Have an issue with your insurance?
Let everyone know!
Insurance companies are constantly reviewing us. Are we too old? Do we live in the wrong place? Is our credit score high enough? Well, now it's time to turn the tables. Do you charge too much? Will you pay my claim quickly? Is your coverage worse than it seems? We can review you too.
Santander Consumer - Collection removed but not original creditor
Santander Consumer sold the debt to Jefferson Capital, and it was removed from my credit report. Why is Santander still on my credit report and not removed as well? Btw Santander is a charge off account
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.
Pets Best - Switching with Pre-existing Conditions, Acupuncture. Pets Best to Physicians Mutual?
Hello kind community. I am trying to make a decision for our 7.5 year old sweetheart.
So, we have been on Pet's Best since she was young as my wife was able to get a discount through her employer.
At 5yo, our dog suffered a bout of IVDD stage 4 and needed a hemilaminectomy surgery. (came in to something like 14k and we maxed out our 5k coverage.) The surgery went great and she recovered relatively quickly with the help of a lot of alternative therapies. Unfortunately, when we signed on for Pets Best, we did not opt for RAC care (rehab, acupuncture, chiro) We didnt even know this was an option at the time, it would have been a massive help had we had the RAC, so tip - OPT FOR IT no matter what, or make sure your provider covers this. Pets do SO well with "alternative therapy".
Since the IVDD, we have been regularly seen by a vet who specializes in holistic offerings. She receives acupuncture and laser therapy and it keeps her in really great shape. She is about 80% to where she was pre-IVDD, but if we go to long without the acupuncture, her mobility dips some. These visits cost about $275 each.
She also developed an eye condition (Keratitis & Keratopathy) about a year and a half ago, and has been seen by an eye specialist to reverse and retard the condition with eyedrops with great success. At this point they only want to see her 1x/year. Latest note from this vet reads "She has no active keratitis, controlled (if anything, improved) corneal pigmentation, and is otherwise normal on exam." Pets best has been paying our claims for these visits.
The only other claim we've submitted was for getting a foxtail pulled out of her ear canal.
\*
So, Pets Best sent us a notice of a 2x increase in our premium, leading us to look in to switching to see if we could get something better. Through this wonderful community I came across Physicians Mutual and am feeling like it will be a better option, and that even if we end up paying more we could be in better hands.
My fear, however, is that in the switch, anything related to her eyes will be seen as pre-existing. It would be great to get that yearly eye specialist covered but I understand that it may not be if its related to the keratitis. But in the future if she develops cataracts, ulcers, etc in her eye, could it be denied?
**My main question**, is related to her mobility upkeep. Would we be able to get acupuncture + laser covered under alternative therapy, as "preventative care" instead of having it tied to the IVDD? Its unclear in Physicians Mutual's documentation how they provide/decide for alternative care. She has not had any incidents related to IVDD in 2.5 years, but there is always a risk that it could show in another area of her spine later.
Does anyone here use Physicians Mutual for Acupuncture, or has anyone here successfully added RAC care to their Pet's Best policy post-incident? I feel that even without her history, as she ages we would be opting for regular acupuncture and laser as her primary preventative care.
Any insight is greatly appreciated, thanks everyone.
State Farm - Question about Renter's Insurance
I’m moving to a new state and currently have renters’ insurance with State Farm. I filed a claim for a theft in my building a couple of months ago, where a large amount of my personal items were stolen from what was supposed to be a secure mailroom.
Last Friday, I contacted a State Farm agent in my new state to set up a policy for my next apartment. After taking the weekend to get back to me, she said she had spoken with the underwriting department and they couldn’t write me a policy because of that claim. She specifically said I couldn’t have an active claim in the last **24–36 months**.
That doesn’t make sense to me. Why would the rule be a range instead of a clear cutoff? Is this standard insurance practice, and I’m just unfamiliar with it, or did she give me incorrect info? The vague timeline feels odd, and I’m wondering if she was just making it up or if she has the information wrong. I ended up going with a different insurance company anyway, but just wondering if she was BSing
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.
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?
Healthy Paws - Further Update on Healthy Paws Premium Increases (Info from Dept of Insurance)
Here it is, the Healthy Paws rate filing so you do not need to struggle to find it.
HP requested a 44.8% increase... and got it approved. (Remember, the last several years already had similar increases).
Still doesn't answer how I got a 180% increase, so sit tight...
Taking my case aside, let it sink in:
They asked for, and got, a 44.8% increase.
Vet costs, even in CA, went up that much in a year huh?
So remember when they spit out the canned response online of:
*In accordance with the terms of the Policy and the associated rating rules, monthly premiums may change for all policyholders. Premiums are determined based on the rates and rating rules filed with and approved by (where required) each states insurance regulator. Premiums reflect the cost of treatment advances in veterinary medicine, characteristics of the individual pet, and other factors, in addition to the overall claims experience for the program within the region where the pet resides. Please note that premiums are not based on a given pets individual claim history; rather, premiums are based on the collective experience of all pets insured. We do our best to be transparent regarding annual premium increases by including this information on the "Frequently Asked Questions" page of our website. The Healthy Paws Team*
remember:
1) THEY.ASKED.FOR.THESE.INCREASES. They then use this corporate jargon to say it went up in accordance with the rate filing (WHICH.THEY.ASKED.FOR).
2) The "transparency" is not transparent. Look how much digging one had to do to find the above screenshot, when all their FAQs again say:
Will my premiums increase?
In accordance with the terms of the Pet Health Insurance Policy and the associated rating rules, monthly premiums may change for all policyholders. Premiums are determined based on the rates and rating rules filed with and approved by (as applicable), each state's insurance regulator, which reflect the cost of treatment advances in veterinary medicine, individual pet's breed, gender, age, and other factors, in addition to the overall claims experience for the program within the region where the pet resides. Premium increases are not based on your individual claim submissions.
Progressive - $915 settlement.....Maaco estimate was twice that....Progressive offer...
Wife got into an accident. She was stationary at an intersection. Other car turned into her. Our car 2013 Elantra suffered a cracked bumperl We took it to Maaco ..they estimated 2115 or so.
Progressive accepted responsibility. Like a fool i verbally told them I would accept cash settlement, They sent me their estimate which was $915..yikes....havent received check yet.....do I have any recourse?
Route 66 - As Is vehicle undisclosed transmission issue, aftermarket warranty denied, and dealer unresponsive
Location: Virginia
I live in Virginia — a state where “as-is” sales are firm, but not completely lock-tight.
I bought a 2015 Chevy Silverado 1500 from a small used car dealer less than two weeks ago. It was sold “as-is,” but the salesman promised a 90-day free warranty at the time of sale. Later, I was told it wasn’t added because he had “already paid processing fees.”
Four days after purchase, the transmission started acting up. By day five, it was shuddering, slipping, and losing power. I took it to a trusted transmission shop, and they dropped the pan and found a significant amount of metal shavings — consistent with a problem that had developed over many months. This wasn’t a sudden failure — it was clearly a pre-existing issue.
I thought I was covered under the extended warranty I believed I was buying through my loan. Turns out that warranty (Route 66) denied the claim, stating the damage was pre-existing.
Here’s what I’ve done so far:
•Filed complaints with the BBB, Consumer Protection Agency, and the Motor Vehicle Dealer Board
•Reached out to several lawyers — I’ve got two consultations scheduled, but they’re still a ways out
•Still struggling to find an attorney who handles consumer auto fraud/litigation in my area
•Tried contacting the dealership multiple times — I’ve:
•Called both numbers posted on their door
•Left voicemails
•Emailed
•Messaged them on Facebook
•Even stopped by in person — no one was there
•The last thing I heard from them was “follow up after the diagnosis” — and nothing since
•I’ve also requested cancellation of the warranty since I feel it was misrepresented and clearly not helpful
Now I’m stuck using money that was supposed to go toward my loan to cover the canceled warranty and looking at paying out-of-pocket for a major repair.
At this point, I feel completely stuck. Has anyone else been through something like this in Virginia? Do I actually have any legal options — or is this just one of those expensive, awful life lessons?
Progressive - Progressive requiring I agree to arbitration to answer questions
I was rear-ended on the freeway (not merging, just came to a stop in traffic and the guy behind me... didn't stop). We exchanged info, I got an estimate from a bodyshop, he opened a claim with his insurance (a Progressive subsidiary). I also alerted my insurance that there had been an accident but did not open a claim. Now I got a message from Progressive asking me to answer questions about the accident. I know them asking for an account of the accident or even coming out to see my car is standard - but they require me to agree to arbitration and a bunch of other terms before even seeing what the questions are. I have no confirmation that the other driver filed the claim assuming fault for the accident so agreeing to all of Progressive's terms seems wrong before having more information. I would be fine emailing photos, my info, and an account of the accident to an agent but the other driver says he doesn't have the info of the agent assigned to the claim. Is it all automated to the point where there is no person that I can communicate with outside of this form?
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