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Lemonade - Having issues with Lemonade pet Insurance
I’ve been using it for my dog for a few months now and I’m starting to feel uncertain about whether it’s the best option. The claims process has been much slower than expected, with a lot of in review updates and I haven’t received any reimbursements yet. It’s making me a little nervous especially since my vet bills are starting to stack up.
I’m just looking to see if others have had similar experiences and whether you think I should stick it out or switch to another insurer.
Progressive - Gap + Auto Insurance, Totaled Car
So the story goes: My friend in Texas totaled his car by hitting a mailbox. He has Gap insurance from the dealership, and auto insurance from progressive.
Auto insurance agent told him they're going to pay the dealership instead of him.
Can friend demand direct payment to himself, as the policyholder? Can his insurance just send the check somewhere else like that?
The gap insurance should handle everything on the dealership side, so I don't know why his insurance company would be giving the dealership anything.
Priority Health - Two Private Insurances?? (I’m naive & I don’t understand insurance math)
I’m new to the private insurance world, so if anyone knows the answers to these questions, I will take any bit of knowledge given. Here’s what I’m working with:
**-Priority health - HMO ($1,300 family deductible) -Through my employer, Corewell Health**
**-State of Indiana Anthem - Healthsync POS with HSAS - ($6,000 family deductible) Through my husband’s employer in the state of Indiana**
* ***How do deductibles work? Policy states "You have to meet the deductible before coverage kicks in"?***
\[I’ve had Priority Health since 1/1/25 (Anthem did not become active until 3/1/25). Priority is saying I have met my family deductible of $1,300 but I am positive I have not paid anything remotely that close in office visit copays or on prescriptions. I’m happy about this, but it seems to me that I had some sort of coverage since the deductible is already met.\]
* ***Is it beneficial to notify both insurance companies so that they are aware of “the coordination of benefits”?***
* ***Can I pick who my primary insurance is (for doctors' appointments and prescriptions)? Or does it not matter who is primary and who is secondary?***
\[I might be speaking too soon, but despite the higher deductible, it seems like my husband’s insurance, Anthem, is better.\]
* ***Insurance math…??***
I recently picked up a prescription, and the pharmacy processed the insurance claims as follows:
* Priority Insurance (primary): $15 copay
* Anthem Insurance (secondary): $11 copay
The pharmacy combined the two insurances and calculated the total copay to be $7. I'm unsure if this was processed correctly.
My question is, with two private insurances, shouldn't the prescription be covered in full, resulting in a $0 copay?
Additionally, will I still be responsible for paying an office-visit copay for in-network doctor visits under both insurance plans?
\[My logic is that if I'm paying full premiums for two insurance companies, I should receive full coverage between the combined two insurance companies."\]
* ***Do I have to run both insurances when filling a prescription?***
\-My husband is prescribed disposable insulin pumps, which required a prior authorization. However, the PA process took months to complete due to communication issues between Corewell Health and Priority Insurance. Fortunately, his disposable insulin pumps are now fully covered by Priority Health. Here's the question: Until the prior authorization expires, is he required to file claims through Anthem when picking up refills? Note that Anthem became his new insurance provider on March 1, 2025, through his employer, and was not involved in the current prior authorization.
\[There are numerous prescriptions that Priority Insurance refuses to cover, but Anthem will. It seems like having to use both insurances could be a double-edged sword. The primary reason I have two private insurances is to mitigate the issues with prescription plan exclusions. Specifically, one insurance company will cover certain medications that the other will not, and vice versa.\]
Geico - Geico doesn’t plan to fight for me
As the title states, I was involved in a slow motorcycle collision with a Tesla. I was lane filtering the far right lane on a 3 lane one way street. The Tesla turned right into a parking lot from the center lane without indicating directly into me. The video shows I was in the city (Downtown San Diego) marked lane going 20 mph but due to parked cars in designated parking spots to the right, Geico immediately claimed I would likely be found at fault. This is because my insurance claimed it “technically” isn’t a lane due to parked cars for some reason. This call was not 30 minutes after filing the claim at the scene of the accident. The agent over the phone made it very apparent they weren’t going to fight the fact that the Tesla who turned did not indicate nor check mirrors/blind spots.
Sorry for the long read but can I fight my case to my own insurance (Geico) to avoid an at fault claim.
State Farm - Previous complex reported paid balance to credit bureaus after saying the wouldn’t.
So basically, I left a complex a month before my lease was up because we bought a house. The complex was aware we were leaving before the lease was up. Upon leaving, we knew we would be billed for carpet and we made them aware our renter’s insurance would issue a check to cover majority of the balance and we would cover the remainder. Well, my renter’s insurance issued a check and they sent the entire balance to collections like within a week of the check being issued. They stated they never received the first check after I escalated the issue to their district office. The insurance company issued a second check. They apparently never received that one either. Insurance company ended up issuing payment directly to me so I could get the balance settled. Payment was put in their hand February 18th. I got a notification this morning that they reported the entire balance to collections as paid. The district manager stated that she halted the collections process and was working with me for getting payment settled. I emailed her this morning about the collection reported. Is there anything I can/need to do legally? I’m just frustrated because it feels like they deliberately tossed the checks and reported the balance to collections because they’ve done the same thing to previous renters. I just want to know if there’s anything i need to do to pursue them legally or if contacting the credit bureau is the easiest solution.
UnitedHealthcare - Insurance denied claim, never attended appointment
I got an advertisement from my insurance, UHC sent to my email about a program called Real Appeal. The title said “Reach your weight loss goals now, at no additional cost” so I signed up and made an account. It looks like UHC denied the claim and I now owe $162.23.
I set up a Teledoc appointment but missed it before looking at my claims (my mistake I know). I missed the appointment and haven’t rescheduled. I’d link the email given but not sure how.
RoofInsurance - Roof
Insurance company sent an inspector. Contractor said roof is in amazing condition but there's always a but, since the roof is over wooden shakers it has to be replaced!!!! My agent is a total pain, she just says get it done, sure no problem because I have dam neat $16,000 to do this.🥺
my ins co - In which states are balance billing waivers illegal?
I reported a provider to my ins co for balance billing. The provider wanted me to sign a waiver allowing them to balance bill me. I asked the rep if this waiver is illegal, and/or would it get the provider kicked off for violating their contract. I really couldn't get a straight answer. I was just told that unfortunately a lot of providers do this, and there's no guarantee of what will happen to them.
Is it worth it to also report them to my state's insurance division? I don't want to waste my time if these balance billing waivers are legal.
Meritrust - Cosigned on my ex's credit card. Payments haven't been made for years.
My ex and I have been separated since mid-2017, but his Meritrust credit card is still showing up on my credit report. I've worked hard these past few years to knock out the debt I created for myself as a dumb 20-something year old, but I cannot get rid of this debt. I myself never even used this card when we were together. I don't even know why he asked me to cosign in the first place, but of course I said yes because he was my husband at the time. He won't speak to me about it, and I've tried reaching out to his family, but nothing has changed. I've tried contacting Meritrust, but the only option they give me is to settle the debt myself and close the account. If anyone has any advice on how to proceed with this, I'd really appreciate it.
Tesla Insurance - 2024 Tesla Model Y totaled - Not happy with the offer by Tesla Insurance
Hi, our new 2024 Tesla Model Y LR was declared totaled by Tesla Insurance and they are valuing the car at $39,451, which we don't think is fair. We bought the car in mid-Aug 2024, had only put 1316 miles before we were involved in a crash on Dec 03, 2024. We were at fault party (there was no other party involved) , so we filed a claim with our Auto Insurance which is from Tesla Insurance. We are in Fairfax, VA, but the valuation report uses for reference a similar Tesla in Apopka, FL, \~ 1000 miles away !. Btw list price of the Apopka, FL was $ 40,900 and it had 3904 miles on it.
Also they have listed the Vehicle Condition as Good/Well Maintained across different areas. We do not know the scale Audatex (3rd party company who provided the valuation report) uses but our car was impeccably maintained and its condition was 'Excellent'.
Need advice on how to fight back.
Thanks.
# From the Valuation Report:
**Vehicle Condition**
* Seats: Good
* Carpets: Good
* Int Trim: Good
* Glass: Good
* Headliner: Good
* Body: Good
* Paint: Good
* Ext Trim: Good
* Engine: Well Maintained
* Transmission: Well Maintained
* Front Tires: Good
* Rear Tires: Good
**Valuation Details:**
* Price ( Comparable Vehicle, Apopka, FL) : $ 38,501
* Odometer Adjustmentd : $270
* Tow Hitch Package : $ 680
* TOTAL: 39,451
**Adjustments of Special Note**
* An odometer adjustment of $0.1050 cents per mile/kilometer has been applied. This adjustment is based on the vehicle year, vehicle category and market area. Odometer adjustments are capped at 40% of the vehicle's starting value.
* Typical miles for this 2024 Tesla Model Y in Virginia is 20,999.
* No special adjustments were made for this vehicle.
* All values are in U.S. dollars.
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