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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.
Trupanion - Trupanion monthly premium increased 46%, still worth it? (healthy 6yo cat in Washington, DC)
I have had Trupanion insurance for my 6yo cat Eloise since I got her as a kitten. The premiums have increased each year, which is to be expected, but I just got the new 2025 policy and it increased from $28.95 to $42.31. What?!
Eloise is healthy other than gingivitis. She had to have a dental cleaning this year and Trupanion actually covered part of it, even though the way the policy is written made it seem like they wouldn't. I submitted it anyway and most if it was accepted. I only got a little back after deductible but considered that a win. Hopefully she won't need another cleaning for a few years.
I'm not paying $42 a month so my question is, is insurance really needed for a health cat? And if so, any recommendations?
I didn't have insurance for my two prior cats (it wasn't so much a thing when I got them way back). One of them was mostly healthy for 15 years then the last 6 months of his life it was one expensive crisis after another. After he died and I got Eloise, her vet strongly encouraged insurance. I did the math and what I would have paid in 15 years of premiums was almost exactly what I paid in 6 months of those medical problems. It would have been nice to get a % back after deductible during such a stressful time. So that is what swayed me to get insurance for Eloise. $20 then $25 then $28 seemed reasonable. But $42 does not. [Especially when Trupanion CEO has a compensation package of almost a million dollars.](https://simplywall.st/stocks/us/insurance/nasdaq-trup/trupanion/management#:~:text=Trupanion's%20CEO%20is%20Margi%20Tooth,company's%20shares%2C%20worth%20%245.14M)
Her current policy:
Max lifetime benefits: no limits
Deductible per illness/injury: $500
Co-insurance: 90%/10%
Waiting period accident: 5 days
Waiting period illness: 30 days
Thanks for any insight!
Progressive - Full repair not covered with Progressive
Pretext: In michigan, 2019 Equinox.
So the girlfriend rear ended a trailer, resulted in a decent amount of damage to the front end. Part of the damage was the axle being ripped out of the transmission, loss of fluid and all that goes with that.
She files a claim, we take it to a preferred body shop that is a Cadillac dealer. Repairs were made, we pick it up after it’s ‘finished’. I am the one who picked it up and noticed almost immediately there are shifting problems that did not exist before the accident. Called the body shop and they said they would be the first step, so the car was parked and we went out of town for the 4th of July weekend, dropped he car back to the body shop the following Tuesday.
Have waited this long for an adjuster to rule that it is not loss related due to it being internal to the transmission. And because he can’t see an impact to the transmission, it would not be covered.
I understand it would be hard to prove the problem didn’t exist if it were left only my word. But Progressive won’t pay the diagnostic hours to find out what the problem even is.
Am I out of line expecting more out of this? For a car that operated flawlessly before an accident, shouldn’t I expect the same after repairs? What should the next steps be? When I asked about an appeal process the adjuster said they’re really isn’t one, and two supervisors already agreed with him.
Am I SOL?
Blue Cross Blue Shield - Bloodwork got denied, $820. Code 002, “experimental”
My BCBS refused to pay any of my blood work. I was referred by my doctor to go to a specialist to get blood work done, over 6 months ago. Now I got this bill in the mail from Quest and found my EOB.
They coded it 002 as “we do not cover experimental or investigational procedures”
Ok…isn’t the entire point of blood work to investigate?
Anyway, should I call my insurance or the specialist to appeal the bill? Any advice? This has never happened to me before. Thank you!
UnitedHealthcare - Copay Accumulator Program
I have read some prior threads for this but they are from a year ago and I'm curious if there have been any changes.
Background:
I have had UHC and used Optum for my specialty pharmacy for years. My specialty medication is a biologic with no generic equivalent. The manufacturer provides me with both a copay card and a payment card. My deductible has consistently been met in January every year using the payment card, and then the copay card picks up the copay for each month for the rest of the year.
Situation:
This year, the manufacturer payment card was processed as usual and applied towards my deductible, however, they went back a few weeks later and reversed it from my deductible. When I called them, they said nothing has changed and the payment card, as a form of manufacturer assistance, cannot be applied towards my deductible, despite that having always been the case.
Based on what I have read about an HHS ruling, they are required to apply this towards my deductible as there is not a generic available. I filed an appeal and was denied. My employer plan is likely self funded, but from what I have read, that should not matter. Has anyone gotten a resolution to this issue?
Cigna - Cigna no longer supported by my hospital and we are a medically complex family. Help.
We were uninsured for awhile, and honestly, it wasn't that bad. We had a 94% discount from the hospital we used and had a great experience with them for many years.
Fast forward to last year, we officially got insurance. Cigna. We have an HSA account and a high deductible. We spend SO much money, but I view this as paying for peace of mind so if anything horrendous happened we would be covered.
Now, I just got word that our hospital is discontinuing service with Cigna and everything is going to be considered out-of-network.
This is a blow to our family because 2 out of the 4 of us require specialists. My son is medically complex and the hospital has a children's hospital wing where he sees 5 specialists a year and may need surgery in the coming years. I've spent years finding a medical team that works for our family and they're all at this establishment. It's all being pulled out from under us...it takes effect in 3 weeks.
I don't know what to do now....should we go back to being uninsured? How do we shop around for insurance? Should I look into catastrophic insurance? A friend recommended US Health Group but after searching this sub I'm hesitant.
Key points:
1) We make too much money for any form of government assistance (however, we are NOT wealthy)
2) We live 2 hours away from the next closest children's hospital and I have yet to find out if they accept Cigna.
3) How do I vet an insurance company?
TIA
State Farm - State Farm Homeowner Claim
Long story short.
Storm came thru Pittsburgh region. Pretty moderate wind and hail damage to roof, windows, screens, gutters and downspouts.
Had 2 adjusters that never called me back.
3rd adjuster scheduled a “ladder assist” inspection.
Had 2 seek now inspections. (Needed a re-inspection since first one was done with a wet roof.)
Adjuster 3 said “I put you in for a full roof replacement”.
2 days later I now have adjuster #4 assigned to my case.
Adjuster #4 states “your old adjuster didn’t have the authority to issue you a full roof replacement, management is disputing your claim, we’re having a engineer come out to your house for an inspection, the hail in your area wasn’t that big in diameter”.
It’s been 40+ days since the storm and I have an interior leak…. They just came out 2 days ago to inspect the inside.
Has this happened to anyone else? What’s my next move?
I have pictures of my roof from September 2024 when I had my chimneys re-pointed with no damage.
Now you can tell I have shingles bent from the storm.
It at a loss on what to do.
Edit #1: 1” hail came thru the area.
Edit #2: Correction to edit #1 - Roof is 10 years old. Looking into weather report now. 1.75” hail in my location. 60mph winds. 1/4 mile away a roof was blown off a grocery store. 4 of my neighbors have already had their roofs replaced.
State Farm - State Farm's Drive Safe & Save doesn't work on the app
Ever since they merged it with the main app, it hasn't worked for me. The tab just says "Something went wrong and we can't display your Drive Safe & Save info right now." How do I get it to work? I just got an email saying I need to complete steps on that tab or else I will lose my discount.
Aetna - An insurance for cancer treatment if a visa holder
Found an insurance for my mother who is not the US citizen that is relocating to the US to continue with diagnostics and treatments for cancer since she can't continue in Ukraine die to limited options. She's got a b1/b2 travel visa.
I had a fake insurance purchased before, not I think I found something legit but not sure. Any suggestions?
Marketplace company heightenedhealthinsurance got me a AetnaCVS Health insurance that qualifies her for a good coverage considering her status and pre-existing condition.
Is it possible?
Trupanion - Trupanion Price increase
So I just got a 37% increase this year and this is now a 77% over two years. Based on the cost increases in my area for Vet care.
This is what they said:
We recently reviewed the data for similar pets in your area, and we found that the average cost and use of veterinary care has increased. To ensure that Geena always has access to the best veterinary care possible, we’ll be changing Geena's monthly cost from $302.79 to $413.04 starting on August 17, 2025.
Trupanion is unique in that we never increase your monthly cost because you’ve submitted an invoice or because your pet ages.
When I called them they said there are many factors that go into this cost one of them is the increased cost of vet care for an older dog. So they do not increase for cost because your dog is older but they do increase your cost because and older dog vet cost are higher.
Don't you love insurance companies!!!!!!!!!!!!!!
Embrace Insurance - Save time and money avoid Embrace insurance
After 3 phone ,RESENDING MY CLAIM TWICE AND APPX TWO MONTH LATER THEY HAVE NOT PAID OUT MY CLAIM'. After less then enrolling a year since enrolling my 2 year old dog they raised my rate. when she turned 3, I never had so much issues when dealing with another company.
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