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Guardian Dental - helping understand guardian dental
Hello! I have Guardian Dental insurance. I just received a bill where I am responsible for $217 - Guardian only paid $47.00. Services billed were D0120 and D4910 (Periodic Eval and Periodontal Maintenance). I went on my Guardian account and it says that both codes are covered 100%. They are both under preventative and the coinsurance is listed as 100%.
"Detailed and extensive oral evaluation (D0160) is not covered. **Oral evaluations, including codes** ***D0120***\*\*, D0145, D0150, D0170, D0180 or D9430, are covered once in any 6 consecutive month period.\*\* The limited oral evaluation - problem focused (D0140) is not included in the frequency limitation or last visit date."
"Periodontal maintenance (D4910) is covered under the Basic service category. Adult prophylaxis (D1110) is covered age 12 and over. Prophylaxis (cleaning) (D1110, D1120) or **periodontal maintenance (D4910) is covered once in any 6 consecutive month period."**
My date of service was 3/6/25. I have not had any other services in the last six months. My last visit was 9/3/2024. My deductible is $50, "Yes" means waived for preventative. To date, I met the $50 deductible and Remaining is "0".
|| || |Individual Dental|Out of network|$50.00|Yes|$50.00|0| ||In network|$50.00|Yes|$50.00|0|
My deductible is $50 and it says I paid it... and my coinsurance is 100%? So even for preventative services, this means I'm responsible in paying all of my dental care beyond the first $50? My yearly plan limit is $1000. What is even the point of having health insurance? Is this because I got basic coverage instead of full coverage? I guess I'm ignorant and thought that preventive care would be covered. I feel really stupid right now! I tried calling, but they aren't open. Any assistance to help me understand is appreciated.
Embrace - Pet insurance experience discussions
Today I bit the bullet and got Embrace. My mom has spot for her animals but only accident and illness. I chose embrace because it was a little better financially and would cover wellness exams.
I wanted to see everyone’s opinions on different insurances. I get the impression that many don’t like embrace which is a little worrying to be honest, but I’m going to wait and see how I like them after I get my dogs anual done.
She’s older and I just wanted her to be covered by something before I bring her in. Seeing that most if not all of the insurances will not cover anything preexisting.
I did ask about a preexisting condition in my dog (torn ACLs) and if it would be covered since that hasn’t been an issue for years. The lady I talked to said that since it has been an issue in over 12 months it would be fine, which I found pretty surprising tbh.
She explained it like - if your dog had a belly ache 3 years ago and it came back that’s something they’d cover. But if it was a chronic thing before you started insurance then no.
Geico - Am I getting scammed or is this normal?
I posted here a couple days ago about a stolen motorcycle (thank you all for reminding me not to commit fraud) and I called Geico about some questions I had. The told me I could get the collision and comprehensive policy right now, after the theft, and if the person who stole my motorcycle gets into a crash with a stationary object or another car and the motorcyclist is at fault I could be compensated. I got qouted for the coverage and it's $4,717.62! I paid $791.07 originally and the new total will be $5,508.69. I'm assuming since this policy covers the vehicle its more but $4,717.62 is absolutely crazy. I don't think I will be getting the policy at this point because of the depreciation on the bike makes it worth around $8,000 and the insurance would be almost half what the bike is worth. Even at rates of a new rider that seems fairly high. I apologize for the rant,
QUESTION: Is this a normal quote for the policy on a motorcycle or is that something because I am a new rider?
United Healthcare - Wrong Health Insurance Charged
Location: Wa State, USA
Last month I went to the ER, while they there asked about billing insurance and I told them to use my state provided insurance which they had on file. Apparently they charged insurance from a provider from my old job which i haven’t worked at since December of last year. I never signed up for health insurance from my old employer. I did have dental through them at one point but that was it. Today i get a bill from United Healthcare that states i owe them $4300 from my hospital visit when I shouldn’t even have their insurance in the first place. I’m not sure where to start to get this resolved. My old employer? Hospital? Lawyer? I’m not even sure if this is the right sub for this but I’m just angry and confused so any help would be appreciated.
Progressive - Credit Dispute with Progressive Insurance
I was with progressive and I stopped being with them after an accident happened that I was put at fault, even though I wasn’t. Due to my lack of knowledge of how to even report an accident. After I paid my final bill from progressive they issued me another fee and so I didn’t pay it and now it’s affecting my credit which I want to get the claim off, but I don’t know how to explain that I was charge additionally for something that I honestly don’t know what the fee is for.
Allstate - Allstate Quote: Questions
I ran the same quote three times and I keep getting different numbers.
One quote said $300, the other said $330 and then I get an email saying it’s $196.
What’s going on here?
Healthy Paws Pet Insurance - Healthy paws pet insurance
Is it even legal for Healthy Paws pet insurance to increase premiums at almost 200% in CA? This is outrageously high!! Anyone experiencing the same?
#healthypawspetinsurance
MetLife - Best affordable dog insurance?
I have an emotional support dog and he helps support me with my panic disorder everyday!! I know some people think dog insurance is a joke, but I’m disabled (for physical reasons) and want to be more prepared/protected with pet insurance so I won’t be stuck with a giant bill with a budget income. (Yes, I understand you have to pay it all upfront at the first before you see any money back from insurance.) Would love to hear some decently priced options for mostly full coverage!
I have MetLife, but thought I’d ask for recommendations before I switch because $90/month isn’t exactly budget friendly for me 😕 Thanks for making it this far!! 😎👍🏻
insurance company Y - accident covered by non-insurance company?
Two weeks ago, I got rear-ended by a commercial truck owned by a logistics company, X.
I originally filed the claim through their insurance company, Y (as listed on the driver information exchange).
A few days later, insurance company Y told me that company X would cover the accident and gave me a claim number with X.
I can only get in touch with X by email (which has very slow correspondence), and their phone line is always busy. After I sent them all the information they requested, the only response I got was that they are "reviewing" the case and will discuss it after that—without mentioning how long it will take. Since they are not an insurance company, I assume they don’t handle claims in the standard way.
Now it's been more than two weeks, and I still have no idea how they plan to address this.
Are there any legal requirements for how soon they need to respond and resolve the issue? (I do not want to go through my own insurance and pay out of pocket.)
What actions can I take to push them to make progress on this?
Any suggestions or advice would be greatly appreciated!!!!
Uber - Uber crash with injury: how to follow up?
Hello all,
I was involved in a crash Saturday night around 11PM. I was in the backseat of an uber with two friends when the uber driver allegedly ran a red light (according to the other people involved in the crash) and we got in a pretty violent accident. Luckily everyone in the uber walked away unharmed expect for me. I dislocated my finger (it was sideways after the crash) , and I walked into the hospital ER (we crashed a 5 minute walk from a big hospital in our city). I was treated and had it put back into place, and now have a follow up tomorrow. I am expecting this will continue to affect me for months. I am a student, starting grad school to become a physician assistant in August. This is going to affect me in school as I will struggle to type and struggle to be able to learn the hands on clinical skills for at least first first part of the semester. This has so far been extremely painful and I am only beginning to know the extent of medical treatment I will need and recovery timeline. This was also an extremely traumatizing and upsetting experience for me. After the accident, police were called and they spoke to me and the other riders at the hospital. I also believe the other people in the crash filed a report too. When I got home from the ER I spoke with uber and reported everything and their insurance is supposed to reach out to me. I already provided my ER discharge papers and pictures of the injury. What are the next steps here? Do I just wait to hear from uber? Also, what are my chances of receiving real compensation for my pain and suffering (like a couple thousand? Or should I expect less than that?)
Thank you
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