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Insurance Commission of WA - Regrading loss of salary
Location: perth wa
Last year my partner got rear ended in march 2024 while they were on the way to work. Got admitted in Fiona stanly for three days to do test and scans and lodged the claim with insurance commission of wa . They kept asking documents and stuff for 4-5 months yesterday (after 1 year going back and forth)got payed $787 from insurance commission as one of payment as a loss of salary while they are still not capable to be back to work. Is it worth proceeding it with legal ways to get compensation for the loss of salary. Salary was $950 average a week.
Thank you
Trupanion - Is Trupanion’s claim calculation method kind of... off?
I recently submitted a claim to Trupanion and it seems kind of weird.
For example, let's say I claimed for $1000. The deductible is $200 and a 90% coverage rate, which means I pay 10% coinsurance.
So based on that, I thought the math would work like this:
* $1000 - $200 (deductible) = $800
* 90% of $800 = $720 → Trupanion pays
* 10% of $800 = $80 → I pay (coinsurance)
But instead, here’s how they seem to calculate it:
* 10% of $1000 = $100 → My coinsurance
* $1000 - $100 - $200(deductible) = $700 → Trupanion’s portion
This feels off to me — like they’re applying the coinsurance *before* the deductible, which doesn’t seem logical. Shouldn’t the deductible come off first, and *then* they apply the 90% coverage to the remaining amount?
Has anyone else experienced this with Trupanion? Am I misunderstanding how their calculation is supposed to work? Is all other pet insurance company calculate the claim in this way?
MetLife - Metlife pet insurance Preventative explanations please
Hey everyone!
I currently have metlife for my one dog and want to add my newly adopted dog. They tried selling me on their preventative but I feel like when I get a new quote on their site the information is different than what was being pushed to me over the phone.
These are the pictures I have. She said that all my dogs flea and tick would be covered for the year after my deductible but if I'm reading this correctly I would only get a payout of $75 for the year. Is that correct? That doesn't seem worth it at all.
Also, She was actually so pushy I'm also considering switching insurances completely.. I've looked into AKC, Spot, and embrace but I need one that covers potential foreign object ingestion and AKC only has once in a lifetime which to me is crazy. My pup picks up stuff on a walk, chews on sticks, etc I'm almost about to put a muzzle to be safe. Thankfully nothing bad so far, but after my aunts experience of her dog swallowing an Avocado pit I want to make sure I have one that covers this just in case.
State Farm - Storm damage company, shady or legitimate?
House that was built in 1989 has water stains on all the 2nd story ceilings which are getting worse every time it rains. The roof is visibly messed up, losing shingles. Siding and gutters have never been replaced. Visible hail damage, plus the vents on top of the roof have dents all in them.
I live with my senior mother whose coworker has a son who works for a roofing/restoration company. The guy came out, inspected our house and took over a hundred pictures. Said we need a new roof, siding and gutters. We put in a claim with State Farm homeowners insurance, he said to put we have damage from June of 2024. Even though we've had more storms and tornados since that date.
State farm then sent an inspector woman who barely looked at anything, the company this door to door storm chaser guy works for was there. They didn't seem to show her much of anything. The inspector was here less than a half hour and I didn't answer the doorbell. The company who would be paid for replacing things nailed a tarp on to a small part of our roof without asking or informing us.
The inspector determined only 2 shingles need repairing! Nothing else. She also emailed my mother the decision, saying it was nice to meet her. My mother did not meet this woman and no one who lives here did.
Now the guy who inspected our house initially is saying we weren't denied and we have a roof that is no longer made. It's a 3 panel shingle roof and he claims those shingles are no longer produced. He's telling my mother to take State Farm's offer of fixing the 2 shingles. That they'll send them off for testing and once they find out these shingles are no longer made, insurance will cover a new roof. A simple Google search shows I can go buy 3 panel shingles at every home improvement store nearby.
Is this guy scamming my senior mother? Will State Farm actually replace the entire roof after testing shingles? I'm a single solo mom to a disabled child who has to live with my mother and I feel we're getting taken advantage of. She thinks we're not since she works with this guy's mom and she's easily taken advantage of.
Help please, any input would be highly appreciated!
Healthy Paws - Healthy Paws 155% increase to $640/month!
We’ve had Haalthy Paws since my two dogs were puppies. One is now 11 and one is 7 or 8. I just got this email that our monthly premium is increasing to $650 a month!!!! We can’t switch — they have preexisting conditions. This feels predatory. Is this legal? Has anyone successfully negotiated this?
State Farm - Should State Farm replace all tires?
I got hit by a motor cycle and they were at fault. It destroy one of my wheels and tires.
State Farm will replace the one tire. I want all 4 tires replaced bc it’s 4 wheel drive grand Cherokee and the owners manual states to keep all tires the same circumference. Basically don’t put one brand new tire with 3 used tires bc it can possibly damage the drive train.
I’m pushing back bc I want them all done. What your take?
Kaiser - My insurance agent didn't enroll me so I missed Covered Ca deadline
So I went to an insurance agent to enroll with kaiser through covered ca at the end of January because it wouldn't let me online and I was told I'd get my insurance card and stuff sent to me in a week or two well flash forward to today and I called kaiser to try and order an insurance card and they have no record of me at all. Called covered ca and same thing so I guess when I went to enroll through him it didn't work idk if he did something wrong or if it was a system error or something idk. This is my first time applying for insurance since I just got off my parents insurance and I'm not sure how to proceed. I'm not sure how to apply without covered ca and how much more it would be. Any suggestions I called the guy and left a message and haven't heard back yet.
Trupanion - Do NOT get Trupanion for your puppy!
Ok so this is totally my fault for not reading the policy documents, but the Trupanion deductibles are PER CONDITION, not annual. This means every time your puppy visits for a new condition, the $500 restarts. The idea is that once the deductible for a condition is met, your pet is covered for life for that condition without having to meet deductibles again.
Our puppy had splinters stuck in his tonsils and had to be sedated to have them removed. The total bill was $750, and between "examination fees" and the new $500 deductible (we have already submitted claims for other things), nothing was covered.
Here is the kicker, they not only didn't cover the examination/consultation fee, they also denied the "esophageal examination" which was the procedure to pull splinters out because of the word "examination". Here is ANOTHER kicker, if something gets stuck in his throat again, it would be considered a separate incidence, so the $500 will restart again! If your puppy gets giardia, it clears up, and he gets it again in 3 months, guess what, the $500 restarts!
I can see that this would be a good policy for older pets with chronic conditions, so you don't need to meet deductibles every year, but for a healthy puppy who gets into accidents from time to time, every incidence is considered separately, so mostly likely much of your expense will not be covered! I'm switching back to another insurance that my 5 year old girl is on. I wanted to try Trupanion because I kept seeing ads for it, but now I'm going to switch both of my pups to be with the same company while my puppy is still young before "pre-existing conditions" develop.
Progressive - Progressive Added An Unknown Person To My Policy
I got an email today regarding an upcoming Progressive insurance payment of $455. I spat my drink and went to look up my policy and to my surpriced, Progressive added a Random dude to my Policy. I have no idea who he is at all.
I called Progressive support line and they said they automatically added him because they "Think" he lived in my House. I was pissed and told them i did not consent or even call them to add him. They told me that i agree to their terms and condition bla bla. I got literally no heads up or any phone calls what so ever. They claimed the mailed me about the new change. I rarely check insurance docs as they are either bills i already paid or policy info. To make it worse, this dude has 2 Serious ticketsand an at fault accident.
I been a loyal member for over a decade. 0 accidents, 0 tickets. They told me to call them on Monday to fix this "easy" mistake. I was gonna wait till Monday but i couldn't let this mistake fly so i cancelled my policy. I drive my car like once every few months anyways.
Cigna - In what world should an urgent care visit cost more than an ER visit with insurance? Is this usual now?
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?
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