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Ranked by Complaint Relativity
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APOLLO GLOBAL MGMT 26.19
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BCBS OF MI 40.72
Highmark Blue Cross Community PPO - Denied coverage 1 week before surgery
I am scheduled for surgery next week with a specialist. I’ve waited a very long time to get this care and am chronically ill from my health problems. I received notice from the hospital billing department today that in fact the hospital is out-of-network with my insurance. This is after at least 6 months of appointments at this hospital and with this surgeon’s office. My insurance was billed for the other pre-op appointments. The billing office informed me today that I would have to pay about 49k up front to even be seen by the doctor for the surgery at this point. I pressed both my insurance and the hospital as to how this could happen. According to the hospital billing office, they had my insurance numbers but not my card on file (I’m quite sure I gave them my physical cards at one of my in-person appointments). They said someone had entered the wrong plan into the system (one that was covered by the hospital) and just discovered this. Something feels very wrong to me, not to mention the psychological stress of having been preparing for a hopefully life-changing surgery that is likely to be off the table. I have the option to file an out-of-network gap exception or use another recommended surgeon, but I am enraged that this mistake was made. I don’t understand how the hospital could just now find out that my insurance is out-of-network. Can anyone advise—is this fishy? What might I do to get my surgery next week? My FMLA is approved, my friend paid money to fly to stay with and take care of me, and childcare and meals are organized. I find the whole thing unacceptable but don’t know how to advocate for myself.
My plan is Highmark Blue Cross Community PPO.
Progressive - Guidance for total loss claim.
I was in a accident. Mine was certified 23 Crv hybrid sport with only 16k miles in chicago il. I tried passing a car and lost traction. Anyways now insurance is offering only 32k and they say I can only show compa within 75miles. they used Mitchell and jd power. they have listed 10 cars in 75 miles but 4 of them were sold listings. What do I do now to get the best amount possible. I can see listings but they are with more miles same like 30k miles and are at 32500 but can't find listings for 16k miles. This is with progressive.How do I negotiate with the adjustor or is it best to get a lawyer or private appraiser? Also is there a thing I shouldn't submit comps more than 75 miles away?
Figo - Avoid Figo
Terrible company. Find any excuse, especially bogus "pre-existing conditions" to avoid any reimbursement. Avoid and look elsewhere unless you want to waste time on the phone appealing denials to no avail.
Blue Cross Blue Shield - Coordination of benefits when one plan is inactive?
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?
Ambetter - Ambetter denied me overage for Genetic Testing
I am currently 2 months pregnant and just recently went for my 2nd pre-natal routine checkup. They performed a papsmear, and a ton of blood testing since I am almost 40yrs and it may be in the high risk category for pregnancy. Before I went in to see the doctor. The people at the front desk assured me that my Ambetter plan covers everything that needed to be done. But today, I received a letter in the mail from ambetter saying that I was denied for "Genetic Testing" as it falls out of their covered services. I am really stressed out about this and don't know what I should do. The people at the doctor's office told me they cover it, and ambetter is telling me otherwise. I also signed up for CHIP perinatal and wonder if that covers Genetic Testing.
Brinks - Brinks security system contract, how can I leave this?
Hi, I’m new to this sub. My husband got brinks security system before we got married, few months ago I was going through our monthly budgets and saw $65 for brinks subscription for the cameras barely working and not recording anything when something important happened. For example somebody broke in to my husband’s car and camera didn’t record then I called them and they asked $1500 for cancellation because it’s 5 years contract.. I hung up and was planning to take it to small claim court but some other major life events happened and I didn’t think about it until yesterday when somebody hit my husband’s car in front of our house where the camera supposed to record but it didn’t.. I’m so mad and want to get rid of entire system from our house and don’t want to have any legal attachment to them anymore. How can I do that without paying $1500? Would small claim court fix this? I’m willing spend few hundreds if needed.
Location: Augusta, Georgia
Thank you in advance to all of you.
Trupanion - How to reinstate lapsed insurance (Trupanion)
My ex cancelled my elderly chihuahuas health insurance (the anger I’m feeling is palpable in other countries).
I have a 13yr old chihuahua Peanut 🐶He was covered by Trupanion for the last 6yrs or so until my ex let the insurance lapse last month without telling me. I tried to reinstate but Trupanion said I missed the 3 day period.
Peanut has lots of existing conditions (galloping heart, epilepsy, pre-kidney disease) that without reinstating Trupanion won’t be covered and someone even mentioned he may be uninsurable, like some places won’t even accept him at all.
I’m very panicked. Does anyone have any advice on getting a policy reinstated?
Geico - Can I make a claim for this?
I had previously had Geico insurance. I thought I was paying for collision coverage until I backed into a pole and made a claim and they said otherwise. So I proceeded to drop them and get Progressive. It's been, let's say a year since then and I haven't fixed the damage to my truck because I figured I couldn't make a claim to fix damages my vehicle had BEFORE I started my policy. Anyway two days ago my sister backed into a pole and it seemingly did no damage, then when I came out of work today I saw that the plastic cover of my bumper had completely fallen off. Can I make a claim to have my bumper fixed? I'm sorry if this is a stupid question or if I've done LITERALLY everything wrong.
Healthy Paws - Are there any good pet insurance companies left?
Been with Healthy Paws for quite some time. They were great during the life of my senior dog that recently passed away. I have another senior dog whose rate just increased by an insane amount and have been debating whether or not I should keep paying it or just cancel and set that money aside. She does have pre existing conditions so unfortunately getting her on a different plan seems pointless.
I have a 8 year old cat with no pre existing conditions and a 10 month old dog. I would like to have them on pet insurance but I feel like every company I research there are some good reviews and then horrible reviews. Is pet insurance even worth it anymore? Does anyone have any good companies they would recommend? Thanks.
Tesla Insurance - False Insurance Claim Against Me
I recently almost got into an accident where the person in front of me stopped in an active lane of traffic and I had to hard brake. I stopped short of hitting the guy's bumper and we both pulled over to check if there's any damage. Confirmed no damage but he made me exchange phone numbers and driver's license info with him and we took pictures of the cars before going our separate ways.
I didn't file a claim nor let my insurance know since there was no collision to begin with. A couple of days later I got a voicemail from his insurance's claims adjuster saying that a claim was made against me for a rear-end collision. Since it was after-hours I called the general support line for his insurance and got a hold of a live agent who was able to give me more information and what to do to dispute the claim. I've provided the pictures and dashcam footage leading up to the encounter to the claims adjuster and also filed a claim with my insurance because there's no other way of getting a hold of someone in my insurance until the weekday (I blame Tesla Insurance for shotty staffing).
I wanted to ask the community if there's anything else I should do or be aware of in this process. I think the guy is trying to make a claim that I damaged his bumper as he had existing damage there (I confirmed in the pictures and the dashcam footage).
EDIT: Forgot to mention that I plan on calling the other guy's claims adjuster as well as the one assigned to my claim to confirm receipt of information and if I need to provide anything else. I sent the pictures and dashcam footage to my claims adjuster as well.
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