Hi all - I was wondering what the likelihood that my Appeal that I finally sent in will be successful or if I'm just going to continue getting the runaround from United Healthcare. At this stage is it worth doing anything else (or do I have to wait until the Appeal plays out?) Some details... The claim that I filed with United Healthcare had all the correct, relevant, and necessary information including the in-network Tax ID, the Practice’s pertinent information, the doctor’s name, itemized receipts (two – one paid with FSA and one paid with credit card), and other pertinent claim-related information. United Healthcare processed the claim as out-of-network, but the Practice is in network, which made me receive +/- $3,000 less in reimbursement than I should have (due to that money going to an out-of-network deductible). I have called United Healthcare more than 15 times now across 3 months to see what else is needed and to fix the wrongly coded EOB and I’m always told that United Healthcare made a processing error and will fix it – but it never happens months and months later. The EOB erroneously states that this was an out of network event, but everything was in-network, and I have coverage for the procedure on my plan. Once again, every time I have called United Healthcare, they have told me that I’m right, that they are ‘backing out’ of the old claim and will fix it, and every time nothing has been fixed. I just called earlier this week, and the 15th advocate I spoke with (after taking 20 minutes to look over all the times I called and notes) said I was 100% absolutely correct, I should have received an EOB saying it was in-network, and the determination was wrong, but folks keep coding it – inexplicably – as out of network. She encouraged me to appeal....which I just did. Expectations of what may come next? Thank you.

Hey y'all This is my first time posting here. I am going to be starting a job here soon where I need to get my pre exposure rabies vaccine prior to starting. The issue I am having is my health insurance (Anthem blue cross blue shield) doesn't cover it and it is gonna put me down like $800 with finical compensation from my employer. I live in Kentucky. I was wondering if anyone has any advice or ideas of ways I could try to get that price down. I'm not sure of theirs any good answers but figured I would ask. Thank you all.

Hi all, I recently moved, got a new gastroenterologist, and switched to Blue Cross Blue Shield insurance. I specifically went to the new doctor to get a prescription for Viberzi for my IBS. I've been on this medication for four years and knew the new insurance would require prior authorization. Long story short, my prior authorization was denied because the insurance company said my medical history wasn’t documented. I was confused since I had already submitted my past medical records to the new doctor. When I called the office to check, they told me they *can’t* include previous medical records because they were from before I became a patient there. They said they are going to submit it again and it will go to a peer-to-peer next. And I asked if the doctor will submit my medical history then. And they told me "He doesn't need to send your medical history. He's a physician." I’m really frustrated and not sure what to do next besides hoping the peer-to-peer thing works. Has anyone dealt with something similar? Can a doctor really not use past medical records for prior authorization? Any advice?

I'm probably going include an annoying amount of detail, so feel free to skip to the tl/dr. A little more than a week ago, I was struck by a car while riding my bike on a sidewalk (legal in my area). The driver was turning right and only checked to his left. I slowed and thought he saw me (FL allows DARK tint). I was wrong. He impacted my tire and my knee only stopping when I stuck his passenger window with my fist. My first words were "did you even fucking look?" at volume 24. That prompted a "calm down lady". I saw red about the same time that I noticed his EMT cadet uniform. The officer who responded didn't ticket him. But the crash report is clear that he is at fault. The officer asked if I would be willing to allow the driver to pay out of pocket if the damage was property only. I'm not a monster wanting to throw barrels into the path of this young man's life so I had the wheel repaired and ignored the minor cosmetic stuff. I texted him the $33 bill from my very reasonable bike guy. He swore he would send a check. (I do not want him having access to more information than he currently has). Well guess what? Yeah. I'm just done. I want to make a claim on the policy on the police report. But it's GEICO, which us also my own insurance policy. Will the pidling petty little claim red flag me to my own carrier? Tl/dr Emt cadet hit me with a car. Got very lucky with a tiny amount of damage. Will Geico ding me if I file a claim since he failed to self pay?

Been a loyal member for years. Got a rock to the windshield of a 21 Toyota Prius Prime. On March 8. I reported it and it got pushed to Safelite. They are the contractors that ACSC uses to replace auto glass. However for some administrative reason. ACSC failed to approve the claim to Safelite. After weeks of phone calls i finally get an approved claim. However they require additional ACSC approvql to unstall the requested OEM Glass. This gets approved. After 5 days i call back and i am told thatbwhen the glass gets in they will call to scheduleinstallation. This Morning Auto Glass Now calls me to make an appointment. Im there 20 minutes early. I come back ajd wait in office. Tech reports that he cannot run the OBDII decice that is required to calibrate the safety systems in the car. I ask if they want to call the insurence company, and return my deductable? They insist on showing me that it dosnt work. But they can replace the windshield with out calibrating the systems. I refuse. Tech gets on the phone with someone that walks him through connecting the device to my car. It works. I am again waiting again. Do I complain to ACSC? Safelite? Do i find a new insurencw company? Thanks in advance!

26, tried to get heath care for the first time in January. I thought I was going through healthcare.gov. Guess I called a wack number. “Premier Health Solutions/Health care member services.” Told me 383$ for first 2 months as lump payments then $10 rest of the year. That was a straight up lie. It’s 383$ every month and I will be broke if I keep getting charged. I went through the chat feature to begin cancelation and got an email saying the process has started and I’ll get confirmation but I haven’t yet. I called again about it and they said I’ll get a call from an agent to confirm cancellation. I can’t afford to make another payment and I’m terrified.

I adopted a dog last March. I signed up with Spot for regular and preventative. Last year in May I got his teeth cleaned and they covered $150 of the cleaning, great. The new calendar year is here and I assumed like my health insurance the clock would start again at the beginning of the year. Nope. They go by the calendar year from when you started your plan so they denied my claim. Not a huge deal but if you are covered by Spot know that their preventative coverage is based on a year starting when you signed up for your policy.

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?

I'm trying to figure out how much to ask for my loss of use claim. It took their Insurance 6 months to pay anything for my vehicle as they were still investigating aspects of the accident. I did end up purchasing a car out of my own money separately part way through but nothing that they helped with and I still had the totaled car sitting outside the whole time. I've tried to research what it should be but everything I read seems to assume that insurance pays out quickly. Geico is trying to say the industry standard is 14 days at $30 dollars a day. I did a free consult with a car accident attorney back at the beginning of it and he said to expect $32 per day for my car, but I just need to figure out how many days. If they should be on the hook for all 6 months they chose to wait to pay me.

This is for a puppy that will be enrolled at 8 weeks old. All unlimited options: Pets Best - doesn’t cover alternative therapies such as shockwave, PRP, stem cells, PEMF - $50.87 month - 90% with $500 deductible Healthy Paws - my current insurance provider - no longer offers 90% coverage - policy states it doesn’t cover diseases preventable via vaccine which is concerning since vaccines don’t always cover all strains - $47.71 month - 80% with $250 deductible Pumpkin - sample policy says “we may decide not to renew your policy at the end of any policy period” which is concerning if you start having a lot of claims - $74.99 month - 90% with $500 deductible Figo - $51.99 month - no exams covered (or $62 with exams covered) - 90% with $500 deductible Any thoughts? I’m happy with Healthy Paws but the 80% is disappointing so considering other options