Have an issue with your insurance?
Let everyone know!
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.
Farmers - Insurance company leaves me with shortfall to remodel bathroom
I own a condo, which I reside in. The unit directly above me is a rental property.
So, a pipe was leaking from the unit above me. HOA says the upstairs unit is fully responsible for any costs incurred in repairing the pipe and restoring my bathroom due to the water damage it caused.
The breakdown in cost for my Master Bath is as follows:
\*Demolition: $2,879.00 (already completed)
\*Remodeling: $4,554.39
TOTAL COST: $7,433.39
The upstairs neighbor’s insurance company, Farmers, just paid me a total of $5,570.51 to cover all costs associated with the completed demolition and for the not-yet-started remodeling.
That leaves a shortfall of $1,862.88 to make my bathroom “whole” again.
Farmers explained that there is depreciation. My condo was built in 1986. I believe the bulk of the cost associated with restoring my bathroom is labor. Not the materials. Right? Since you can't depreciate labor costs, how can the insurance company justify paying out a significant amount less than what is needed to return my bathroom to the condition it was in before the water damage?
For example, one item on the list the contractor submitted to the insurance estimate was $290 to hook the toilet back up and reset it. I asked the contractor how much the cost would be for the material to do that. He said all it takes is some wax.
I asked him for a breakdown of material costs vs labor costs, and he said he can't come up with that because it's complicated, and the computer spits out the pricing already bundled together.
This is my first time buying a place to live. So, I am not as familiar with all of this, and if I am being denied something I am entitled to from the upstairs owner's insurance.
Here is a summary of what the General Contractor submitted to Farmers:
Recap by Category
O&P Items Total %
CABINETRY 710.40 15.60%
CLEANING 158.33 3.48%
GENERAL DEMOLITION 182.82 4.01%
DRYWALL 732.75 16.09%
ELECTRICAL 214.02 4.70%
FINISH CARPENTRY / TRIMWORK 280.02 6.15%
HEAT, VENT & AIR CONDITIONING 13.28 0.29%
INSULATION 49.76 1.09%
LIGHT FIXTURES 58.29 1.28%
MIRRORS & SHOWER DOORS 191.83 4.21%
PLUMBING 581.01 12.76%
PAINTING 564.27 12.39%
O&P Items Subtotal 3,736.78 82.05%
Material Sales Tax 58.47 1.28%
Overhead 379.57 8.33%
Profit 379.57 8.33%
Total 4,554.39 100.00%
Should Farmers have to pay the full amount to restore the bathroom to its original state? If not, how do I go about getting the remaining amount if I am not responsible for costs?
UnitedHealthcare - Billed for yearly preventive checkup?
I'm a 24 year old male in NE with UnitedHealthcare. I make approximately $82k gross. I've had UHC for a few years now and have always done my yearly preventive checkup, which was always 100% covered until now. I've contacted both my provider and UHC trying to figure out why I'm suddenly being billed. When I check my claims, the labs given were mostly covered by my plan, with small amounts for each service charged to me.
* Labs:
* 80061 LIPID PANE,
* 84439 ASSAY OF FREE
THYROXINE,
* 80050 GENERAL HEALTH
PANEL,
* 81001 URINALYSIS AUTO
W/SCOPE,
* 36415 COLL VENOUS BLD
VENIPUNCTURE
* If I have to pay my deductible before labs being covered, why are they covering ~77% of my cost anyways? If they're 100% covered, why do I have any deductible?
* My insurance says it was coded incorrectly, but my provider says it was correct.
* I asked my insurance to compare my previous years' coding to my current claim, and they said it was the exact same thing. CPT and Z codes.
* I was given a follow-up call and sent [this pdf](https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-medical-drug/preventive-care-services.pdf) which details which codes are considered preventive, and I think I see my labs aren't? But I don't really understand what it all means, and either way it's the same coding as previous years, so why were they covered before but not now? Why cover them partially?
* If the guidelines have changed, am I responsible for tracking that and telling my doctor what to do at my yearly checkups?
* Is there a super simple explanation for why I'm being charged? Does the insurance have a max payout which the provider over-charged, leaving me to pay the rest? How can I tell?
Thanks, this is all very confusing and frustrating to deal with. I don't know much about insurance or anything, but I feel like this is wrong somehow.
Progressive - Insurance Claim denied
Hello, I bought a vehicle in New York.. had it shipped to California.. Vehicle arrived damaged during transport.. Transport Company stayed at a rest stop, another vehicle/truck backed up and hit Transport Trailer where my vehicle is secured.. Truck at fault denied my insurance claim.. Per the Insurance they don’t have coverage.. I filed a claim against the Transport Company who was transporting my vehicle, Progressive their insurance denied the claim with reason of Transport Company not cooperating with there investigation and unable to verify information that is necessary to confirm valid coverage for the incident.. What’s my next step? any advice? I’d like to avoid filing a claim against my insurance.. also, should I lawyer up? any suggestions? location is California.. Thanks
Blue Cross Blue Shield of Texas - BCBS TX - suddenly out of network
Over halfway through pregnancy. Blue Cross Blue Shield of Texas on Monday stopped the majority of my local hospitals from being in network. Was told to fill out a continuation of care and I would be fine.
I’ve called BCBS customer service and have received either non-answers, or have been told that since I’m pregnant, the only thing they will cover is my OB’s costs. That means: labwork would be out of network, my hospital/facility fee would be out of network, my child’s care would be out of network once they are born. My OB only delivers at the out of network hospital system.
I’ve been trying really hard to find someone that is in network in my area to take me as a new patient due to being so far along.
Any insight?
GEICO - Is it normal in California??
Is this auto insurance premium reasonable? ($1,208.10/year for two cars)
Vehicle 1: 2008 Lexus IS 250 – $715.48
Vehicle 2: 2008 Honda Civic LX – $494.38
I'm in California and just renewed my auto insurance. I've been with GEICO for a while, but the premium keeps going up every year.
Is this normal?
ASPCA - Shopping for Quotes
Our pet insurance (ASPCA) for our 7yo pit mix is up for renewal in May and they're raising his monthly premium by 30% ($75->$100) so I'm looking to shop around. What pet insurance do y'all have and do you like it? I've looked at a handful of quotes (Pets best, Figo, Trupanion, Nationwide) and they are all around the same price as ASPCA or higher, except for Lemonade (quoted at $81/mo).
His current coverage and what I'm quoting with other companies is; $5,000 limit, 90% reimbursement, $250 deductible, wellness/routine coverage.
Thanks!
Kaiser - Kaiser keeps terminating my insurance
Using a throw away account...
I have Kaiser through work. Since I've been on my current plan for the past 3 months, Kaiser has terminated my insurance on the last day of the month. According to the payroll company (ADP), my benefits are valid and from what I can tell, dental and vision (not through Kaiser) are also valid. I don't understand why this keeps happening.
The only thing I can think of is that it's a Northern California plan and I live in SoCal. I lived in SoCal when I selected my plan and was told it shouldn't be an issue, but now I'm questioning that. Last time it happened HR confirmed that it shouldn't again, but here we are.
This is a tremendous hassle every time it happens since both my husband and myself need to have our SoCal and NorCal medical record numbers linked and then it takes several days before we can access anything on the website in our region.
Does anyone have insight into how or why this keeps happening? I'm at my wits end.
HealthyPaws - HealthyPaws increasing premium by 58%
I just got an email that they're increasing premium from $38 to $60 in 60 days.
Any suggestions on another insurance company?
AAA - AAA house account issues
I've had AAA insurance (home/auto/umbrella/roadside assistance) for 10+ years. I liked my local office/agent who was responsive. A couple years ago she died of cancer and now I am a "house account". Since then it's been much harder to get timely responses from the local office when I need to update insurance needs - new cars, etc. I've handled this by calling corporate customer service if I can't make changes online myself. My question is I've heard being a house account is bad because the agents don't get compensated for helping you. Is this true?
The Hartford - The Hartford
This past Sunday, while watching a movie at a theater, someone ran over brand new my motorcycle in the parking lot. Thankfully the person who did, told an employee and waited for me. He gave me all of his information. I filled a claim with his insurance, The Hartford and am a little worried about it now. Within a day of filing the claim, they have switched the adjuster and the new adjuster told me, “honestly, I don’t know. I’m not going to ghost you…” when I asked for a timeline on them getting back to me. Are they just going to give me the run around?
Make A Complaint
Loading...