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Citizens - Appraisal for homeowners and halting ordinance in law/personal items coverage.
Hi all! So I'm in the appraisal process for my homeowners- mine is a hurricane claim (wind only not flood damage). Do they halt processing stuff like ordinance in law while they are in the appraisal process? What about personal inventory items (yes, 5 months since milton and they have done nothing with that)? I want them to see the house stripped down so we still have another month until appraisal. What should I do? I have waited a very long time to replace things. I need stuff like a frige and other essentials. Atleast for the personal items i feel like i should get atleast an "estimate/supplement" thing generated before they start using it as a tool to negotiate paying me less.They said it will be resolved at the end but they have not been forthcoming to resolve anything nor do we see an end in sight. We are kinda going out on a limb and assuming that we are going to sue even after appraisal.
It's Florida and this is with citizens if that info is relevant.
United Healthcare - UHC via workplace vs ACA
Is there a difference in how United Healthcare covers their insureds if it’s through the workplace vs the ACA (marketplace)?
I currently have UHC through my work and it’s not as bad as people say. I’m thinking about retiring early and getting UHC via the marketplace but I’ve been reading there is a huge rate of denials or delays for basic care. Is there a difference between the two? Anyone had UHC via their work and then switched to the ACA UHC?
Ontario Insurance - Rear ended and need advice
I was rear ended while stopped at a red light. The woman couldn’t provide her insurance as she wasn’t able to find it after looking for a very long time but I got her plates and drivers license. Didn’t report to collision centre as when I called they said if total damages to both cars are under $5k go straight to insurance.
I received a quote for $1k cash for repairs or go through insurance. I let her know both options and requested her insurance information. She has still not responded back to me so I called my insurance and filed a claim. My insurance stated that I’d still have to pay the deductible until they work on finding her insurance.
Wanted advice on how to move forward, should this be counted as a hit and run as she is not willing to provide her insurance information? Will they be able to find her insurance by running the plates?
Use location: Ontario, Canada
Moda Health - Provider Enrollment
The patient is enrolled in the Moda Health Beacon EPO plan, and the provider is listed as participating in the Beacon network. However, the claim was denied by the payer, citing that the provider is not a participating provider. Could you please clarify whether participation in the Beacon network includes all plan types such as PPO, HMO, and EPO?"
Progressive - Unenrolled from progressive snapshot within 45 day period
I unenrolled from snapshot because it was tracking a majority of instances where I wasn’t the driver. Do you think they will increase my insurance based on the data they have already? It’s only 14 days worth.
Aetna - Reverse a processed claim - Aetna
I got a MRI done two weeks ago. When I scheduled the appointment the staff told me they didn’t know the amount to be billed since my insurance is a high yield deductible and no copay. They mentioned that if I want to pay out of pocket without using my insurance it would be $500.
Fast forward I received a processed claim from Aetna saying that I need to pay $920 and that the X-ray company billed them $1,200.
Is there any way to reverse this? I feel scammed by both the X-ray company and Aetna. Can I fight back a processed claim?
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.
Progressive - 22 y /f looking for full coverage Auto insurance in Michigan
I'm looking to insure a 2018 Chevy Cruze, full coverage. Was quoted $389 by progressive, and that's more than I can afford monthly. Looking for recommendations on insurance companies that might have cheaper/mor affordable rates
Healthy Paws - Healthy Paws done lost their mind. $925/month for 2 dogs?
SPOT - SPOT insurance denying coverage for hip dysplasia claiming pre-existing despite issue appearing 3 months after coverage began
**THE PROBLEM**
Our dog is a 7 year old English Bulldog. We had been with Nationwide pet insurance since he was a puppy and LOVED them! They were absolutely outstanding but then in 2024 their premiums went up like 3x-4x out of nowhere. I looked for some new providers and SPOT came in with a decent price (although still much more expensive than we were paying before). Our policy with SPOT started in August 2024 and Nationwide was cancelled the following month so there would be no lapse in coverage.
**THE BACKGROUND**
In November, he started having difficultly walking. I took him to the new vet he's been going to for the last few years and said it's hip dysplasia and is recommended stem cell treatment (we have stem cells stored with Ardent from when he was a puppy). I submitted the claim for his doctor visit and associated blood work and they denied it saying pre-existing condition. Apparently, in his medical records, back in early 2021 I had taken him into our previous vet because he was vomiting. They were concerned of a blockage (maybe ate something) and took xrays. They had made an incidental mention that bi-lateral his dysplasia was noticed while checking for blockage but that was it. I didn't even know about it. He never had any trouble walking, he was never seen for it, never received any treatment for it, and was never talked about or mentioned again by his previous or current vet.
**THE QUESTION**
Do I have any grounds or avenues for appealing this denial of coverage? On paper, they are saying pre-existing condition which I understand but he never was seen for it, never had signs or symptoms, never treated for it, and I didn't even know about it. It was an incidental comment 4 years ago while checking for something else. Since English Bulldogs are prone to hip dysplasia, I don't think it would be uncommon to observe some level of it - He was only 3 years old at that time. I live in CA if that matters.
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