Hey so I buy my own medical, dental, and vision insurance from Anthem rather than going through my employer. For the 2nd time, Anthem has decided to drop my medical coverage without telling me. The last time this happened, I had to get on the phone for 1 1/2 hours with them and they still couldn't identify why they dropped it. Instead they gave me some bullshit reason - "our records say you already had an active plan so we dropped this one". I don't have any other active plans. I'm 100% sure of this. I had to go through the re-application process again in December and purchase new medical coverage. Fortunately, I'm young and healthy so this isn't hard to do but it's deeply frustrating and I had to push my yearly physical forward because of it. Fast forward to now (April), I log into the Anthem portal and I see medical coverage is dropped again as of March 1st. Vision and Dental are still active but Medical is inactive. I tried calling them today (Sunday) but of course they only work M-F 8am - 5pm. The frontline phone operators are useless. ChatGPT does a better job than them. Has anyone else had this experience? What was the resolution? What can I do to prevent this moving forward?

The patient is enrolled in the Moda Health Beacon EPO plan, and the provider is listed as participating in the Beacon network. However, the claim was denied by the payer, citing that the provider is not a participating provider. Could you please clarify whether participation in the Beacon network includes all plan types such as PPO, HMO, and EPO?"

My BCBS refused to pay any of my blood work. I was referred by my doctor to go to a specialist to get blood work done, over 6 months ago. Now I got this bill in the mail from Quest and found my EOB. They coded it 002 as “we do not cover experimental or investigational procedures” Ok…isn’t the entire point of blood work to investigate? Anyway, should I call my insurance or the specialist to appeal the bill? Any advice? This has never happened to me before. Thank you!

Hopefully this is the right place to post. Did AHCCCS get harder to qualify for in terms of paperwork or proof requirements? When I applied in 2021 I just sent in bank statements. Now they want 7 different pieces of evidence to prove self employment for my wife. She makes like $5k per year and is thinking about not working all together to qualify. When we called to ask them about not working, they said we’d have to prove that too… WTH ! Thanks,

I have been dealing with new health issues and it’s freaking me out. I was previously on medicaid under my mother but became ineligible after I turned 19. I cannot enroll for myself because I was denied twice already for other reasons/don’t meet this “qualification.” Before that happened, I was with a provider who ordered a scan for me that showed something but I had to cancel the appointment after losing coverage. My mother then unfortunately put me under a plan under UHC but after I started having issues with them (plus all the things that’s been said about them in general), I’m thinking I should look for another. I’m not sure where to go from here though because it’s passed the enrollment deadline since a while ago and I do not meet any of the special circumstances to enroll. Both of my parents are on medicaid so that’s not an option for me anymore. (for context I am 20F in college, currently don’t work a job, and from Illinois)

My family has Cigna through my husband’s employer. About two months ago I felt like I had the flu, and couldn’t get in with my PCP until the following week. Was told I should try go to urgent care for a flu test and to get checked out. I did, and was in and out in about 30 minutes (flu A positive, sent on my way with some meds). A few weeks later, I get a bill for almost $400 and was shocked. A month later, my son ended up getting rushed to the ER. We were there for about 7 hours under observation after getting some initial meds…. And I just got the bill for that. $150 copay, that’s it. Looked up our coverage with Cigna. It states ER visits have a $150 copay with the deductible waived. For urgent care, it says “after the in-network deductible is met, you pay 10%”. In what world is this right? I thought the whole point of an urgent care was to try to alleviate the stress on ERs. I feel like now I have no reason to ever go to an urgent care… even if all I need is a simple strep test or have UTI symptoms. Is this becoming the norm?

I got a MRI done two weeks ago. When I scheduled the appointment the staff told me they didn’t know the amount to be billed since my insurance is a high yield deductible and no copay. They mentioned that if I want to pay out of pocket without using my insurance it would be $500. Fast forward I received a processed claim from Aetna saying that I need to pay $920 and that the X-ray company billed them $1,200. Is there any way to reverse this? I feel scammed by both the X-ray company and Aetna. Can I fight back a processed claim?

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?

My parents applied for health insurance through Maryland Health Connection, and were told they were eligible for an advanced premium tax credit. Now that they are doing their taxes, it appears that there was a large overestimation of the amount on the premium tax credit they were eligible for, resulting in them owing about $15,000 in taxes. If this is the fault of Maryland Health Connections for overestimating the amount on the premium tax credit they were eligible for, is there anything that can be done about this?

I’ve been paying for this insurance for my daughter since November. She has simply healthcare under the Florida kid care plan, and I can not get the member ID or even log into the simply website. FLhealthykids has been 0 help, how do I obtain this information? It’s crazy to me that it’s this hard to get. We never received a welcome letter/packet or anything :(