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Anthem - Anthem Pre-Authorization
After a surgery consultation, my doctor submitted a pre authorization request to my insurance, Anthem (North Carolina). I believed it had been sent on March 17th, so I called my insurance to check the status last Friday. However, there was no record of any pre-authorization being sent. This turned into the insurance calling the office, and they confirm it was sent March 24th (so it is confirmed by both the office and the insurance rep who called). Now today, I called to make sure the information had been updated, and that the pre-authorization had officially been received. Once again, they say there is zero record of any pre authorization. This is my first time having to go through this process, and I'm just super confused. I know the expected date to hear back is within 15 days, but I at least thought the request would be on file. I don't want to have to call again, but I'm getting worried that the request won't show up in the Anthem system. Plus I can't schedule surgery until this is approved, and I need it done this summer so the longer this takes the more nerve wracking it is.
Basically, is it normal for my insurance to have no record of this pre-authorization request 14 days after it was sent?
Pets Best - Considering a policy rewrite with Petsbest for healthy dog
My dog is currently 4 years and his Petsbest policy is due for renewal in 2 months. He is turning 5 in 2 weeks. The premium will be increased by 70% at renewal (from $340 increased to $599 per year). I checked with a new email address and I think if I get a rewrite before his birthday the premium will be about the same price as I am paying now (i.e. $340, and that's about $250/year savings). If I do the rewrite after he turns 5 the new premium would be $426, still cheaper than the offered renewal rate of $599.
My dog is healthy and there has been no claims since 2021 other than wellness claims so I suppose there is no preexisting conditions. I am only a bit worried about the 6 months waiting period for ligament injury if I were to request for a rewrite. I am thinking about also getting an accident-only insurance from Spot during the waiting period to cover that risk. Has anyone done a rewrite before? If this is workable, is it a good idea to get a rewrite or consider switching every year before his birthday if the premium increases insanely, so long as my dog has not developed any preexisting conditions then?
Progressive - Need advice/Help!!!
I’m currently with Prgrssive insurance I star with them about 3 years ago I’m 27yo. First car insurance with them paid $700 for 6 months the following year they bumped out the price for $850+ for 6 months and this year I got $900 for 6 months. No accident zero report at all why they kept bumping my prices? I’m from New Jersey. I’m thinking of switching insurance and your recommendation or what I need to do to pay around $700 for 6 months if possible, thank you!
Mercury - Mercury wants EDR data 1yr later
Hey folks, my son was in a n accident a year ago. A driver hit him and a number of other people on the freeway. Son was NOT at fault and took the least of the overall damage. Mercury had me send the car to their adjuster and repair. It was fixed a year ago. All done I thought. Now I’m getting messages from the adjuster ranking for the EDR data from the car. What are my obligations here? The car was in another slight accident after this(hit a pole).
Neither accident had airbag deploy.
The letter they sent was quite demanding.
Progressive - Is my car toast?
Someone hit my car. Air bags went off on one side and bumper poked the radiator. Bumper and hood are crumpled but it doesnt look like anything else is damaged. No broken glass, and I can see under the hood and everything else is fine. Its a 2019 but good mileage and was in perfect condition prior. Filed insurance claim. It was the other personsfaultbut of course they didnt have insurance. Realistically what is the outcome? Weve had progressive for years. No claims for atleast 5 years.
Edit: sorry 2019 Jeep Cherokee
Liberty Mutual - Liberty mutual....
Has anyone else had issues with them. Recently had hail damage to home and they gave my contractors heck. The adjuster did a half azz job while taking notes for the claim. Contractors came and wanted to add more due to the OBVIOUS DAMAGE that was left off. They denied it. Meanwhile im watching my neighbors get their siding replaced along with their sheds lol. Im between these two homes at that. They also called contractors lying saying photos weren't real and I had to go and prove and sign off that they were. You pay as you should and when its time to use them they nickel and dime you.
Figo - My experience with Figo
I made my first claim through Figo and wanted to describe the process for those that might find it helpful.
**Overall Thoughts**
Overall, I was pleased with my Figo experience and intend to renew my policy.
Figo covered approximately what I expected it to cover based on my understanding of the policy document.
I submitted three claims in total, one for each of the invoices I received from my vet. My claims were processed and paid in less than 1 week. The process of submitting my claims was straightforward and involved uploading invoices to the PetCloud mobile app.
I was slightly surprised by the fact that out of pocket expenses reduced my deductible only up to my policy's reimbursement rate. For example, the first $100 in covered costs reduced my deductible by $90. This is different from my experience with human health insurance where 100% of out of pocket expenses count towards to the deductible, regardless of what your coinsurance rate is.
**Policy**
I pay a $477 annual premium with the Costco discount. My deductible is $1,500 with a 90% reimbursement rate and unlimited annual coverage. My dog is 3 years old and unspayed. The policy includes rehabilitation but not Vet Exam Fees, Extra Care Pack and Wellness - Plus. My policy has been active for just under 2 years.
**Illness**
My dog had bloody diarrhea, loss of appetite and lethargy on and off over the course of 2 weeks. Total treatment costs, including vet prescribed food totaled $2,540.35 of which Figo covered $317.82. The cause of her illness was never identified.
**First vet visit**
At my dog's initial vet visit, our vet did an exam ($130), prescribed my dog Metronidazole ($26) and tested my dog's stool for parasites ($86). Our vet also prescribed Trazodone ($20) to help with my dog's anxiety at subsequent vet visits. The Figo policy covered the Metronidazole and the Trazodone, but not the vet exam or the parasite test. I was slightly surprised that parasite test was not covered. The denial reason was "Costs or fees for treatments or preventative treatments for parasites or conditions related to parasites unless there is no preventive medication for the parasite..."
Total charges: $262.10
Covered by policy: $46.10
Remaining deductible: $1,500 - (.9 \* 46.1) = $1,458.51
**Second vet visit**
At my dog's second vet visit, our vet did another exam ($130), ordered blood work ($570) and recommended that my dog be hospitalized overnight for IV fluids and observation ($1,388). The vet also prescribed a 5 day course of Metronidazole ($20) and Pepcid ($20). Again, Figo did not cover the vet exam, but did cover everything else, save a $24 "medical waste" charge that was part of the hospital stay.
Total charges: $2,128
Covered by policy: $1,973.70
Remaining deductible: $0
Paid by Figo: Covered costs - Remaining deductible = (.9 \* $1,973.70) - $1,458.51 = $317.82
**Prescription Food**
The vet prescribed specialized GI food for my dog to eat after her release from the hospital ($150). I did not expect for Figo to cover this expense, as the policy document states that food is not covered. I submitted the claim anyway, on the off chance that it might be considered treatment for her illness. Figo denied the claim with the reason reason: "The policy does not provide coverage for food unless included in the Office Visit and Exam Fees Rider prescribed as the sole Treatment for an Illness"
State Farm - Umbrella coverage; SF discontinuing rental property policy
State Farm is discontinuing the policy for my 3-unit multifamily rental property. My umbrella policy is also with State Farm. My agent told me umbrella will cover the rental property if a new policy I find is A-rated (i.e. by AM best, JD power, etc) and underlying liability limit of $500k is purchased. Is it really true that the new policy for my rental property must be an A-rated insurer? What if it is less than an A-rating or not even rated at all? Insurance is insurance, isn't it? It is becoming extremely difficult to find a good, quality top-rated insurer that will write a new policy for rental property (building) that is 70 years old.
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!
Ladder - Quote seems very high
I'm a 38/f with 3 young kids. I did an online application for term life insurance (no exam) with Ladder for 750k/30yr. I have no medical issues other than familial high cholesterol controlled with statin, non smoker, no pre-existing conditions etc. They quoted me at 117 a month. I know no exam is generally higher than traditional, but this seems off to me. Is it me, or is this very high? Could the cholesterol be that much of a factor?
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