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Aetna - No speech therapy clinics take my insurance
Hi all,
I'm running into a pretty frustrating issue. I have called like 50 clinics in the Austin area and even though they appear on the list of clinics that take my insurance, they don't.
Is the only option to pay out of pocket? My son is 3 and has a delay that was diagnosed at 2. We had speech therapy for a while and he is doing a lot better, but I am having issues getting it covered.
I have an Aetna plan that is self-funded through my employer. If I could find a clinic, they would cover the sessions at 100%. My son is 3 and I have called the school district, but they said it would be next school year before they could assess and set him up, if his delay is even serious enough. He does not have autism, he has no other markers for it besides the speech delay.
AAA - Car Accident - At Fault AAA
A couple of weeks ago my partner was in a car accident that was his fault. He is going through our insurance (AAA). The financed car was totalled. After talking to insurance, they stated that due to him being upside down on the loan, he is responsible for the entire loan balance due to not getting gap insurance. I know he should have gotten it, but he chose not to. Shouldn't our insurance cover the fair market value of the car and he owe whatever the difference is? Checking our insurance, we have Collision "Actual Cash Value Less Deductible."
Fetch - Fetch insurance deleted my pet’s medical records!!
I just thought about checking on my fetch insurance, went on to the medical record page, and found out that ALL my pet’s medical records were deleted!!! It says no medical records at all, but I’ve been updating my pet’s medical record since I adopted him in 2023.
There are 4 records that I updated, including annual wellness check and initial baseline.
I have the confirmation of medical records emails from fetch last year.
I called them and reuploaded all the files. The customer service was nice but she said that she has no idea why this happened, and no further clarification on how to prevent this in the future.
This feels so shady. Everyone with Fetch, please have the habit to check on your records regularly, because I’ve had experiences of them refusing my claim because I didn’t post annuals check up record every year.
I can’t even imagine what could’ve happened if I didn’t think about checking the insurance today… still in shock
Allstate - Please, Allstate, come to the 2020s
I decided to delve into my homeowners policy to understand it in more detail because of a current potential claim. I was amazed that the 30-page document that I had from Allstate didn’t include may details beyond our coverage limits. There were 8 “amendments” listed, but only 2 were included. After chatting with a customer service rep, it appears that the information I need is in the “policy jacket”. Amazingly, I can’t get an electronic copy and have to wait 5-7 business days to get a copy in the mail. So much for paperless.
Anthem Blue Cross Blue Shield - hospital is charging me 17000$-and no one really knows why
i visited the ED back in march 2024 and ended up being placed in observation and let go the next day.
i’ve been dealing with an insurance/billing issue since then. i have anthem BCBS under an employee sponsored health plan (Union Construction Workers). the hospital i visited was In Network. for some reason, the hospital is billing me around 17000$, stating that my claim was denied due to code *00897, which requests complete medical history from the member.
the member being myself, so i contact my employer sponsored health plan claims specialist, and she has no idea “why they would want that [referring to medical history]” and ensures me the claim is covered and sends over the EOB. which states patient responsibility is $1500, and not $17000. she lets me know that UCW paid mercy back in july.
anyway, fast forward to november i am getting billed $17000 again. i call billing, they escalate my case, and remove the $17000 charge from my statement. i call UCW again, and they let me know the claim has been paid. billing is telling me anthem denied the claim again. they ask me to resend the EOB.
fast forward to now, i am getting billed 17000$ AGAIN! i call billing, they tell me that the anthem claim is denied. i ask them if they looked at the EOB. they say yes, i ask them if we can go through the EOB together. we look through my UCW EOB and the billing employee states that my ANTHEM EOB was reviewed and for some reason my UCW EOB was not reviewed but it was received after i sent it in November. he agrees, i should only owe $1500 per the UCW EOB. but anthem is denying my claim still.
i call UCW again. the rep tells me that she is now contacting anthem directly. after 9 months of issues we are finally contacting anthem. and there is no way for myself to contact anthem, only through the UCW representative.
i am giving birth in about a month, im in a rush to get this handled. i would accept any help that i can.
i have looked through the itemized bill, UCW EOB, and claim on anthems website and reviewed for errors. i noticed that there is one charge (for $9.50) that insurance covered that is listen on both the itemized bill and anthems claim, however not listed at all on the UCW EOB.
but i, a not insurance expert, does not know what this means.
please please help if you can! i have already talked to my states insurance department, which they were confused w my situation and could not help. i also have requested proof of payment from UCW, as well as a 3 way phone call between UCW, myself, and billing.
Trupanion - Best pet insurance for brand new puppy with parasite?
I rescued a new 11 week old puppy and 24 hours later he was hospitalized for 3 days with cystoisospora, a parasite, and severe malnutrition. The rescue kept him in awful conditions and he was caked in stuff (food? Feces?) when I picked him up. He is coming home today with fair odds of survival and I am shopping for a new plan for him.
I have a 30 day policy with Trupanion from the rescue but they don’t cover parasites (wtf). I’ve already spent $8500 on his care. He’s going to need a lot of frequent fecal samples and re-checks of his bloodwork. He also needs another round of de-worming. Does anyone have recommendations?
Blue Cross Blue Shield of Michigan - BCBSM vs Medicaid Question
Hi all,
I’m in a common and frustrating position revolving around paying for health insurance. Here is my situation.
I work part-time and go to school part-time, so I don’t qualify for full-time benefits for work or any equivalent part-time healthcare offers in Michigan So that’s the first part.
I gross about $600 a month working and my healthcare premium is $650 a month alone for BCBSM HMO Gold plan. It just is not feasible to pay that much for healthcare anymore- especially, out of pocket in full.
What I do have is Medicaid and CarePayment accounts that help me cover the costs and pay down medical debt in a reasonable time frame. I need some coverage because I have a mental health condition and commonly use: medications, psychiatry, therapy, and labs.
I am wondering if I can get by just with MI Medicaid. Is that risky since Medicaid has very low reimbursement rates? Or is it reasonable to go with Medicaid and just try to be frugal medically?
What I want to avoid is going for routine procedures and leaving with a $1200 bill, AND paying $650 a month only to use it half hazardously.
Thanks.
Lemonade - Cancelling Lemonade and renewing with additional coverage
Hi everyone,
I have a 9 month old maltipoo. I suspect he has chronic GERD since he throws up yellow bile if he goes around 6-8 hours without a full meal (like overnight or when he is stubborn and wont eat his lunch).
This is to say I want to take him to the vet asap. But before that I wanted to add dental coverage to his policy just in case this issue persists and it causes teeth problems later in his life and then they wont cover it because it was a “pre-existing condition.” Dental work on dogs is very expensive!
My problem now is that I emailed asking how I can go about adding this to my policy since I couldn’t find how to do so on their app. This is the response I got. i don’t understand why I can’t ADD coverage. I want to pay MORE money. I wasn’t aware that when I bought the insurance for the year it was locking the policy for that entire year.
Now I’m thinking of cancelling all together and renewing with the actual coverage that I wanted. Has anyone tried doing that? Would they let me? Or would they recognize my name and vets and ban me or something.
Thank you for all the help
TLDR; has anyone been able to cancel their Lemonade pet insurance and renew with the actual coverage/policy they wanted?
Erie Insurance - Someone took out a policy on my home
We purchased (with a mortgage) our house April 2023 in WV. Sorting and opening mail today. I opened an envelope from Erie Insurance assuming it was my renewal paperwork. No it's a policy continuation notice for a tenant policy held in someone's name I'm not affiliated with in anyway (it is addressed to them but did not realize as I just opened without looking assuming it was my policy info). 20k personal property coverage with a monthly premium of $245.
We're new to the area, having moved here from TN and have kept to ourselves. Small town with a population of barely 2k. So I 💯 do not know the person or have ever spoken to them. The kicker? When I look this person up he's a cop for my county. And the agent that wrote this policy is 5 blocks from my house off the main road thru town.
WTF do I do here? I'm concerned that this is a policy held by a local younger cop near me. A LONG time ago this was a multi unit home, but the previous owner we purchased from owned for 10 years as a single family home so it's not likely it's a policy that has just been continually carried over (why I mentioned they're younger) for the last 10+ years.
USAA - Price vs Service
Based on the age old adage "price is what you pay value is what you get" what has been the best price vs service experience with auto insurance providers? I'm not looking for the cheapest insurer, however I am looking for the best user experience when you need to actually use your insurer's services.
Context: I have been a loyal USAA customer for the past 15 years, and recently had a not so great experience when finally having to use their services. Today I submitted an online Roadside Assistance claim, never received follow-up communications, and when called I had automated voice response systems hang up. I have been paying top dollar every month justifying the expense by thinking when I need them I'll get unmatched"white glove service." Yet, today the service was meh. I always told myself I was paying for the best of the best, but maybe it's time to reevaluate
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