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Insurance companies are constantly reviewing us. Are we too old? Do we live in the wrong place? Is our credit score high enough? Well, now it's time to turn the tables. Do you charge too much? Will you pay my claim quickly? Is your coverage worse than it seems? We can review you too.
Healthy Paws - Dilemma with 9y/o dog - need advice
I have a 9 year old mixed lab. He was insured as soon as we got him through Healthy Paws and he has been relatively healthy since; however, we received a notice last week his premiums would be increasing from $84/mo to $194/mo.
I found via reddit this was common for other California customers and reached out to a contact I found on reddit, only to receive a canned response about “increased vet costs” - no sir, vet prices do not increase 128% YoY. We also started at less than $40 a month, so costs for us had already doubled in 9 years.
My dilemma: I can find pet insurance from Spot, Figo, PetsBest (literally anyone) for cheaper than $194. His only preexisting condition is hip arthritis at this point, although he does have random lumps that the vet said were harmless. No idea if those are in his medical history.
Do I sign up for a different insurance company knowing I risk them doubling rates next year, and/or possibly claiming everything falls under preexisting conditions? Do I start putting away money each month and hope for the best? What would you do?
I’m so frustrated as we bought into the pet insurance thing and would have been better off starting a savings account for him 9 years ago. But now here we are, tens of thousands paid to a company who actively wants to screw us over so we cancel and no savings specifically for the dog or money to throw around for vet bills.
at fault party insurance - What would you do?
Sorry in advance. My minds a mess and I feel like venting to reddit might give me some insights and make me feel slightly better.
I was in an accident recently with two cars. I was stopped at a stop sign and one car made a left turn in front of a car going like 90 mph straight. The straight lane car hit the turning car and bounced off it right into my driver side door. He smashed my car hard enough to push me several feet over a curb and through a chain link fence (maybe 15 feet?). I crawled out of my passenger side door as fast as I could because the car that hit me caught on fire quickly. His car was maybe 5 feet away from my door after the impact. The left turning car and straight car both went to the hospital by ambulance. I got picked up by my fiance and went right after.
I've been talking with the at fault party insurance company and it's abundantly clear to both parties I was zero fault. They came to an agreement of 65(turning car) - 35 (straight car) for fault.
My life is
State Farm - Looking for new carrier
I have State Farm and pay about $750 monthly for my several cars and teenager.
Every carrier I quoted with (the major ones that everyone knows)
All wanted $1,100 or more per month for exact same coverage.
These people are crazy!!!
The $750 I think is already too high. 3 cars, 1 truck, 2 adults and a teen. No accidents, tickets, or claims for anyone, ever.
Going to try a local broker tomorrow. Maybe they can help. Are other people seeing the same crazy differences when getting a quote? Any good experiences using a broker and anything I should watch out for? Never used an independent broker.
ICICI Lombard - ICICI Lombard Tried to Guilt Trip Me During Porting
I've had a health insurance policy for my mother with ICICI Lombard since 2007. The recent premium was ₹70,000 (including GST) for a sum insured of ₹3 lakhs + ₹3 lakhs bonus, totaling ₹6 lakhs annually.
For the past few years, I had been meaning to port the policy but never got around to it. This year, I finally managed to do it—moved to Care Insurance. The new plan offers ₹10 lakhs sum insured with a 50% increase each year, covers pre/post hospitalization, existing diseases, and even includes a few more benefits. And all this for a significantly better premium of 51000 (inclusive GST).
After I initiated the port, I got a call from ICICI Lombard asking if I wanted to renew. I politely informed them that I had ported to Care. As expected, they started with the usual pitch about how ICICI is better than Care. When I still didn’t budge, the agent had the audacity to say:
**“Lagta hai aap yeh premium afford nahi kar sakte.”**
(Translation: *Looks like you can't afford this premium.*)
Really? Is this how some insurance companies try to manipulate customers—by playing on their ego?
Anyway, I'm glad I finally made the switch. ICICI may want to revisit how their customer support operates.
ISO insurance - Need help
Hi
I’m an international student currently in the U.S. on a STEM OPT extension. Recently, I was admitted to the hospital due to severe pain, which turned out to be a kidney stone. I had to undergo surgery, and now I’ve been hit with a $50,000 medical bill.
I have ISO insurance, but they’re refusing to cover the charges, saying it’s a pre-existing condition—even though this was the first time I ever experienced it and didn’t know about it before. As a student, I don’t have a high income, and this amount is overwhelming for me.
I’m looking for any advice or guidance on what I can do to get help with this bill—whether it’s negotiating with the hospital, financial aid, or any legal options. Any direction would mean a lot right now.
Thank you so much.
United Healthcare - Appeal: UH Erroneous Determination as Out-of-Network (when provide is in-network)
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.
UnitedHealthcare - Question about needing a referral for healthcare to see a specialist
I have pathology reports from Hospital A that I received under a charity care arrangement. They are for dermatology. The reports revealed skin cancer and I needed surgery, but the hospital fused to allow me to use their charity care for the surgery
I might be taking a low wage job to try and get private employer group PPO health benefits. But the plan would be with UHC. If I already have the biopsy reports showing biopsy #1, biopsy #2, biopsy #3, biopsy #4 are basal cells and they require Mohs surgery, do I still have to wait months to set up an appointment with a dermatologist and then WAIT for a referral to see a Mohs specialist?
Forget about the prior dermatologist who did the biopsies. He works for a large healthcare system that won't allow him to refer me outside of their network.
If I literally have the pathology biopsies, can't a potential UHC in-network Mohs surgeon's office use that? Or does UHC ppo private group plan insurance and the participating Mohs doctor under UHC insurance require another dermatology referral, which would mean I'd have to wait many months just for that and delay the surgery I desperately need.
Liberty Mutual - Accident
I have a 2015 Toyota RAV4 and I still owe 12,000 on the vehicle, Just got it last year.
with that being said I was in an accident on 3/6 and their insurance company wants to claim the vehicle as a total loss... my question is what if they don't give me enough to cover the loan? I am pretty stressed because the accident was not my fault at all.
it is going to liberty mutual does anyone have any idea?
His insurance - Should I reach out to my own insurance for an auto incident where I am not at fault?
So recently someone backed into me at the parking lot and damaged the front of my car. We exchanged information etc and the person initially was thinking to settle it without involving insurance. I was fine with this and reached out to a few places, but most say it is hard to determine the total damage without doing a full diagnostics because there are many sensors/cameras/lights in that area. Only 1 place gave me a preliminary estimate after looking at the damage.
We then decided to get insurance involved. His insurance assumed full liability and send out a person to estimate the damage visually. The estimate is quite low, lower than the place who gave me an estimate directly. They said I would need to take my car to a shop that is willing to work with their rate. If additional damage is determined, then the shop would work with the insurance company for any additional costs.
During this whole process, I feel like the other person's insurance treats me like I am trying to scam them. I asked what if the shop dong want to fix the car because the insurance estimate is too low, and they said that I would have to pay for the different if the shop is not willing to work with their rate.
So now I am wondering if it makes sense if I reach out to my insurance company and report this incident, would they deal with the other person's insurance instead of me dealing with it directly?
Thank you.
Anthem Blue Cross - would there be a difference between mental health telehealth and in office for mental health coverage
ive asked anthem blue cross five times and not getting anywhere. my mental health is completely covered. i made an appointment to do telehealth and they said i have a copay of an office visit. the insurance company offers telehealth through their own app online. what i want to know is - how can i find info on the telehealth offerings that my insurance cover. am i wrong to assume they should cover the entire cost since its under mental health. do insurance companies have different rules for telehealth? have they come up with different rules and why cant i just read about the rule? they keep saying send them the cpt code? so would it be normal that they cover mental health one hundred percent but telehealth for mental health is the cost of an office visit?
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