My son has two insurance policies, one with me and one with his Dad. Both plans are with BCBS. Dr office called to tell me they can't run the claim because BCBS website is showing that he is inactive on Dads plan. Dad says plan should be fine. So no idea why the Dr office is seeing that. I asked if they could just run it under mine and they sad it won't work because Dads plan is inactive and the my plan won't pay until it's resolved. This doesn't make sense to me. Why would it not process with my plan just because Dad's plan is inactive? Wouldn't this be the same as my son only having one insurance plan now and run it without the secondary attached? Can someone break this down for me?

My health insurance company won’t use the word “covered.” They only use the word “consider,” even when the category is “benefits and coverage.” One of their agents told me they can’t use the word “cover.” For example, in a recent communication they said, "Home health care must be approved in advance, (pre-authorization), and is limited to 90 visits per plan year. Once approved, services provided by an In-Network PPO provider will be considered at 100 percent of the allowable charge with no co-pay. “ This statement doesn’t make any sense. They said it has been “approved.” What is left to “consider?”

FYI Thin Blue Line Benefits now has a company called Live Freely Health contacting members about claims. I got an email and then called them. TBL did not send out a message stating this would happen. The rep at Live Freely said they are just letting people know the claims will be processed. I personally call it "buying time" and would not give them any personal information.

Posting to hopefully shed hope on people in similar situations! One year ago today, we were involved in a MVA. From the start, Allstate began the claims process incorrectly, failing to send a field adjuster out to inspect the vehicle for hidden damage before beginning repairs. Several months later during repairs, the body shop found hidden frame damage. This led to the vehicle being deemed a total loss. We have fought with Allstate for well over 8 months, trying to get responses from our adjusters, managers, and the ombudsman with virtually no responses. 3 months ago, they provided a settlement offer. The amount was low. They specifically advised us that we could send comparables that were listed through Autotrader and other local sources ONLY. The car was a specialty sports car, with comps not widely available. I sent comps from alternate sources, not accepted by the insurance company. After a long silence and a lot of frustration, they agreed to the sources I gave and eventually settled with an amount 40% higher than the original offer. I know that there is normally about 10% wiggle room on settlements however, with a lot of time and patience, we were able to get them up above what we even believed the vehicle was worth, in addition to a reimbursement of all premiums paid on that vehicle post-claim while they wasted time by not replying. I hope this is motivation to those dealing with similar issues to not give up, even when things are bleak. It took a year between screw ups, lack of communication and delays but we got there. And please, do yourself a favour and avoid Allstate!

Cardiologist ordered a CT for my heart. Pre-authorization approved by insurance but for cost estimate at BCBS website I will still roughly pay about 2K while they will cover about $1600. I have BCBS PPO with $3200 deductible. Would the hospital billing department be able to give me my actual cost before I go through with the procedure. I just don’t want any more surprises after getting hit with a $3K hospital bill for my son’s ambulance and ER TRIP.

Back story: I have purchased health insurance via the Marketplace (I'm in OR) for the past 4 years, same company, same plan. Expensive but I use a LOT of health care. This year the increase was substantial - $990/mo just for me -gulp- I knew there was a 90-day grace period to pay for the marketplace plans, and I (out of need, not playing games) basically went as long as I could without paying because it's sooooo expensive to afford and I am currently in a "borrow from Peter to pay Paul" situation. I *thought* I paid in full by the end of March - I had a major surgery April 7 that had been prior-authorized, etc. Then when a friend went to pick up my post-op medications the pharmacist told her my plan had been cancelled. Finally managed to get through to the insurance company and lo and behold, I was exactly $117 short of what I needed to pay for the full three months. So not only did they drop me before my surgery, but are actually dropping me retroactively to 1/31/25 and sending me my money back. Despite much pleading on the phone to the insurance company (Pacific Source), they are telling me that because I purchased it on the marketplace they can't do anything at all to help me. Marketplace says they have no idea how they could help. a) it's only $117 short out of >$2000 of premiums and b) we're talking 10 days past the due date, not like 30+. Does ANYONE have any ideas here??? Not only do I need to have this VERY EXPENSIVE surgery covered (it's going to be well over $50k), but I will need follow up care for the surgery as well as all of my health care needs this year (ie I take a biologic that costs $8k/mo). I'm literally panicking here....and no idea where to go for help or what to do. Any ideas????

I recently had a doctor’s visit wherein I was given Botox injections to aid with migraines. When looking up the cost ahead of time, I was told that with insurance the cost was typically $200, and without insurance it was about $600. I’ve just received the bill from my health insurance provider, and according to them, they covered approximately $2000 of the procedure which leaves me paying $750. That’s more than even the estimate WITHOUT insurance. I’m not sure how this became such a ludicrously expensive procedure compared to estimates online. Does anybody have experience with this sort of price gouging before? I’ve already called the hospital and they insist that the cost of the procedure is $2000, and then there were additional costs for “processing fees” due to my insurance. What is going on here? Let me know if there’s another subreddit I should be posing this question towards, too. Thanks!

Has anyone ever heard of a requirement that a wood fence needs to have 5 feet of metal between the house and the fence for homeowner's insurance? State Farm is mandating that we replace 5 feet of our wood fence that is closest to the house with metal for the policy to go through.

What happens if I don’t pay my cancellation fee from my last auto insurance company? I cancelled it before the end of the policy for the same coverage at a different company for more than 200 dollars less a month. I didn’t realize I would get a cancellation fee it’s not much but out of principal I don’t see why I have to pay this since I paid the whole month in full and cancelled before the end of the month if anything they should refund me for the days I didn’t use. they’ve been calling me and emailing and snail mailing me everyday for payment. What happens if I don’t pay the cancellation fee? All I’ve seen online is they can cancel your coverage but my coverage is with a total different company now so they can’t cancel that. Would it go on my credit report somehow?

I recently settle down with Geico for an auto damage cost and they sent me a link where I can put my banking information for direct deposit, despite verifying with the bank about the entered information being corrected the website still shows "please verify the information for accuracy" I even used a family members card which didn't work, so then they automatically issued a check which never came despite being more than 10 days, I called them again and they said there's nothing they can do but issue a new check or redo the direct deposit which I did and still failed to verify the banking information, I suspect this is a system error, I'm currently waiting for the second check but I'm very anxious whether the check is gonna come or not? What should I do in this situation. Geico isn't able to track where my check goes