) One of the riskiest parts are stop lights. That’s why you try to avoid all major roads.
6) Don’t drive late at night. Take an Uber. If your job is 3rd shift, don’t use the device.
7) Use another vehicle if you have one and use the snapshot vehicle twice a week to go somewhere near home or somewhere easy to get to.
8) Buy a “this car is monitored by GPS” or “student driver” magnet or sticker so that you get less road rage from people.
This is what’s helped me. Hope it helps you.
Remember: THE ROAD IS ICE. Make it into a game if you have to.
Fetch Pet Insurance - What is the best long term pet insurance provider you've had?
I currently have Fetch pet insurance and they dropped my cats coverage to 50% from 80% bc they thought her account was unbalanced. They basically penalized me for using the coverage I pay for. For those of you who have had pet insurance for more than 2-3 years, which ones have you been happy with? I also, just got my new cat lemonade pet insurance but now I am having doubts. Pls helppp
Her insurance - Can I fix my car first and then sue the other driver in small claims if they’re dodging their insurance?
About a week ago, I was stopped in traffic when a woman rear-ended me. I won’t go into all the details, but she was a bit evasive at the scene. She did give me her insurance information, though. I only have liability coverage through my own policy, so I filed a third-party claim with hers.
I called her insurance today, and they told me she hasn’t responded to their attempts to get her statement. The evidence is pretty clear - she had a license plate cover on the front of her car, and the text from it literally left an imprint, like a stamp, dead center on the rear bumper of my car.
I really need my car, but my rear bumper is sagging, and I don’t think it’s safe to keep driving it like this. Based on her behavior at the scene and the fact that she’s now ghosting her insurance, I have a strong feeling she’s just going to keep evading responsibility.
Given this, I’m wondering: is it okay if I pay out of pocket to fix my car now and then sue her in California small claims court to recover the cost? If so, what kind of evidence should I gather to make my case? For example, should I ask the auto body shop for a written statement detailing the damage and cost to repair?
Thanks in advance.
Kaiser Permanente - healthcare marketplace help?
Hi!
So I've enrolled into healthcare marketplace back in November, and I've hit a major health issue since then and my current healthcare provider is absolutely helpless and don't seem to care enough to help me ( I have Kaiser Permanente). Is there anyway I can switch insurances past the deadline (I know its so late now) but I'm quite fed up, and super frustrated. Any advice helps!
Thank you for reading\~
Corebridge - Need help choosing a Life Insurance company.
"I'm working with an agent who recommended Corebridge, but they charged me twice for my annual Term Life payment. After a frustrating experience with customer service trying to fix their mistake, I decided to cancel my policy due to their poor support. Can anyone recommend a better company?"
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