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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.
Health insurance - Health insurance sent me a subrogation claim letter to fill out for negligence from a surgery I had.
State is Michigan.
I want to keep this as private as possible. Basically I had a double mastectomy back in the beginning of January. It was supposed to include liposuction on my sides to prevent 'dog ears'. I traveled 9 hours for this surgery. The swelling was so bad under my armpits I couldn't really see the open wounds.
When I would do my cleaning and dressing changes every day I noticed a lot of discharge and blood. I had both of my sisters look at the wounds since I couldn't see them. I ended up going to the ER. The did cultures of both side wounds and started me on an IV antibiotic and an oral one.
I contacted my surgeons office and got scheduled with a PA. They tried saying there was no infection and just to put Vaseline on it. They then extended my LOA at work.
The ER contacted me and said that I had E. Coli and a staph infection. They changed the antibiotics because the one they prescribed wouldn't treat the infection. I relayed this info to my surgeons team. At this point I still haven't met with my surgeon after two months.
I googled how to treat the wounds and took the care into my own hands. No doctor in my area will touch the surgical sights since they didn't perform the surgery. Two months later and I still have an open wound with discharge.
Fast forward to this past Friday my health insurance sends me a subrogation claim letter to fill out. I have never heard of this before. It wanted me to file a police report and a LARA report. It also asked if I've hired an attorney. I called the state police post and they said to call the attorney general for any medical malpractice suits.
So my question is how do I find the proper attorney and what are my steps now? I live in a small town and don't even think there are any attorneys that deal with medical malpractice. I have very detailed documentation of my infection and medical reports.
Any advice is welcome.
United Healthcare - Procedure happened without authorization?? Need advice
UPDATE: I called this morning and apparently the post authorization did get approved without my knowing and without updating in my online portal. It's still showing online that I owe the full amount but the employee I spoke with said to ignore those charges and wait for a bill in the corrected amount of $333.87 which is much more palatable. Major thank you for everyone's input!! It was late and I was getting very anxious about it, I seriously appreciate everyone's comments. Hopefully there won't be any more mishaps and I know better moving forward to make sure preauth gets sent.
Recently I had a colonoscopy at the suggestion/request of a gastroenterologist for issues I've been having. This was my first time having any kind of outpatient procedure and my first time dealing with marketplace health insurance (United Healthcare) on my own.
I did not know that prior authorization was a requirement for this procedure. Prior to scheduling the procedure I spoke with UHC about coverage and was told I'd only be charged the copay because it was in network. After the procedure I found out the medical office and hospital failed to request authorization and did the procedure anyway, now I'm being charged $5,000+ for the colonoscopy because of it.
I didn't know I needed authorization and moreover it was the medical facility's responsibility to get that, and NOT perform the procedure unless it was granted. Am I mistaken? Has this happened to anyone else? What are my options? I've already called the medical facility to submit a post-authorization appeal but it seems to be denied as well. I'm at a loss and feel entirely screwed over, would love some advice!
Progressive - $915 settlement.....Maaco estimate was twice that....Progressive offer...
Wife got into an accident. She was stationary at an intersection. Other car turned into her. Our car 2013 Elantra suffered a cracked bumperl We took it to Maaco ..they estimated 2115 or so.
Progressive accepted responsibility. Like a fool i verbally told them I would accept cash settlement, They sent me their estimate which was $915..yikes....havent received check yet.....do I have any recourse?
Healthy Paws - Are there any good pet insurance companies left?
Been with Healthy Paws for quite some time. They were great during the life of my senior dog that recently passed away. I have another senior dog whose rate just increased by an insane amount and have been debating whether or not I should keep paying it or just cancel and set that money aside. She does have pre existing conditions so unfortunately getting her on a different plan seems pointless.
I have a 8 year old cat with no pre existing conditions and a 10 month old dog. I would like to have them on pet insurance but I feel like every company I research there are some good reviews and then horrible reviews. Is pet insurance even worth it anymore? Does anyone have any good companies they would recommend? Thanks.
HO3 - HOA requiring owner to pay or file individual claim for roof damage after hurricane
We live in a townhome in Florida with an HOA. For context, we do have an HO3 policy. After Hurricane Milton, we sustained damage to the roof of our unit, which caused leakage into our garage.
We notified the HOA after seeing the damage, and we were advised that when there is a “named storm”, the individual owners are responsible for paying for roof repairs. The HOA coordinated repair with the company that services our roofs, and we were advised we could pay out of pocket or file a claim with our own individual insurance company. The amount is $2000, but our hurricane deductible is much larger, so we will elect to pay out of pocket IF it’s accurate that HOA is off the hook.
We have a copy of our bylaws but cannot see where we are responsible for this repair. All other times where there have been roof leaks, the HOA covers repairs. We asked the board members to point to where in our bylaws that it states we are responsible, but they refuse to answer.
Does anyone have any insight? I will also post this to the HOA sub.
Thank you!
Bristol West - Insurance
I had Bristol west insurance and found a better price for auto insurance. I called Bristol west and told them not to renew my policy and have me removed at the end of my policy. Turns out they completely canceled effective the date I called. I received my refund they owed me and thought everything was good. Til I started getting emails and mail from them saying my renewal fee is due. I’m not paying it because I was told my insurance was canceled. I just hope it doesn’t affect my credit because of a payment I’m not responsible for. Anyone else have this issue??
Nationwide - Nationwide
Well, I guess im late to finding out my coverage dropped from 90% to 50% i had been doing claims due to my dog having multiple TPLO surgeries and find out ny nost recent one only got covered 50%. Pretty annoyed.
My dog is 8 and already is through most of the surgeries but does have a neurological issue.
Im looking to get a new policy somewhere and would love recommendations.
Fetch Pet Insurance Australia - Direct to vet fetch Australia pet insurance
Hey guys I'm with fetch pet insurance Australia due to the fact because they advertised they would pay directly to my vet and I would only have to pay the excess to fetch.. it’s called direct to vet
Well I'm learning now no vets are set up with them at all most vets aren't wanting to hand over there vet details so the vet can pay them directly
I feel like they are scamming there customers
If anyone is with them how do you guys do it?
NatGen - NatGen
Don’t trust this company! We had our mortgage insurance one year from 2170 to the following year 4340! Double! Well our dwelling went from 356,000 to 375,000.
State Farm - Need advice
Hoping someone can provide some guidance for me as I am at point where I’m not to sure what to do.
I live in MD and was in an accident a few weeks ago. It wasn’t my fault a driver jumped a stop sign and I was on the cross road and they connected me.
Police came and the other driver immediately admitted fault. We are both with Statefarm so it’s been challenging dealing with this.
My car is financed and the claims department wants to pay about $2k less than what I owe on the loan. I don’t have gap insurance.
The claims department haven’t been the best in communication, but thankfully my Statefarm broker has been trying to help me convince them to just pay the difference on the loan because I have been a good customer with referrals and no claims. But now they have pretty much cut him off too.
I also just put about $4K into the car for new tires, brakes, oil change etc.
Where the bigger problem comes in, is that I don’t have funds to buy a new car or put a down payment down.
I have reached out privately to the other driver to discuss additional compensation from their end to at least get me to put a down payment on a new car, I am not expecting them to buy me a new car. I am still waiting for them to respond.
So here are my questions
Can I request that the insurance pays for the work that I put in less than 3 months ago?
Can I legally hold the other driver accountable for compensation for my loss and how would lawyers fees generally work with things like this.
I am the only one that brings in an income currently for the family as my wife has just started a new business and it is still in the early stages of taking off.
I really appreciate any help here.
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