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auto insurance company - At Fault vs No Fault
I had to file a claim with my automobile insurance company due to 4k worth of damage to my vehicle when I hit a MASSIVE pothole. The pothole looked more like a huge chunk of cement that got wedged out of the lane, possibly by a snowplow. It was the tail end of a decent snowstorm and this hole was unavoidable. Why? I was surrounded by vehicles and to swerve either way or stop short would have resulted in something far worse. I attempted to straddle the hole but it was too wide. After having my interview with my claims examiner she told me she felt strongly that she could get her boss to sign off on my claim as a no fault. she called bck and told me it wa an at fault and wouldn't budge. She read me the typical language that I should be aware of my surroundings and more cognizant as to the road conditions before me. The conversation went nowhere. They paid the claim at least.
My question: how could they call it at fault given the circumstances? They made this decision without ever even seeing a picture of the pothole, which proves its width? I am now trying to get the item removed via lexis/nexis. How much might this save me if it were remove?
Trupanion - Paying deductible if vet bill is less than
Hi everyone, my deductible for trupanion is $750. I’m paying $65/monthly, which I think is insanely high. I have a miniature dachshund who’s 1.5 years old.
His ear has been looking red and we have an upcoming check up at the vet next week. If an infection, they’ll likely prescribed ear drops or antibiotics, which I’m assuming will be a hell of a lot less than $750.
I am looking for some guidance on this or others experiences, when the vet bill is way less than the deductible. I understand it’s per condition so in the future if he has ear issues, it would be covered (which is likely considering his cute floppy ears). I am unsure what to do, as I don’t want to be denied claims in the future if more ear troubles arise and I don’t submit one now.
Hope this makes sense. Thank you!
Allstate - Grandfather wrecked his vehicle
He's fine, but the vehicle is totaled. His fault. He's pushing 81, and his memory is starting to go, so neither of us realized his insurance wasn't up to date. It expired at the end of June, and he usually does the 6 month payment thing. We dont know if it got lost in the mail or what, but he's currently uninsured. He's with Allstate and has been with them for decades, but they simply referred him to another insurance company when they called him back to explain his account was no longer active. Despite him funneling thousands and thousands to them through the decades hes been with them, one missed payment seems to be the end all be all. I'm going to call them personally tomorrow to try and figure this out, but I was wondering if you guys had any advice for me?
not specified - Auto policy -vehicles in multiple garages
I own four vehicles. They’re all older and there are frequent repairs, so I rotate through them. My 24-year-old son also rotates through them, but mostly uses only one of them. We own that vehicle together. Both our names are on the title. He rents an apartment in a different city an hour from me. My name is on his lease as they would not rent to him without having much rental history. He was required to have renter’s insurance, so as one of the renters, my name is also on the renter’s insurance policy. My auto insurance company just notified me that my policy will be canceled because “Not all vehicles are regularly garaged at your household. Therefore, this risk is unacceptable and we cannot continue your policy.”
My question is, is there any point in me arguing with them? I rent the property so why can’t I keep one of my vehicles there? It’s in the same state, only an hour away. What do people do who have college students who are away at school? What do people do who own multiple properties and keep vehicles at both of them? Is there anything I can do or should I start looking for a different company? Are there any companies that allow multiple garages? Thank you for any help.
*Edit* my son‘s permanent address is my home address, if that matters.
Progressive - Applying out of pocket costs towards a deductible?
Windshield had some severed cracks that started to spider out and had to be fully replaced/recalibrated.
Before having it fixed, I filed a claim with my insurance company (progressive). My claim was denied as I hadn’t yet met my comprehensive deductible and didn’t have glass coverage at the time. I added the glass coverage a couple weeks after the claim was denied to make sure I’m covered in future events.
I finally saved up enough to have the windshield replaced and recalibrated just this week.
My question: Is the amount I paid out of pocket for this replacement eligible to go towards my comprehensive deductible for any future issues?
My biggest concern is that I just don’t want it to look like I’m trying to commit insurance fraud by submitting a second claim for the same thing after just adding the glass coverage.
Appreciate any help.
USAA - USAA STAR Collision Center demanding repair authorization + POA forms before inspection
My car was hit from the side by an SUV. After getting advice from this subReddit, I opted to allow USAA to use a Toyota collision shop in their STAR network to do an inspection vs. going with a non-STAR collision center/appraiser (I still can pay for this out of pocket if needed). The consensus of this subreddit was that USAA collision centers are decent and wouldn't try to skip out on repairs just to keep estimate under the 70% threshold for totaling a vehicle (that was my concern as the car was hit near the hybrid traction battery and I believe it should be replaced)
The STAR-network shop contacted me individually and is demanding me to sign full work authorization forms and power of attorney before doing an inspection/estimate. In my state, I am legally entitled to an itemized estimate before authorizing any repair work. I'm okay authorizing an initial inspection but I do not want to give full repair authorization AND assign them power of attorney before reviewing and approving
Plymouth Rock Auto Insurance - Got backed up into TWICE and their insurance ghosted me
This happened a bit over a year ago. I was driving my girlfriend and her coworker to work and pulled over near the curb to let them out, at the same time another driver starts backing up so I lay on the horn but he hits my car my girlfriend and her coworker both were still in the car when it happened and saw everything. We get out and they are not communicating at all and possibly didn't speak english. Police were called and they didn't show up for over an hour and he eventually started trying to drive off. I follow through for half a block and he stops and backs up into me again. His "son-in-law" came after I guess they called him and he started trying to gaslight me into believing I hit him and theres no proof and that police aren't going to come. LOL. Police eventually pulled up and the other driver started to feign a heart attack or something. They even called the ambulance and the EMT didn't look pleased... I got the police report, report states: **"V1 STATES HE WAS PARKED WHEN V2 WAS REVERSING INTO A PARKING SPOT COLLIDED CAUSING DAMAGE TO FRONT BUMPER. V2 STATES HE WAS TRYING TO TAKE A PARK IN SPOT WHEN HE COLLIDED INTO V1. V2 CLAIMS THAT V1 WAS NOT THERE ARE THE TIME HE WAS REVERSING. V2 DRIVER WAS TRANSPORTED TO BOOTH MEMORIAL FOR CHEST PAINS. PO DIDN'T WITNESS"**. I got the insurance info and drivers info from the police report, called their insurance to make a claim. They instructed me to go to this auto shop and get a quote for damages, went there, the shop said they will call me about the quote. I never heard from the body shop again even after calling them they said they'll send it and never did, the insurance company never again picked up my calls after weeks of calling.
I have liability insurance, with Geico and they said to file the claim with their insurance.
This is in NYC, the other driver had NY plates but insured by a NJ company "Plymouth Rock Auto Insurance"
Due to my girlfriend and I living together, Geico requested me to add her as a secondary driver, I told them she does not even have a license to drive and of course never drive my car. They sent numerous letters and emails about this. Each time I replied online and called in to explain that to them, they acknowledged and I thought that was over. They ended up dropping me, and I didn't even realize for nearly a month and then I was fined by NY for driving without insurance. Paid the penalty and started looking for other insurance. Nobody was willing to cover me due to a gap in coverage, possibly the accident being reported, etc. I was only offered to be insured by GEICO AGAIN LOL. They doubled my rate for liability insurance nearly $400 a month and I've been paying that since.
Need advice on how to get what I'm owed for the damages they caused to my car.
Blue Cross Blue Shield - Hospital is overcharing and lying. How can I appeal the bill?
I went to a urology visit at UIC in Chicago. The whole visit was around 10 minutes, no longer, since I was called in: blood pressure and oxigen check, a few questions about my health history and then came in the doctore that in two minutes, without even using special pieces of equipment, gave me the diagnosis.
Only few weeks ago I recevied the bill and surprisingly I was billed twice: one bill for the doctor service and one for the use of the infastructure tislef. Basically the doctor just "rent" the room and equipment and provides the service.
For the first bill, the total was covered by insurance excpet a small co-payment ($40), but the second one is covered only partly . It was $460 and after reductions, I have to pay out pocket, 250$.
The code associated with this item is 99204: "New patient office or other outpatient visit, 45-59 minutes, Level 4"
(https://www.ama-assn.org/practice-management/cpt/cpt-code-99204-new-patient-office-visit-45-59-minutes#:\~:text=Additional%20CPT%20resources-,CPT%C2%AE%20code%2099204%3A%20New%20patient%20office%20or,outpatient%20visit%2C%2045%2D59%20minutes)
If you read thorugh the link above, this code should be applied when: "Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 45-59 minutes of total time is spent on the date of the encounter."
Basically, none of these createria were met. Even if I descalate to Level 3, it still require 30-44 minutes and a thoroughly examination of past and current conditions.
Now, what actions would you suggest me to do? Trying to reason with the hospital itslef or can BCBS help me with this matter?
Fortunately, I can afford to pay this bill. But it is just frustating that it's literally a mafia, a scheme out there, and nobody does nothing. I can't imagine the people living paycheck by payecheck and being frauded by private health.
Nationwide - Nationwide cancelled my pet’s insurance with no notice. Help!
Hi reddit,
Today I found out that my pet insurance through Nationwide expired in October 2024. I received ZERO notice. No emails, no letters, no alerts. I only realized after trying to submit a claim for last night’s emergency vet visit for my dog Walter and saw the policy was not active. I haven’t needed to file a claim since July 2024, so I wasn’t logging into my account regularly, but I had no reason to think coverage wasn’t active. I’ve checked everything (inbox, spam, physical mail, account notices/documentation) and there was no warning at all about the “expiration”.
I’ve already contacted Nationwide and I’m waiting for a response but I’m an anxious person and looking for any advice or insight while I wait…
Some context:
-I’ve been a Nationwide customer since 2020 (originally for my hedgehog, RIP) and since 2022 for my dog. Any time there was a payment issue in the past I would receive multiple alerts and I would resolve it same day.
-There WAS a payment issue August 2024 which I fixed immediately and I confirmed AUTOMATIC payments were reinstated. I have documentation of that. I recognize I’m privileged to be in a position where I don’t have to closely monitor every transaction, so I wasn’t regularly checking my bank statements. I know that’s not everyone’s reality and I say that not as an excuse but to add context.
I’m really upset. I genuinely thought Walter was covered and now I’m dealing with a vet emergency completely out-of-pocket. I’m also panicking that he may no longer qualify for a new plan with his pre-existing conditions that developed while he was covered.
Has this happened to anyone else?
Were you able to appeal, get reinstated, or have a claim approved retroactively?
And for anyone with legal knowledge, do I have any rights if I was never notified that my policy had ended?
Thanks for reading if you got this far. I’d really appreciate any advice.
TL;DR Found out my Nationwide pet insurance expired months ago with zero notice. Had autopay confirmed active after a payment issue. Facing an emergency vet bill with no coverage. Looking for advice, experiences, or legal insight on whether I can get coverage reinstated or claim paid retroactively
MetLife - Good insurance for a healthy cat? Did my research and looking for more personal reviews
Okay so my cat is almost 2 yo and has no pre-existing conditions, has a primary vet, and is not spayed yet (Plan to, very soon!)
I’m looking for a good insurance that covers wellness (mostly blood test and spaying cost?) for the first year and accident&illness for the following years. I have gotten some quotes and is eyeing Odie and MetLife for that, but every insurance seems to have bad reviews, or some would even call them scams.
Please provide me some experiences/takes on the insurance you use for your cat, thanks in advance!! This could be really helpful for me ;))
P.S. the reason I want a wellness plan to cover spaying is because there’s no shelter/low cost spaying availability around me and I want to be consistent with my vet :,) my cat went into heat last week and I don’t want this to come back again so really wanna do it sooner.
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