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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.
Aetna - Any way to negotiate the bill amount?
I need advice on how to negotiate a bill that I received from my insurance. I had a neck and upper shoulder pain for more than a week and I went to a specialist. He did some routine range of motion checks and just advised to avoid the gym and use a heat pack.
Now I see I've got a bill where Aetna was billed $1155 for the office visit and my bill is $375.76 which is around 30%. This seems like a very high charge for a 10 minute routine appointment.
Is there any way I can either ask for a reduction on what Aetna was billed or what they charged me? The latter seems less likely since I haven't hit my deductible yet
Edit: This is NY state and the appointment was at NYU Langone
Priority Health - Priority Health: how is "$2000 out of pocket" not "$2000 out of pocket"?
So my son receives ABA services through a tier 1 provider. This goes through deductible and coinsurance. $650 individual deductible, $2000 coinsurance (minus prescription and copay, solely for him, the numbers mentioned don't apply to family deductible). $0 is covered until the $650 is hit, 80% is covered until $2000 is hit, then 100% covered after.
So I call up insurance because last year's bills are much higher than expected. I don't even know the total yet for just last year. And I can't look at the online EOBs yet until tomorrow.
So, $650 is covered very quickly. Then there's a $6000 bill (for one date of service) sent to insurance. 80% is covered, we cover 20%. This is where I get so confused. Apparently because the first day wasn't processed first ($11,000) and this $6000 was processed first, she said we are actually paying so much less money overall for the year. We have to pay for the 20%... But it doesn't sound like it counts towards the $2000? We might be paying a total of $4,000-$5,000 once this is all said and done.
It went like this...
"So if I've already paid the $2,000 towards ABA, why do I have to pay over that?"
"Because you're responsible for 20% after the $650 is paid until you reach the $2,000. You're actually paying so much less because that $11,000 wasn't processed first, so you're coming out on top. Otherwise you would have had to pay $2,2000."
My brain hurts. I don't know what's going on. That would have put me over the $2,000 and it sounded like he still wouldn't have been considered as reaching the $2,000....
Someone please explain 😭
Progressive - Need advice!!
I’m looking for auto insurance but I keep getting ridiculous monthly quotes from $700 to $900. I’m a 2nd year college student, 20 years old had my license since I was 18, no accidents. I don’t have any car under my name, but i would be trying to get an old mercedes insured which is considered a “sports” car (family car they don’t use) for some reason. I am currently living with my parents, last time i called, progressive started charging my parents for me to NOT drive, to be an excluded driver. Which was crazy to me. I had to call and tell them I moved address. I tried getting a quote using a fake address saying I live with a friend but they started naming people in said address and asking for their DOBs (which i also read was fraudish?). I really don’t know what to do, i need to commute to school full time, but money is tight with classes, any advice ? Thanks !
Blue Cross Blue Shield - Help! What are my options?
Hi all, thanks in advance for reading this. My situation is this: I’ve started a new job that had 3 options for health insurance. All were blue cross blue shield. 1 option was no hsa but in and out of network coverage. 2 options had hsa’s but one had in and out of network coverage and the other didn’t. I figured I’d get the was with a hsa and no out of network coverage. BCBS is very common where I live and figured no issues.
Well, my son had to have surgery but before hand, we gave our new insurance to all the doctors and they said they accepted it with no problems. After the surgery, we received a $16,000 bill with a statement saying all procedures are not covered because we didn’t use in network doctors. So I make some calls and come to find out the nearest doctor or hospital that is in network is 2 hours away! Nothing around me is in network!? BCBS told me I should have chosen the insurance plan with hsa and out of network coverage.
I have a 18 month old and a wife. I can’t wait till open enrollment to change health plans… what do I do?
USAA - Don’t bother seeking a home quote with USAA if you’re in California
I wasted hours giving them information, more personal than any other company asked for, all the while them promising me several times that they are writing policies for my area. When it finally came to the moment of truth they admitted they could give me a quote from Bamboo and the Fair Plan!!! I could've gotten those quotes myself in ten minutes, but instead spent probably 2.5 hours registering family members and giving them SS numbers, confirming phone numbers, etc. I swear they are in the business of compiling personal information rather than providing insurance.
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.
Lemonade - Lemonade Insurance Pre-approvals
I have had a policy with lemonade for nearly 2 years now. They have been pretty decent about instantly approving a claim but my first one was denied a year ago due to a preexisting condition they swore up and down was listed in my dog’s history, that wasn’t. After a denial and appeal, it was still denied. I ended up dropping the fight with them on it.
Now, my dog has a cyst that is needing removal now, but was discovered before I put him on insurance but the vet has deemed it needing to be removed now - then, they weren’t worried about it. It is mentioned in his health history with the vet, so I fear they will label this a preexisting condition as well. But lemonade told me via phone that they would do a reapproval, but after sending in the estimate - I was met with this.. can someone help me understand why the value of the estimate matters more than the type of service requested to be approved? The estimate is $1,306. I’m so PO rn. The estimate literally says it is for a surgery. I would understand if it was a normal appointment and under 3.5k.. Like I literally do not have the funds to do the surgery without knowing I won’t get reimbursed. Is this normal with other carriers?? 🙃
Progressive - Progressive added someone i don't know
Hello I 31f bought my car 2 years ago and got progressive insurance. I signed up for paperless and honestly I don't go on my policy and look. My insurance increased even though i never changed anything. I look and see they added somebody I don't even know who lives where I used to live. I asked why they did that and I was told my info was sold to a 3rd party and through that information they added her. I never got a notice or gave my permission. Has anybody else gone through that?
Nationwide Pet Insurance - Nationwide Pet Insurance - My Pet Protection With Wellness Plan
I'm having trouble figuring out what is covered and not covered under this plan.... My dog recently had an anal abscess the size of a kiwi so it needed to be removed immediately. Deductible is $250.00, and I'm just trying to see the benefits coverage but am having the most difficult time navigating the Nationwide Pet Insurance website; it's as if they do not want us finding out what's covered to utilize our insurance to the fullest. With this operation potentially maxing out my deductible, I have some other Wellness things I want to get taken care of, such as dental, or to see if I can do anal expressions every few months. Any insight on coverage?
Geico - Investigating location of Vehicles
I have 3 vehicles under my name, we were in the middle of moving between cities and I decided to change the location. Due to last minute changes, we decided to stay at our current location. I went to log back into geico to change it back and it says they locked my account and when I called them they said “they are investigating the location of the vehicles”. What are my options now and what should I do?
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