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MetLife - Should I switch over to Metlife?
Not your standard switching question, honestly. My partner got a job that offers metlife so our 2 dogs are eligible to switch over to metlife from our current insurance. We have petsbest currently. I already checked and there's no concerns about it being my partners work (and only I am currently on my the petsbest insurance). I spoke with metlife on the phone extensively so I can switch anytime basically, i'm mostly wondering reasons I might want to stay vs not.
Both my dogs have quite a few medical conditions and Petsbest has generally done due diligence. I insured my pit mix in Jan 2022 when I got him and they've covered almost everything. (Annual premiums: 2022 was 460, 2023 was 560, 2024 was 725, and this year was 1032. 250 deductible, 90% reimbursement, unlimited level). They denied only one claim. They denied something and considered it alternative. Even tho it's supplied by a teaching hospital, has studies, and the doctor wrote a huge letter explaining why it was the only option for my dog (my dog has multiple concurrent co-morbidities). They still said no. I asked before hand but they wouldn't pre approve and when I said I was concerned bc it was a big bill they just said I could always appeal. I did, and even with a super detailed letter, nothing. However, he has MANY medical conditions- allergies (on apoquel, immunotherapy, regular derm visits), anxiety (on a couple medications), hip dysplasia/OA and IVDD (on meds and may need surgery). So they've more than paid for his medical conditions.
Second dog we adopted in Sept 2024 and she was a 500 deductible, 90% reimbursement and 816/yr. Ended up in 12k in bills between emergency surgery, post op complications and follow up labs. They've paid up. We had to appeal one thing but successfully this time.
Petsbest has been fine and paid and processed, though slow, which is fine.
I'm mostly considering metlife as both dogs are on prescription foods and metlife will cover wellness care. I could get both dogs annual dentals (which i always planned to do, but was considering pushing it out to 1.5 years out when I'll get a better dental price at a new employer), get tick and flea prevention covered! (200 for one dog, 220 for the other). The prescription foods for the dogs run me about 70 every 1.5-2 months. I'm seriously considering it but feel like there may be something I'm missing. The company confirmed they'd cover rx food even tho petsbest doesnt, btw. Same with dental cleanings.
These were their quotes and I was planning to go with the most expensive one, tbh:
* Family plan: 250 deductible, 90%, unlimited was 2108.92 without wellness
* With wellness: 2938.44
* Family plan: 500 deductible, 90%, unlimited was 1783.25 without wellness
* With wellness: 2469.98
* Family plan: 250 deductible, 80%, unlimited
* with wellness: 2047.84
* Family plan: 500 deductible, 80%, unlimited
* with wellness: 1728.52
Would love any insight and opinions.
Nationwide - Nationwide vs costco/Figo pet insurance
I am debating between nationwide and costco pet insurance for my new 8 month goldendoodle puppy. Figo is $40 cheaper than nationwide.
Nationwide is $93 a month 80% coverage $250 deductible. Figo is $53 a month 80% coverage with $250 dedutlctable.
i have had nationwide for my older dog who got chemo treatments and front leg amputated 3 years ago and they covered 90% with $250 deductible. I've had 90% coverage for 8 years untill 2 months ago. Nationwide sent me a letter saying they were cutting coverage from 90% to 50% for my 12 year old dog.
Metlife - Pet Insurance
So I did away with my previous wellness plans and went with Metlife insurance. At first they were great approving regular visits quickly and I was reimbursed quickly. But I've noticed since before December now they take extremely long to even assign the claims and then review them. It always seems like I have to reach out to them in which they always need the Doctors notes before they will approve anything. My pupps have gotten ear infections, ruptured glands, and upset stomach with diarrhea this year and it has taken several weeks and phone calls to get the claim processed and a couple I am still waiting on. So I am thinking of canceling them. Would love recommendations of a better company with a better app as well.
Assurant - Flooding Claim in Chicago - Help Assurant just said they are denying coverage
The facts:
I am a RENTER
I Rented a unit in Chicago that is a fully furnished basement “garden level” unit
Lease Term: 2 Months Fully Furnished Unit
Day of Loss: July 7th 9 to 12pm
Insurance: Assurant
What the Insurance has stated: Please refer to your policy language:
SECTION I – EXCLUSIONS
Water Damage, meaning:
a. Flood, including but not limited to flash flood,
surface water, waves, including tidal wave and
tsunami, tides, tidal water, overflow of any
body of water, or spray from any of these, all
whether or not driven by wind, including
storm surge;
As far as you loss of use per your policy language:
If a loss by a Peril Insured Against under this policy
to covered property or the building containing the
property makes the “residence premises” not fit to
live in, we cover the Additional Living Expense.
At this time the preliminary findings for the cause of loss is not a covered peril. I will further investigate claim and follow up w/ you regarding the status.
I also left a voice message on your voice mail.
I read all of this - The Owner of the property that I am renting from said that the Plumbers Official Report was that the water was sewage water and it came from the toilets. For context the water rushing into my place was what woke me up and I woke up in a panic to put all belongings on spaces that are high enough for them not to be damaged.
The unit has been deemed uninhabitable by the Owners insurance and I do not have a home at the moment. AS of today my hotel stay has ended and I am down about 2k for trying to staying here.
Any help would be greatly appreciated as I do not want to be homeless in less than 24 hours.
Aetna - Incorrect deductible charge from hospital. Any chance of getting money back?
I had a pre-op call with my hospital today prior to my bilateral salpingectomy (preventative birth control) procedure next week. I have a new Aetna plan with a $2k
deductible, so it didn’t seem crazy when the hospital said I owed $2k.
But now I’m hearing that my procedure should be free under the ACA. I was told I’ll get my receipt for the charge at my pre-op appt on Friday. Any chance of me getting this money back if I dispute? Can I do a chargeback on my card?
UnitedHealthcare - Can an insurance company refuse to allow me to file a claim?
Long story short, I recently got a grant for my son who has autism spectrum disorder and was able to find a provider who had social skills therapy for him. The grant will reimburse me costs 100% however they need a copy of the EOB. I found a provider who was out of network but was the only one offering this therapy in the time period I needed it. She was upfront saying that we would have to file our own claim which I have no problem with. She provided the superbill and all of the codes.
Well today I logged into UHC to try to submit a mental health claim and the form is not available, then I called them and they told me that I cannot submit my own claim. I told them that my provider does not file claims but they were insistent on saying that the doctor would have to file them. Is this a common practice? I am just frustrated.
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.
Progressive - Claims
Wondering if anybody has any advice or information they could give me I live in California and have progressive. I made a claim back in January to get a chip fixed with Safelite and that chip still turned into a full crack across my windshield my insurance went up and the deductible to get the windshield replaced was 500, so I decided not to do it
Here we are now in July and I do want to get it replaced, but I don’t know if it’s better to just pay out-of-pocket or go through my insurance again with the risk of my monthly going up. Is there a way I can talk to my insurance so that my monthly payment doesn’t go up or should I just pay out-of-pocket. TIA !
Lemonade - Lemonade up to $160/m now. Recommended alternatives?
My dog is about to turn 10 and they want $160/m now. Should I switch, and if so where to?
Foremost - Llyod’s of London in CA for HO insurance?
Does anyone have experience with this company? I don’t expect any claims but how are they in this area?
I’ve had Foremost for several years but this renewal they screwed me with 3x increase. No claims. I’m in SoCal.
Apparently another broker couldn’t find me a quote and my current broker has ignored several of my inquiries for options.
I understand it’s tough to get affordable fire insurance in Cali. Arghhhh
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