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AAA - Insurance company trying to force owner retention of totalled vehicle
My car was hit by someone who took responsibility for the accident. We went through their insurance company and took the car to the repair shop they recommended. While at the shop, they doubled the estimate of the repair work leaving the car disassembled, as the insurance company wanted to declare it a total loss. I told the insurance company to work out the financial settlement with the finance company, as the loan was still larger than the value. The finance company sent the insurance company a letter of guarantee and I signed the DNV documents transferring ownership to the insurance company. The insurance company then deducted the salvage cost from the settlement and said they would tow the vehicle to my home. This is not a vehicle I want or agreed to retain, as the vehicle is not currently drivable, and the effort to make it so is not in my best financial interest. They are attempting to force the vehicle back into my possession. Is there anything I can do to prevent them from forcing me to retain possession of the vehicle, given they have the signed documents necessary to transfer ownership once the lien is paid? This is CA and the insurance company is AAA.
null - On the hook for deductable after Dr. changed claim details
So I've been going to a psychiatrist practitioner for more than 2 years now. I've paid a $25 copay each visit. I've never had to pay a deductible, it's always been the same practitioner as well. Out of the blue in January I get sent a bill that is many many times the cost of my copay, with the bill stating that it's my deductible.
I called my clinic and they tell me nothing's changed, that the insurance was sending back that it was out of network and that they'll resubmit. I called the insurance and they let me know that in the past they were filing claims as a family practitioner, but now they're filing as psychiatry/specialist which is subject to my deductible. They mentioned that I could file a dispute, but that everything did look accurate and they're not sure how or why it was charged as general practice before. When I called my clinic back they told me they'd been bought out and that the practice is a specialist clinic and told me basically they don't care how it was charged before.
I am very frustrated. I went ahead and cancelled my next appointment and am looking for options to continue on my medicine. I'm hoping my old family doctor might be able to pick up the prescription. Not sure what else I can do.
I would not have went in for my visit had I known it was going to cost me multiple months of rent. And all just so she can ask me 3 minutes of questions and write the same prescription I've gotten for the past year.
Is there anything I can do to get out of paying this bill? I was not told before hand that anything was changing. I know it's more complex than this but I can't help but feel like I'm being scammed out of my money.
Also does this not sound borderline fraudulent? How can a practice go from being general practice to specialist without undergoing major changes. If they are a specialist now, how were they not before??
Anyways, I just needed to vent this out I guess. Any help or suggestions are greatly appreciated. God bless the American Healthcare system.
Trading 212 - My broker froze my account and ended up making me lose money
Hello, I doubt I can do anything about this but I'll ask anyway. My broker automatically froze my account yesterday because I supposedly made a large amount of orders (less than 10 a day on average). The average of those orders were positive so I'm unsure why the amount matters, not like i was losing money. I had an ongoing call that I was keeping waiting (hoping) for the price to go up and placing puts as the price was decreasing, so i was slowly making back the unrealised loss (and I did more than make up for it before tariff struck).
Anyway, yesterday I tried to place a put but noticed my account was frozen, asked why and the help center told me the reason above and that it was there to protect me. Anyway, tariff happened today so the earlier mentioned call escalated in price which triggered their automatic order closure when the account reaches 25% of its value. Since my account was frozen i was unable to place a put to stop the fall in price and such. They did prevent me from placing a put just before the tariff struck yesterday, and while it was happening. So i was wondering if I could ask them for any sort of compensations or if I should cry.
the broker is trading 212 just in case.
Location: France
Spot - Issues with Spot- Help!!
Hi,
My one year old cat had to go to the vet this week for a limp. I processed his paperwork and submitted a claim toward his deductible and Spot denied it. Looks like he needs surgery and it’s going to be costly- I’m worried they will deny this too.
Am I able to switch insurance companies now if I’m having issues with spot? Or would a new company just not cover this at all? This is my first pet with insurance and I’m frustrated.
Tesla Insurance - False Insurance Claim Against Me
I recently almost got into an accident where the person in front of me stopped in an active lane of traffic and I had to hard brake. I stopped short of hitting the guy's bumper and we both pulled over to check if there's any damage. Confirmed no damage but he made me exchange phone numbers and driver's license info with him and we took pictures of the cars before going our separate ways.
I didn't file a claim nor let my insurance know since there was no collision to begin with. A couple of days later I got a voicemail from his insurance's claims adjuster saying that a claim was made against me for a rear-end collision. Since it was after-hours I called the general support line for his insurance and got a hold of a live agent who was able to give me more information and what to do to dispute the claim. I've provided the pictures and dashcam footage leading up to the encounter to the claims adjuster and also filed a claim with my insurance because there's no other way of getting a hold of someone in my insurance until the weekday (I blame Tesla Insurance for shotty staffing).
I wanted to ask the community if there's anything else I should do or be aware of in this process. I think the guy is trying to make a claim that I damaged his bumper as he had existing damage there (I confirmed in the pictures and the dashcam footage).
EDIT: Forgot to mention that I plan on calling the other guy's claims adjuster as well as the one assigned to my claim to confirm receipt of information and if I need to provide anything else. I sent the pictures and dashcam footage to my claims adjuster as well.
Cigna - Self-funded programs and escalating issues
My company moved from Aetna to Cigna self-funded open access. Every month I submit claims for reimbursement with an out of network provider. The diagnostic codes never change but at least 2-3 a year, they play this game with me where they either lose the claim, claim is pending for weeks or the superbill is "missing" information even though its the same info every month with different dates. Of course, we all know they are just playing a game and trying to weasel out of paying me. Is there any where I can go to escalate these issues? My companies care advocate is useless but it feels like that is my only recourse.
BCBS Anthem - Just got rejected approval from BCBS Anthem for surgery. Appeal likelihood?
I’m in shambles. A surgery out of network I was approved actually late last year is somehow now denied in network now? And the record of approval is nowhere to be found?? Literally saw it three weeks ago.
I want to make sure this appeal hits the ball out of the park with all necessary info but it’s such an uphill mountain and I was so happy for a month and a half excitedly waiting for my surgery next month.
Please help.
Farmers - Insurance company leaves me with shortfall to remodel bathroom
I own a condo, which I reside in. The unit directly above me is a rental property.
So, a pipe was leaking from the unit above me. HOA says the upstairs unit is fully responsible for any costs incurred in repairing the pipe and restoring my bathroom due to the water damage it caused.
The breakdown in cost for my Master Bath is as follows:
\*Demolition: $2,879.00 (already completed)
\*Remodeling: $4,554.39
TOTAL COST: $7,433.39
The upstairs neighbor’s insurance company, Farmers, just paid me a total of $5,570.51 to cover all costs associated with the completed demolition and for the not-yet-started remodeling.
That leaves a shortfall of $1,862.88 to make my bathroom “whole” again.
Farmers explained that there is depreciation. My condo was built in 1986. I believe the bulk of the cost associated with restoring my bathroom is labor. Not the materials. Right? Since you can't depreciate labor costs, how can the insurance company justify paying out a significant amount less than what is needed to return my bathroom to the condition it was in before the water damage?
For example, one item on the list the contractor submitted to the insurance estimate was $290 to hook the toilet back up and reset it. I asked the contractor how much the cost would be for the material to do that. He said all it takes is some wax.
I asked him for a breakdown of material costs vs labor costs, and he said he can't come up with that because it's complicated, and the computer spits out the pricing already bundled together.
This is my first time buying a place to live. So, I am not as familiar with all of this, and if I am being denied something I am entitled to from the upstairs owner's insurance.
Here is a summary of what the General Contractor submitted to Farmers:
Recap by Category
O&P Items Total %
CABINETRY 710.40 15.60%
CLEANING 158.33 3.48%
GENERAL DEMOLITION 182.82 4.01%
DRYWALL 732.75 16.09%
ELECTRICAL 214.02 4.70%
FINISH CARPENTRY / TRIMWORK 280.02 6.15%
HEAT, VENT & AIR CONDITIONING 13.28 0.29%
INSULATION 49.76 1.09%
LIGHT FIXTURES 58.29 1.28%
MIRRORS & SHOWER DOORS 191.83 4.21%
PLUMBING 581.01 12.76%
PAINTING 564.27 12.39%
O&P Items Subtotal 3,736.78 82.05%
Material Sales Tax 58.47 1.28%
Overhead 379.57 8.33%
Profit 379.57 8.33%
Total 4,554.39 100.00%
Should Farmers have to pay the full amount to restore the bathroom to its original state? If not, how do I go about getting the remaining amount if I am not responsible for costs?
USAA - House fire displacement fund question (usaa)
Had a house fire, insurance adjuster said i get 5000$ a month for up to 12months for a rental equivalent to my house (3/2 2000sqft)
Well 3 months went by and I decided to move into my own rental house , it’s a 1/1 while the repairs on the house are being worked on.
Now he’s saying he will only give me the going rate of a 1/1 … which is somewhere around 1500-2k, which is a big difference from 5k.
My question is if that 5k per month mine? Something I can fight for? Or do I only get the exact displacement fund I spend , up to 5k
Accident and Insurance - Accident and Insurance wants excluded drivers info
I recently got into an accident, where I was the only one driving, and there was no one else in the vehicle with me. I was reversed into and the other person that was driving only provided me with their ID, no insurance, and they only had a temporary plate on that was expired. Key note: they were at fault and offered to pay for it but my car is 2024 vehicle so I need to claim diminishing value.
My insurance after submitting my claim, reached out to them, but they have not responded. Now my insurance wants my excluded family members insurance information even thought they were NOT in the accident. I don’t think this is normal and a bit sketchy. Any thoughts or recommendations?
I’m thinking of looking into an insurance client advocate or legal help if needed. For reference, I live in LA county California
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