Age: 37 State: Ohio In December of last year, I was recommended to get a colonoscopy due to family history. When I spoke with the specialist doctor, he said that "since you'll be under (anesthetics), we could also do an EGD." He then asked if I ever get heartburn, and I said sure but it was infrequent and I knew the triggers and how to take care of it, but if, like the colonoscopy, my insurance completely covered it and I wouldn't be paying, I'd be okay with that. He said sure, they could do that. Fast forward a month later and the hospital is charging me because they submitted the EGD as diagnostic. So the doctor ignored the condition under which I agreed to the procedure. I've been fighting this ever since then. The hospital investigated and since they don't keep audio with the cameras, and don't have call logs (the doctor's assistant called me a few days beforehand and said they convinced my insurance to cover the EGD, and I confirmed with her that I wouldn't have to pay for it), they're refusing to do anything about it. The bill is about $1,900. I've filed a complaint/appeal with my insurance, but that takes up to 60 days, and is still going through the process (I had called them the day before the procedure and confirmed it's "covered," and the CSR said yes, she sees that that's been approved). I e-mailed the state department of health, talked with the state hospital association (they have no legal authority and can't do anything), filed with the BBB, filed with the state attorney general, filed with the Centers for Medicare and Medicaid, sent my story to the local newspaper, left a Google review, and am waiting to hear back from the state insurance department (they can't do anything until my insurance appeal gets resolved). My last option is to sue them in small claims court. The lawyers in my area said they don't handle cases like mine. What umbrella term would this fall under? Misrepresentation / promissory estoppel? The only lawyer who agreed to a consultation said it's better to go after the insurance company, but I don't see this as their fault. I can also call the hospital and negotiate a lower repayment, but I'm angry I have to pay anything at all when a promise was made to me that I wouldn't owe anything. Is this something I just have to bite the bullet on? Edit: Thank you to the 20% of people who explained what the hospital staff should have explained to me, gave me options to pursue, and ideas on how to protect myself in the future. The rest of you, I hope you understand that the vast majority of people don't work in this industry, and blaming the victim of a convoluted and broken system is real shitty.

Anthem blue cross blue shield is trying to charge my 20% coinsurance from the bill total rather than the allowed amount. Is this correct?

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

I believe that a Psychiatry doctor within my Aetna Network is no longer licensed or have an active license in Texas. He has a NPI and Medicare number and part of multiple insurance networks. But, I cannot find an active license for Texas and Aetna actually says that they do not verify if a doctor is still licensed?? This is not good! Would you assume that a doctor is active if he's a part of a network?

My pet insure Nationwide discontinued our pet policy. My dog a 4 year old Labrador has preexisting allergies. Trying to find the best pet insurance. Any ideas? Our vet does not use Pet Assure. Update: Nationwide reinstated my policy but only at 50%. I will take it since my dog has allergies.

(TL;DR at the bottom) In mid-December 2024, my parked car was involved in a hit-and-run while I was at home. Surveillance footage revealed a white Mercedes struck my vehicle and fled. Unable to identify the driver immediately, I reported the incident to the police and my insurance company. By early January, my car was declared totaled. As a tobacco inspector, my job required a personal vehicle for site visits. Without transportation, I was removed from the schedule and subsequently terminated. Despite actively seeking employment since January, I’ve been unable to secure a new position.  In March, I noticed the same white Mercedes parked nearby. After running the VIN, my insurance confirmed it belonged to a neighbor. She had concealed her vehicle for over two months following the incident. Upon presenting this evidence, her insurance company accepted liability, acknowledging her prior claim in December for hitting a parked car. However, her policy only covers the Pennsylvania state minimum of $5,000 for property damage, which was paid to my insurer. After settling my car loan, I received $3,000 from my insurance, insufficient to replace the vehicle. Without steady income, securing auto financing has been challenging. I purchased my 2018 Mazda6 Grand Touring Reserve in April 2023. The total finance amount was $21,116 , I put down $4,500 and made regular monthly payments until the car was totaled in December 2024. At the time of the accident, it was valued at $16,500. After the remaining loan balance and deductible were paid, I received only about $3,300 ,far below what I had put into the car and not enough to replace it To date, my neighbor has not acknowledged the incident or attempted to discuss it with me. Without a vehicle, my ability to work has been severely impacted, and relying on public transportation and rideshares has become financially burdensome during unemployment. I’ve now missed approximately 12 weeks of full-time wages as a direct result. I reside in Philadelphia, PA. ___________ My questions: • Given the circumstances, what additional insurance coverages could have better protected me in this situation? • Are there specific endorsements or policy options that can safeguard against underinsured drivers causing significant losses? • What steps should I take when the at-fault party’s insurance coverage is insufficient to cover damages? Any guidance or insights from those familiar with insurance claims and coverage options would be greatly appreciated. __________ TL;DR: Neighbor’s hit-and-run totaled my car, leading to job loss. Her insurance covered only $5,000, leaving me unable to replace the vehicle or secure new employment. Seeking advice on insurance coverages that could have mitigated this loss and steps to take when the at-fault party’s coverage is inadequate.

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?

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.

So I canceled my health insurance with ambetter on 3/22/2025 and i got charged agian for April. I called twice and asked if there was any way that they could refund the money they stole for that one month and they of course said that they didn't charge me and that im crazy. I have the bank statement and the cancelation form. Who do I go to to report this and how do I get my money back?

Long story short, we have never had issues with people buying and selling in our 6 unit condo building in Chicago until today. We accepted an offer and the lender reached out stating we needed **replacement cost coverage** in order to move forward, this is due to Fannie and Freddie guidelines as of June 2024. We have never changed our master policy provider and our bylaws specifically state that we must have **replacement cost coverage.** I have looked over our policy and it does not state either Cash value or replacement, just the limit on coverage with a \*attached for the inflation rider. Agent we reached out to has been non-responsive. Anyone else run into this?