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Aetna - Provider Lied About Insurance Coverage
I recently had to have an in-patient EEG. The neurologist said they'd call my insurance (Aetna) for pre-approval before moving forward with booking. I received a call saying that it was completely covered and to move forward with procedure. I check-in with no mention of payment and checked-out with no mention of payment. Cut to now about a month later and I receive a bill for $7,000. Apparently, insurance only offered partial coverage though I was told by my provider it will be completely covered. Do I have any recourse in this?
Geico - Gap from dealer with geico
I bought a almost new used camry and i almost got into a huge wreck this last weekend, pretty much I was fishing and this drunk idiot sideswiped my friends car with his boat while pushing his empty trailer nearly off the cliff towards the river, thankfully the hitch stayed locked in we were able to drive it to safety minus scratches either way they exchanged information.
Afterwards, we were talking about it. I still owe almost 30k for my brand new camry even if I didn't notice who the driver was
Would there be any way that gap would cover my car if it were to have fallen or got heavly damaged due to the small cliff?
I.had previous vandalism to my car last year and it was a headache through insurance
GEICO - GEICO removed drive easy …?
GEICO removed my telematics discount after a month. Not exactly sure why the score seemed fine , in the high 80s, and it had been used regularly.
It is what it is, not sure I see the point in arguing with them. It drained battery any way. However, I’m concerned about how much more it will go up at renewal. Anyone have experience with this?
Nationwide - Nationwide dropped us - help!
I have a 4-year-old French Bulldog, and we previously used Nationwide for her pet insurance. Unfortunately, we just found out they dropped our policy without any reason. I have been looking around for other pet insurance companies but feel frustrated by the pre-existing condition coverage. We signed up for trupanion but they want records of our last 2 years and my pet has a few things in the notes that I think will totally screw us going forward like itchy paws, a hurt pack, and previous GI bugs/UTIs. Has anyone found a good insurance company that will not be so harsh about not covering pre-existing conditions? Thanks in advance for the recommendations!
Lemonade - Lemonade Pet Insurance Claim
My dog was thrown off a balcony by what I believe was the neighbors kid. Broke both of her front legs.
I have the police involved and investigating. The vet bill was over $13k. Her bones are being fused to reduce the chance of lifelong pain from this.
Here’s the deal, I put $5000 down for the surgery (and paid another $1500 for the initial emergency vet visit.) The claims rep is asking for proof the balance I owe the vet is 0 and that the invoice is paid in full.
I read the policy and there’s nothing in there that says I have to prove that it was paid in full.
The closest I found was this:
“Submitting your claim
To expedite your claim review, please file your claim as soon as you can. However, in cases where this isn't possible, we'll accept claims for review up to 180 days from the date of treatment. We require itemized invoices and receipts detailing your pet's information, date of treatment, cost of the services, and the vet's information. You must provide all requested information and documentation during the claims process. All claim payments will be made to you, unless otherwise assigned by you and agreed to by us.”
I pointed this out, told the agent I provided all the listed information and also pointed out that she has already tried two times to falsely deny my claim. (Initially she said I had coverage with someone else then said my policy was canceled.) I also asked her where in the policy I am required to provide what she is asking.
Can they force me to pay this in full before they refund me? I put the $5000 on credit cards with a 40% interest rate so I’m trying to get this resolved asap. I’m beyond stressed, but thankful the vet at least allowed us to put $5000 for surgery instead of forcing us to put her down because I don’t have access to that sort of money. Even the $5000 was difficult to acquire.
Yes I realize now I made a bad insurance decision but that doesn’t help me in this immediate moment.
State Farm - Can I sue someone after one year of accident?
About an year ago, I was rear ended at a stop sign by a Truck. I did not call the police as I was in a shock and didn't think through it. However, the person agreed it's his fault and shared with me his insurance details and I too the photos. The next day when the rental company looked at the damages they asked for the insurance details and only then I realised the other party's insurance was expired. The rental company used my insurance for the claims. When I called the party that hit me he said he would pay out of his pocket for the expenses but ghosted me since then. I was very new to the US then and hence did not know the legal options I had.
I just saw a post today that someone got sued after an year. Can I still sue them after one year with only images of the incident and the person's expired insurance?
Location: Miami, Florida
My Insurance: State Farm (in Atlanta)
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.
State Farm - Is My Insurance Being Fair To Me?
I live in the Central/Northern Arkansas area with State Farm as my insurance provider and I am 20(M)
I own two vehicles:
2009 Chevy HHR LT Panel(2.2L Ecotec)
1997 GMC Sierra SLE(5.7L Vortec w/ 4L60E)
Both of my vehicles are covered under liability. I was recently rear ended on the interstate in my truck, it honestly held up pretty good, but still a decent bit of damage. An appraiser came out and said it was about $3,700 worth of damages. They then have to run a report on my truck to find the total value. From what I understand, they find a vehicle in my relative area (the two they found are in Kansas and Tennessee) and take the retail, or selling price, and use a formula to calculate the Actual Cash Value(ACV). They then look at the features on those vehicles, compare and contrast them to mine, thus raising or lowering the value of my truck with each feature, to determine how much my truck is worth. Finally got a call back, they say it’s totaled and their number is $2,959, meaning they would be buying it from me and taking it. And there’s potential that I cannot buy it back depending on whether they deem it unsafe to drive. I feel like I’m being cheated. My truck is still running and driving perfectly fine, I can tell there’s a little bit of frame damage at the rear under the bed(the truck hit my receiver and it slightly bent the frame inward). It’s very difficult to find a vehicle that not only is as reliable as my truck is, but also has the capabilities mine does. Not to mention the fact that my Great Grandfather gave me the truck, and he was the original owner. And currently my truck is also my only form of transportation because my dad and I are in the process of rebuilding the motor in my car. If I try to find a truck like mine anywhere, it’s easily double what they’re trying to pay me. Some people want $2,500 for a truck in the condition mine is in with no motor or transmission, or serious problems with one or the other.
Note: Accident was a hit and run, driver at fault was not found. I was rear ended and pushed slightly into another truck.
Also, for reference, I will list the prior and current conditions of my truck:
Prior:
261,000 miles
Dash slightly cracked
Grille slightly cracked(have a new one just haven’t replaced it)
Clear coat peeling and sun damaged in some areas
Very minor dings/scratches
Cloth seats, carpet, and headliner had minor holes, tears, and/or stains
Current:
262,000(what the appraiser recorded)
Dash cracked slightly more
Rear bumper pushed into bed on passenger side
Bed pushing into cab denting both pillars
Bed now unaligned from cab slightly
Driver seat leaning to the right slightly, will not recline forward or back
Tailgate slightly scuffed and dented
Receiver almost broke in half and bent the frame slightly
Front bumper pushed backward, slightly crushing the filler panel in between the bumper and grille
Very slight crease on the back passenger fender
I would be perfectly fine with the $2,900 if I could just keep my truck without having to pay extra. The salvage retention fee is $811 and some change, and my deductible is $250. And still no guarantee I could get it back until I tell them to run the report. They said I could send in other comparable trucks, but it has to be “a link I can click on to see exactly what you’re seeing and include the vin number”. Doing so could potentially raise the value of my truck, but only ever so slightly from what I’ve been told, and if I were to do that, it would have to be before they tell me whether or not I’d be able to keep my truck.
If y’all need more information feel free to ask, I just want some help and guidance.
Another note: at the end of January the dryer in my old apartment caught fire and everything was smoke damaged. My gf and I at the time got a new apartment and then we broke up mid February, and the wreck happened at the beginning of March. I don’t know how I am holding it together.
MetLife - MetLife keeps cancelling my dental plan - Cobra services keeps reinstating it.
I’m going insane trying to get my dental benefits sorted out with Cobra. I paid my Cobra on 3/8 (first month) and MetLife made my plan active, backdated to 3/1. On 3/12 it was canceled again. 3/15 active again. 3/17 canceled again - MetLife said call Cobra servicer. Servicer sent in a reinstatement and it was active again on 3/19.
I log in today and it’s cancelled 3/24 AGAIN. I paid for a month of benefits and I haven’t even been able to use them. MetLife acts like it’s the servicers fault. Cobra just sends in reinstatement notice. Repeat.
What do I do in this situation? I have oral surgery in a month and god only knows if it’ll be active or MetLife will decide to cancel it on that day. How do I go about escalating this?
ASPCA - ASPCA approved estimate, denied claim.
Our cat Miles was experiencing bleeding gums, bad breath and difficulty eating. We brought him to the vet and they thought he might have tooth reabsorption. They gave us an estimate for a dental and we submitted it to ASPCA. ASPCA approved it and we went ahead with the dental a week later.
Dental was complete and ended up not being as bad at the vet thought and he ended up with a cleaning and no extractions. We submitted to ASPCA and the claim was denied.
They are saying that it's a pre-existing condition because Miles went to the vet last June after getting into a house plant and the vet noticed gum inflammation from it. The vet gave him an anti inflammatory and notated in his October check up that his gums and teeth were in good condition-- in our minds, the inflammation from eating the plant was "cured." ASPCA will cover pre-existing conditions that have been cured for 180 days.
The vet used the word "stomatitis" in the records during the June visit and that's why ASPCA is denying us. Because stomatitis isn't considered a curable condition. Our vet tried to reason with them but they won't budge.
Our biggest disappointment is with the bait and switch-- when I called to ask why the estimate was approved and the claim was denied, despite them having his full medical records both times, they said they got "new information" in that week between the estimate and the procedure. Not sure how that could be because they had everything about him from vet for the estimate.
Not a great start to our relationship with ASPCA.
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