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Christis Health Plan - Denied Claim
Hello.
I’m looking for options or ideas to fight the denial. I’ll start by saying I’m not medical insurance savvy whatsoever, I struggle to fully understand the what’s and whatnots. Her insurance is Christis Health Plan.
My mother (45) battled stage 3 cancer last year up until two months ago when we finally got the good news she’s in remission. As she’s come off an aggressive treatment plan, she has started to lose function of her legs. Her PCP has ordered an MRI to attempt to diagnose but the insurance has denied it. Currently she’s on a medication to ease the numbness/ loss of control but over the last few weeks it has gotten to the point she cant make it up the four stairs without help and falls on uneven ground. I’m not sure how much else info is relevant but I’ll do my best to answer any questions.
She’s calling both her doctor and insurance in the morning for further information. What specifically should she be asking? Is there anything we can do to help get this approved? Any help is so appreciated as a $1400 MRI cash pay seems daunting, much less whatever it may cost to get her back in walking order.
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?
Covered California - How to change my health insurance from Covered California halfway through the year?
Hi everyone! I appreciate any and all answers here.
So I just filed my taxes for 2024 and my HR Block representative said that she urges me to switch from Covered California as soon as possible. In 2024 I had medical issues that caused me to lose my job so I switched from employer provided insurance to Covered California starting last May 2024 with the cost being $94/month. Then in August 2024 I got a new job and received a significant pay bump ($21/hr to $31/hr) and I did not know that I was supposed to report my new income to Covered California.
In December 2024 after my surgery (to deal with the aforementioned medical issue) I contacted Covered California about renewing for 2025 and during that conversation I found out that I was supposed to report my income change. That led to my rate increasing to $294/month and the worker told me that I will also be facing a tax penalty and backpay for not letting them know about my new monthly income.
When I prepared my taxes a few days ago she revealed that the backpay was a total of $1,100 and she said that she's seen this with a lot of her clients and even herself. She stated that with my line of work I will most likely earn more than I anticipate this year and will most likely pay even more taxes to the IRS with Covered California. She urged me to get on a new health insurance plan asap. **My current options are to contact the company that I work with (it's a third party company that I get pay from as a contractor even though I work full time hours). OR I can contact individual insurance companies and try to just get a rate directly with them.**
**My questions are**
**1) Am I even able to switch my insurance this late into the year? I don't have a major qualifying event aside from just wanting to leave Covered California.**
**2) Are the options that I mentioned above correct or are there other solutions that I am not aware of?**
Fetch - Is it worth switching pet insurance? (Fetch Vs Pets Best)
I have a two year old mixed breed dog he has been on Fetch pet insurance since I adopted him as a puppy. I was paying about $25/month. The first year I did not make any claims so it did not increase. This past year I did have to make about $5,000 in claims which led to an IBD diagnosis. I have not made any claims since then. I just got my renewal notice and the new monthly cost is around $60/month. This doesn’t seem reasonable for the low coverage limit I have.
This seems like an excessive increase. Is it worth switching pet insurance to something that has better coverage and is less than half the price but won’t cover pre-existing conditions and just saving the extra money for when it’s needed?
What would you guys do?
Voya - Be careful if you use Voya - their new Edelman thing almost did something bad!
Just wanting to throw this out there - if you are enrolled in a Voya retirement plan, they rolled out this new "AI advisor" service to accounts. It allows you to have a Empower-like interface to where it can calculate your retirement income based on savings from various sources including Social Security. That part of it is pretty nice, no complaints there. Though I am a bit concerned about the visibility of other account data to my employer, though I'm sure there's privacy practices in place against that.
But when I was clicking around and not intentionally doing anything, there was a orange notice icon by a bell at the top. I clicked that and it had a dialog stating "Updates Needed for Plan Accuracy" - and that's where it's very alarming.
I'm under age 30. I should NOT be in bonds. I DO NOT want to be in bonds. Nor do I want to be invested international. For some reason, this AI advisor tool wanted me to re-balance to be 35% in bonds, and 30% international, with 5% of my contributions going to fees for the re-balancing.
So be careful with Voya.
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!
Nationwide - Best insurance for only accidents, etc?
I have a 5 year old maltese with no pre existing conditions and currently use Nationwide. My dog had to have a simple surgery to have something removed on her eyelid and Nationwide only paid out ~10% of the claim. I am looking to switch carriers in exchange for better coverage.
If I only wanted to insure against accidents, unexpected events, and not routine care like vet visits and bloodwork, what pet insurance company offers the best value? I am a bit lost and the marketplace for pet insurance seems to be large and growing. The goal is to have a lot of coverage for, say, a $4,500 surgery as the result of something unexpected.
What does everyone think?
Carvana - Carvana Unregistered my car! Day 4 help! Location:New York
Carvana
Location: New York
I’ve had my Subaru from Carvana since 2023. I recently (3 weeks ago) bought a truck on Carvana. Three days ago I was pulled over in my Subaru and the cop told me the plates were registered to my truck. He gave me 2 tickets. I have been unable to drive because Carvana still has not fixed this. My digital glove box on Carvana has all my truck information. I can’t drive the Subaru because they totally unregistered it. The truck is my brothers.
Carvana says they have no idea what happened on their end. They told me they have no idea when it will be resolved. I live in the
Healthy Paws - Healthy Paws done lost their mind. $925/month for 2 dogs?
Progressive - Progressive | Snapshot
Received my 6-month renewal notice for Progressive and suprise (:smile:) a 20% increase.
Problem is I use Snapshot, have 4/5 average, which I thought yields an additional discount, not an increase.
I called. Progressive claims rates go up/down all the time and can not give me specific reason for this increase. My 4/5 average Snapshot is already included in new rate.
Is this practice common, follow *their* Snapshot rules - get increase ??
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