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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?
PENNIE - PENNIE (Pa) questions
I was laid off effective 3/31. (Thanks, Trump and Musk.)
I filled out the application with PENNIE on 3/31. Got approved and told I have 60 days to select a plan. I called PA/PENNIE then. I didn't have my COBRA info yet so couldn't make an informed decision.
I just logged back on to PENNIE and while it still says "you have 52 days to choose a plan," the effective date is coming up as May 1st, not retro to April 1st (like how COBRA works).
I've called and the rep is not well-informed. The last time I called, another rep said "yes you can choose later and it goes retroactive."
Progressive - Progressive's Snapshot does the opposite of encouraging safe driving, in some cases
I'm so offended by the "hard breaking" beeping, that when I get to 40mph, I've unfortunately started driving through yellow lights and barely miss it turning to red. I've always slowed at yellow lights before Snapshot. I always go the speed limit. Realistically, there's too much traffic in my town to be able to drive safely without hard breaking. Just want to share because if I'd known, I would've opted out of it.
Furkin Insurance - Insurance monthly premium
My dogs Furkin Insurance monthly premium just went up $18! Is this normal?!
Lemonade - Any advice on how to deal with a probable rejection that will likely result from inaccurate vet notes?
I've had pet insurance with Lemonade going on five years for my cat. I just had to submit a claim for her, but I'm super worried I'm going to get a rejection because the nurse took inaccurate notes. When we were discussing my cat's history, I said that her chronic gastrointestinal issues started after her first attack of pancreatitis 'shortly after she was adopted.' The nurse instead noted that her chronic gastrointestinal issues started 'right after adoption.'
I'm super worried that this will lead to my claim being rejected and my former claims being marked as fraud. Her issues didn't start until about 3-4 months after I got her vet insurance, and that was after the illness waiting period had passed. They covered her pancreatitis when it occurred in March 2021, and I adopted her in November 2020. Does anyone have any advice on how to prepare for the rejection which I assume is coming? Is the only thing I can do is ask the company to review her old vet records and see how they don't line up with what the nurse typed before that moment? Any advice is welcome!
State Farm - Rear ended a car driving my friends car with no insurance.
WA
So this is kind of a long story but I really need some advice. In 2011, I was active duty stationed in Everett, WA. My shipmate was at the casino and called me to come pick him up because he was drinking. His car was on the naval base and I was living in the barracks. He left his key on his tire and told me to find it and come get him. I picked him up and then rear ended a car. He gave the cop an insurance card and everything was dealt with and we left the scene. He later told me the insurance card was from 2 years previous and he couldn’t believe the cop took it and let us go. He didn’t have insurance on the vehicle. We then went on a 6 month deployment and I never heard anything more from the situation. I got out of the navy and went back home to Michigan in 2014. Some time in 2014 I received papers for a court case adjudged against me. I didn’t understand how this went to court and I was never notified or able to give my side of the story. Regardless, I planned on filing chapter 7 bankruptcy if they came after my wages. They didn’t. I heard nothing more until today. I got a letter from a law group representing State Farm insurance stating I owed 99k and it needed to be paid within 6 months. 14 years after the accident occurred! Do I have any options at this point besides filing bankruptcy? Thanks in advance for any responses. I’m stressed out beyond belief. (I’ve never owned a vehicle without insurance on it and I wouldn’t have drove that one if i knew it was uninsured.)
Her insurance - Can I fix my car first and then sue the other driver in small claims if they’re dodging their insurance?
About a week ago, I was stopped in traffic when a woman rear-ended me. I won’t go into all the details, but she was a bit evasive at the scene. She did give me her insurance information, though. I only have liability coverage through my own policy, so I filed a third-party claim with hers.
I called her insurance today, and they told me she hasn’t responded to their attempts to get her statement. The evidence is pretty clear - she had a license plate cover on the front of her car, and the text from it literally left an imprint, like a stamp, dead center on the rear bumper of my car.
I really need my car, but my rear bumper is sagging, and I don’t think it’s safe to keep driving it like this. Based on her behavior at the scene and the fact that she’s now ghosting her insurance, I have a strong feeling she’s just going to keep evading responsibility.
Given this, I’m wondering: is it okay if I pay out of pocket to fix my car now and then sue her in California small claims court to recover the cost? If so, what kind of evidence should I gather to make my case? For example, should I ask the auto body shop for a written statement detailing the damage and cost to repair?
Thanks in advance.
Pets Best - Pets Best Military
Has anyone had experience with Pets Best while abroad on a US base? We just moved to Korea and informed them we were stationed at a US base with a vet. Their declaration page states they will provide coverage if on a US base since it is considered US soil.
We just had the worst outcome happen where the base vet could not see us and we had to take our dog off post. It ended up being large tumors with a likely cancer diagnosis. The agent said she cannot guarantee an outcome of the claims, but to submit them and cite extraordinary circumstances.
Any advice or past experience. Both my dogs have been insured with them since 2021 and they have always paid out each claim no questions asked. Unsure how they will interpret my situation.
Healthy Paws - Should I switch now?
Hi all,
I have a ragdoll cat who just recently turned 1. We’ve had no health issues thus far. I start seeing this subreddit pop up and saw horror stories of HP.
A couple questions:
1. I know a big part of if reimbursement is diligence. Our breeder did a health check on our kitten and gave us the paper work when she handed him over, but we still haven’t submitted it into HP (I know that’s on us). We started HP about 15 days after the exam. Will that paperwork be okay to submit now?
2. We are currently paying $30/month. Are we better off switching now instead of dealing with HP long term?
Thanks!
Farmers - CA umbrella insurance questions - how to make it affordable with a youthful driver?
This year, my Farmers umbrella policy for 2 mil coverage premium increased from 1000/year to 3880/year. We are in California. Have umbrella/home/auto (2 cars, 2 drivers) with Farmers.
My son is 22 and has an accident on his record from 2.5 years ago. He has his own car titled in his name. His car is insured on my policy.
What would you do to lower the umbrella insurance cost? I am really struggling here.
If he gets his own car insurance, can I be sued for an accident he causes since he is a dependent on my taxes?
Thank you for any ideas.
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