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health insurance - I got billed for a test that I didnt request that my health insurance doesn't cover
I (23, F) had my first pap smear this year and during the exam, the doctor ordered I have labs done as well. He collected my sample, but now I have a bill in the mail because the lab did testing. I am just so confused because I thought this would be covered since it’s part of my preventive annual exam. I am not sure what to do, should I call insurance or the lab who did the testing? Do I call the doctors office? Do I call insurance and ask to appeal? This is my first time navigating this and I’m not quite sure what to do.
Nationwide - Why I didn’t go with Nationwide for my new puppy
I had a great experience with Nationwide for my previous dog, who had epilepsy and developed a lot of complications. We hit our plan’s annual limit halfway through the year, every year — and they paid out thousands without much hassle. Genuinely smooth process.
So naturally, when I got my new puppy (Alfie), I went back to get a quote. But they quoted me over $200/month. I’m guessing it’s because of my history of high claims, even though this is a totally new dog and policy.
I ended up going with Lemonade (for wellness/preventative) and Trupanion (for emergencies/accidents), and I’m paying less than $100 total per month.
Just wanted to share in case others are running into similar pricing surprises with Nationwide. Happy to answer questions about my setup!
Fetch - Should I go off Pet Insurance?
Our dog insurance is $450 a month for a HCOL area in California. We use Fetch. It covers two small dogs, a 13 year old and a 6 year old. We have had pet insurance for 5 years, and not once have we needed to use it. Instead, it's just paying an exorbitant amount for a potential issue that has never appeared. It has become completely unaffordable for our family.
As a result, we are strongly considering going off pet-insurance for the foreseeable future. My family members and I have different ideas of how to handle future medical issues, however. I would do anything for our dogs and believe prices are reasonable to save my dogs' life. But my parents (note: I am a college student) believe it's too great an expense, and if a major condition arises that costs over 10k, the best option would be to put the dog down.
Do you know of any cheaper options? Or other ways we can ensure medical treatment?
Progressive - Wear and tear vs. unnatural wear due to damage
My wife was driving and was hit in the rear driver panel and part of the rear tire in a hit and run. The car was drivable so it was not towed. The impact caused the tire to toe out however.
For context, I had the specific tire that was hit replaced maybe two months ago. That being said, BOTH rear tires were worn down to bald and wire showing in some areas.
Progressive has deemed that only the drivers side tire is eligible for coverage because it caused sidewall damage and that the tires are bald because it is a performance vehicle. They are also saying that a single tire being improperly aligned/toed would not cause any additional wear to the other tires.
Do I have any options as far as getting them to cover the passenger tire? Is there a magic phrase or wording I need to use? I understand that a new tire is only around $250 to mount and balance but I feel like this is something the insurance should cover given the circumstances.
parents' insurance company - Drivers license being suspended due to not being covered by my parents insurance.
What Should I Do?
A few weeks ago, I was in a car accident while driving my parents' car that I wasn’t in fault. When I called my parents insurance company they told me i wasn’t covered by their insurance policy and didn't say anything and said to call the other party to solve this they didn't informed me on any of the steps so I assumed that I have to only call the other persons insurance. I wasn’t covered under my parents insurance, as they excluded me from due to not having 3 years o experience and I had no idea how much this would impact me. This was totally my fault for not being informed. My parents don’t speak good English and the language barrier wasn’t clear whether they added me or removed me from their policy. I'm a full time student taking 30 units this spring and currently I live with my boyfriend near my campus and visit my parents about once a month. That day, I just wanted to go to the gym and didn't think much about it so I drove myself since my parents were busy. I never thought that one small decision could turn into something so overwhelming. I’ve only been driving for a year, and this is the first time anything like this has ever happened to me. I didn’t even know that I was supposed to notify the DMV if the accident caused more than $1,000 in damage. I’ve tried everything I called my parents’ insurance company, I called the DMV to request a hearing but they told me there’s nothing I can do because I wasn’t covered. Now, I’m facing the possibility of having my license suspended, and I feel completely lost.
Is there *any* way to stop this from happening? I don’t want one mistake to take away my ability to drive. If anyone has advice or knows what I can do, I’d truly appreciate it.
State Farm - State Farm may drop our insurance. Help.
I have a long winded question. I want to preface this by saying I am not into fraud. I am a public employee and can’t have any issues related to that.
3 years ago we had a bad hail storm in the Chicago area. We have a close friend who is an adjuster for a roofing company. We coach our kids together and he tells me “hey do you want a new roof?” He tells me everyone is getting approved after the bad hail storm. I have zero experience with this so I said “of course.” I figured that’s why I pay insurance and this guy said it so non-chalantly so I agreed to it. He comes over, looks at the roof and submits a claim.
A week or two later he tells me that our insurance denied a new roof and only said they would cover $1,000 in repairs. In my mind it’s a win since we get repairs done.
Fast forward a year later and we have another hail storm. Our friend says to me “this time you will definitely get a new roof.” Again, we have no idea this is an issue. He looks at our roof and submits a claim. A week later we get a call from our agent and they tell us they are likely going to drop us. This is where my wife and I panic and wonder “what the hell is going on?” We get the insurance to stop the claim and somehow they do stop it and we don’t get dropped and don’t get the repairs done. So far no issues but still we are very worried about it.
Since then we have had a few roofing companies out and the prices are crazy. Like 12k just to repair and 25k to replace the whole roof.
My question is this: Would you recommend that we replace the roof on our dime? We have the money to do it. This is what I’m leaning towards but what happens if we have a really bad storm with significant damage? Does State Farm drop us but still have to pay for the damages or replacement? I don’t want to replace the roof, have significant damage, and then State Farm says nope you’re dropped and we aren’t paying?
OR, should I switch insurance companies before any work and then replace my roof anyway to lower the premium cost with a new insurance company?
Insurance prices are ridiculous right now but state farm is still lower than any other insurance company I have had quotes from.
Thank you for any advice you can provide.
Edit: I agree with all the comments that the guy screwed me. I am aware that the claims follow me. I need to find an honest person who can tell me if I really need a roof replacement. If not, I’m willing to ride it out until I do actually need a replacement. The thought of doing it now came because in 5 years we will have 2 in college and one in high school. We figured we would take the expense now rather than in a few years when money is a bit tighter. Still unsure of what we will do. I don’t think I need a new roof immediately but I know it will be in the next 5-10 years.
State Farm - State Farm valued total loss truck at 25k and tried to send payment of 22.9k
Buddy of mine is really having issues with State Farm. After a long back and forth they came to a number of $25,750 minus the $500 deductible for a total of $25,250 for his truck. He was hit in mid February of this year. He finally received an email today saying he could accept the payout and the number was almost 10% less at $22,999.19. What in the world is going on here? What recourse does he have and has anybody experienced this? Thanks in advance
Cigna - Therapist stopped accepting EAP and did not tell me
In early 2024 I made an appointment to start seeing a therapist, specifically one that my insurance (Cigna) listed as one accepting EAP.
I called the office and confirmed with them they do accept EAP, so I scheduled an appointment.
My six EAP covered sessions ran out around September 2024, so I called my insurance, got a new code for six more covered sessions, sent it to the office by both text and email (and also over the phone to confirm it was correct).
Come March 2025, I’m on my last of the second round of therapy sessions covered by EAP. I check in at the office for my sessions, and they tell me an owe around $300 for my last several sessions. Confused, I tell them that EAP covers my sessions aside from an establishing bill of like $69 once a year. The office tells me they do not accept EAP and that I’m overdue on my bill.
I have never been told, in all the times I physically check in for my appointments (I never do virtual) that I owed anything. This is the first I’m hearing about it, or that they do not accept EAP because I confirmed when I made the very first appointment that they did accept them. Hell, I had called to give codes for each batch of six sessions.
Now, if they had told me this sooner, I would’ve stopped going to find someone else. Not a big deal, it’s their business and they are allowed to handle it however they want. But it feels really shady to suddenly spring a mystery bill on me and say I’m overdue for the last six sessions. They had six months to tell me when I came in or email me or call me.
I showed them all the proof of me contacting them (I always leave paper trails) about the EAP codes and confirmations it was accepted.
The legal advice I’m seeking is, is it legal for a provider to do that, suddenly stop taking EAP and secretly bill you without informing the patient? I’m assuming they will drop my bill once they review my evidence, but if not, can I legally ignore that bill (if it even comes my way at all)?
Pumpkin Insurance - Breed Selection Pet Insurance
So, how do you go about selecting a breed when buying pet insurance when you have a mutt? I did a DNA test on my dog and she's like 2/3 Cattle Dog and Chihuahua, and then 1/3 3 other breeds.
I bought Pumpkin Insurance and selected Mixed Breed 11-25 pounds (she's 22 pounds and shouldn't get any bigger). Here's the kick in the pants- I asked what to do if she gets more than 25 pounds. They said, well, they won't accept Mixed Breed and they base breed on vet records. Why...why do they even have Mixed Breed as an option, then??
It's going to cost me an extra $136 a year to change her to a Cattle Dog Mix. It frustrates me because my dog weighs 10-27 pounds less than the average ACD.
I can still cancel Pumpkin, and I'm tempted. But will it be any better with any other company? I assume they all operate the same way.
Geico - Geico is wretched!
After a bad summer hailstorm, The ill-informed adjuster totaled my wife's and my only car. It was cosmetic damage only. Car still ran like a top. The adjuster who was not from my state( Texas). Said he "thought" the law in my state was the same as his (Florida). NOT! Now Geico is taking the car because we did not want a "salvage title." So we had to ante up for a different car. I would sue them and have a lousy chance of winning a case. We have been insured by Geico for 20 years. They treated us like a pile of crap. Plus our house was fairly heavily damaged in the same storm (a tornadic microburst.) I have already changed to a different company on the new car. It has been a 6-week long ordeal with the claims process. Pain in arse! Stay away from these crooks! The adjuster was wrong on the law in my state. filed a report with the state insurance regulator. Geico cost us $25K for a replacement car for something comparable to our total loss. Of course, they are not paying us anything near that amount. We were happy with our old car which gave us 50000 trouble-free miles over 10 years.
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