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Cigna - Cigna dental denied covered claim
Cigna denied my claim for a “periodic oral evaluation-established patient”, but approved adult cleaning (two per calendar year). This was the second examination and cleaning I got in the year.
Reason for denial is “N4 - This claim is denied due to lack of information. If you would like to have the claim reconsidered, please submit the information requested”
I contacted Cigna customer service twice and both agents said they didn’t know what the information requested was and provided no course of action.
Who can I reach out to to understand what additional information is requested since Cigna doesn’t know?
State Farm - State farm homeowners insurance deductible
We recently had to file our first homeowners insurance claim in the 6 years we’ve owned our house. We had a huge storm with 75+ mph winds and torrential rains, tornadoes etc.
We randomly had the wood paneling in our living room (interior wall, other side is a bedroom) sustain water damage. It was wet and mushy and all warped. We want it fixed because we don’t want mold growing etc. roof is 4 years old so we aren’t sure how water got in. We also need a professional to figure out how this happened.
Anyway, State Farm says it’s covered under our policy.
We have a $3,000 deductible.
They said they deduct the deductible from the money they send us for the repairs. We don’t pay it up front.
(We are waiting for a callback from the contractor they helped us find).
To me that sounds like if it’s going to cost $6,000 to fix they take off $3k and we only get $3k.
My husband thinks we get the full amount for the repairs which makes no sense to me. State farm has to pay themselves the deductible.
We had a total loss on a car last year and they took the deductible out of that and we got less money back for our payment. So that’s why I think we aren’t going to get the full amount (which is not going to be helpful we don’t have a ton of money right now).
So anyone know who’s right?
Healthy Paws - Healthy Paws is DOUBLING my dog's monthly premium to $135 — who can I move to that won't bend me over a barrel?
I love my dog but I cannot afford to pay $1600 a year for something I've hardly needed so far (since it only covers emergencies and not routine stuff). I do wanna insure him, but $135 for a healthy 7yo dog is beyond insane.
Is there _anyone_ out there that won't completely hose me on premiums?
Progressive - Progressive told me not to worry about the fact that I'm going over my limits by ~$9000....
When the adjuster was going over the fact that their car was going to be a total loss, a 2022 Kia Sorento, that they were valuing at $34,000, $9000 over my limit.
I hit them doing like 7 miles an hour, but it must have done frame damage... I just didn't see them, and t-boned them as they were making a left turn, while I was trying to make a left turn.
They told me that they were going to have them file a claim against their own insurance, and its "progressive versus progressive; so, it's not like they're going to fight it", and to not worry about it.
I'm not about to get blindsided with a $9,000 past due bill after being told to, "not worry about it", am I?
Embrace pet insurance - Embrace pet insurance increased my Annual Rate 55%!
I have had Embrace pet insurance for my dog and cat for 10 years and they have always been Awesome and I have a 90% Reimbursement Rate on covered claims . They have covered many claims and have helped alot . I do pay a hefty monthly price to have this peace of mind. I’m use to an annual increase that’s incremental but a 55% jump from 220 a month is just outlandish in my opinion to 340 a month now . Have you experienced a High Rate Increase also?
Progressive - Gap + Auto Insurance, Totaled Car
So the story goes: My friend in Texas totaled his car by hitting a mailbox. He has Gap insurance from the dealership, and auto insurance from progressive.
Auto insurance agent told him they're going to pay the dealership instead of him.
Can friend demand direct payment to himself, as the policyholder? Can his insurance just send the check somewhere else like that?
The gap insurance should handle everything on the dealership side, so I don't know why his insurance company would be giving the dealership anything.
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.
ICBC - Insurance advice
My car was damaged and repaired at an ICBC accredited shop. I got my vehicle back and immediately noticed it wasn't repaired correctly. I couldn't bring it back to the first shop again because I immigrated to the USA.
ICBC allowed me to bring it into a Nissan dealership in the US to have it repaired. The damage was done to one side of my vehicle- the control arm and strut were damaged. Nissan repaired BOTH sides of my control arm and struts because they said it was needed so the car would drive correctly.
ICBC is now saying they'll only pay for the one side of repair where the damage was done- saying they're only responsible for repairing the damage.
Is this true? I thought they'd be responsible for insuring the car was drivable again.
Brinks - Brinks security system contract, how can I leave this?
Hi, I’m new to this sub. My husband got brinks security system before we got married, few months ago I was going through our monthly budgets and saw $65 for brinks subscription for the cameras barely working and not recording anything when something important happened. For example somebody broke in to my husband’s car and camera didn’t record then I called them and they asked $1500 for cancellation because it’s 5 years contract.. I hung up and was planning to take it to small claim court but some other major life events happened and I didn’t think about it until yesterday when somebody hit my husband’s car in front of our house where the camera supposed to record but it didn’t.. I’m so mad and want to get rid of entire system from our house and don’t want to have any legal attachment to them anymore. How can I do that without paying $1500? Would small claim court fix this? I’m willing spend few hundreds if needed.
Location: Augusta, Georgia
Thank you in advance to all of you.
Blue Shield of California - Kaiser HMO vs Blue Shield PPO
Hi all, I'm leaving my current job and I have another position that pays higher than where I'm at right now, but no employee health plan. I'm in CA. Right now I'm looking at marketplace plans for my spouse (33M) and I (31F). We don't use much when it comes to health care. A few random visits here and there, I take a few daily mental health meds but that's it. However, we do want to start a family in the next year so I'm trying to keep that in mind. I've always been on an employer PPO, so that's what I'm used to. My top options currently are Blue Shield of CA PPO, or Kaiser Gold HMO. From what I've seen blue shield is one of the few companies that will offer PPO on the marketplace. I've looked at some of the cheaper plans through multiple companies but since most of them have coinsurance, I worry I could rack up quite a bit if I were to get pregnant/deliver. We earn too much to qualify for financial help/ACA plans as well. Here's my question - how much does Kaiser's HMO plans differ from their PPO? Is it really a big difference since it's all in one system? I know there are issues with Kaiser and it seems people either love it or hate it. But it seems like their HMO plan is cheaper with better coverage (particularly for maternity) than a similar PPO through blue shield. Anything I'm missing here? Any advise or prior experiences would be helpful.
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