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Thin Blue Line Benefits - Thin Blue Line Benefits change in coverage
Anyone currently enrolled in TBL please be aware they have changed how they are "insuring" retired first responders and their families. We have filed a complaint with the Ohio board of insurance. They have changed our plans without giving us the option of deciding if it's how we want to be covered. They have changed what medications will be covered and how our providers will be paid.
Anthem Blue Cross Blue Shield - hospital is charging me 17000$-and no one really knows why
i visited the ED back in march 2024 and ended up being placed in observation and let go the next day.
i’ve been dealing with an insurance/billing issue since then. i have anthem BCBS under an employee sponsored health plan (Union Construction Workers). the hospital i visited was In Network. for some reason, the hospital is billing me around 17000$, stating that my claim was denied due to code *00897, which requests complete medical history from the member.
the member being myself, so i contact my employer sponsored health plan claims specialist, and she has no idea “why they would want that [referring to medical history]” and ensures me the claim is covered and sends over the EOB. which states patient responsibility is $1500, and not $17000. she lets me know that UCW paid mercy back in july.
anyway, fast forward to november i am getting billed $17000 again. i call billing, they escalate my case, and remove the $17000 charge from my statement. i call UCW again, and they let me know the claim has been paid. billing is telling me anthem denied the claim again. they ask me to resend the EOB.
fast forward to now, i am getting billed 17000$ AGAIN! i call billing, they tell me that the anthem claim is denied. i ask them if they looked at the EOB. they say yes, i ask them if we can go through the EOB together. we look through my UCW EOB and the billing employee states that my ANTHEM EOB was reviewed and for some reason my UCW EOB was not reviewed but it was received after i sent it in November. he agrees, i should only owe $1500 per the UCW EOB. but anthem is denying my claim still.
i call UCW again. the rep tells me that she is now contacting anthem directly. after 9 months of issues we are finally contacting anthem. and there is no way for myself to contact anthem, only through the UCW representative.
i am giving birth in about a month, im in a rush to get this handled. i would accept any help that i can.
i have looked through the itemized bill, UCW EOB, and claim on anthems website and reviewed for errors. i noticed that there is one charge (for $9.50) that insurance covered that is listen on both the itemized bill and anthems claim, however not listed at all on the UCW EOB.
but i, a not insurance expert, does not know what this means.
please please help if you can! i have already talked to my states insurance department, which they were confused w my situation and could not help. i also have requested proof of payment from UCW, as well as a 3 way phone call between UCW, myself, and billing.
Pets Best - Just Joined Pets Best - 40+ day SLA for Claims
Hey Everyone!
I brought home a new kitten on February 14th. We went to our first vet visit on February 15th. I uploaded the documents within a week of our visit and started the claim process the same day, to give my vet time to send their paperwork.
As of today, my claim is still not finished processing. I was told their email system was down and they're now processing claims in the order they came in. I was also told they have a 40+ day SLA to get it done.
Seriously? 40 days to process a "fast" claim? Why advertise speedy processing if you internally have a 40+ day SLA?
End Rant
GEICO - GEICO removed drive easy …?
GEICO removed my telematics discount after a month. Not exactly sure why the score seemed fine , in the high 80s, and it had been used regularly.
It is what it is, not sure I see the point in arguing with them. It drained battery any way. However, I’m concerned about how much more it will go up at renewal. Anyone have experience with this?
Progressive - Progressive cut my insurance premium in half after I called them
So I moved to the US from Europe over a year ago and have been using progressive since they insure people without a state license (I live in MA). I paid 1200 dollars every 6 months until just now when I spoke to my friend who also moved here at the same time and he paid way less on a much newer muscle car.
I call progressive and they do a reqoute and my policy gets cut in half and I now pay 640 every 6 months. I feel like they entered some wrong information the first time around - do I have any recourse for them to pay me back if they misentered information the first time around? Of course I accepted the payment and condition so maybe there's just nothing to do.
My friend who I compared policies with has the exact same coverage and started off at the much lower rate of \~600$.
Healthy Paws Pet Insurance - Healthy paws pet insurance
Is it even legal for Healthy Paws pet insurance to increase premiums at almost 200% in CA? This is outrageously high!! Anyone experiencing the same?
#healthypawspetinsurance
Geico - Geico insurance going back on their word????
I am so lost.
Three days I received a call letting me know that an accident I had been in over a week ago was deemed to be the other party’s responsibility, and I was set up with the collision center and rental car. Today I receive a call that the claim the other driver made on my policy was found to be inconclusive, therefore they are now saying it’s word vs word and we both are liable???? They asked several of the same questions I had already explained to them. I told them the police did not arrive because I live in a high acuity city which is understandable. I even went to the police department after and they said in Texas they are not required to file a report “anymore”. I left feeling okay since I had pictures and explaining the accident would surely lead to the right solution! i was not at fault at all!
1. Why would they look at this as two separate claims? ( We both have Geico so I thought this would make it easier????)
2. Can they really go back on their word?
I asked to
Fetch - Pet Insurance: Worth it With Rate Hikes?
I got pet insurance on each of my dogs when I got them. The second dog got a better, more budget-friendly policy thanks to the benefit of time and experience on my part. The first dog, however, is the medical problem one. The past few years we have barely hit our $500 deductible, but his plan was renewed today for 2025, and we will be hitting the deductible tomorrow due to a scheduled appointment. A few months back I got a rate increase notification from Fetch (0/10 do not recommend btw). That was fine, but what I didn't realize is that his $600/yr insurance jumped to **$1,000/year**, which was a SUPER fun surprise to my bank account this morning, especially when I budgeted six hundred into a very tight and aggressively paying down debt budget.
My first reaction was eff this, cancel it. My second reaction was remembering this dog is set for roughly $700 in sedated arthritis x-rays and a biopsy of a potentially cancerous growth TOMORROW. We can't get any coverage in time if we switched today, can't really reschedule the appointment, it needs to be done soon, and his bad hips and allergies would already be considered pre-existing conditions.
I don't have an emergency fund built up for the dogs, I wasn't making enough money last year, and ate down my savings. This dog is already going on prescription food, daily joint supplements, and needs to be taken swimming for his unofficial physical therapy (mutts aren't always healthier FYI). Talk me off the ledge here, this $1,000 is still worth it right? Do we eat the cost for this year and reevaluate next year depending on how this one goes? [Said spendy canine for tax](https://www.instagram.com/p/C-DrCPfv7K0/).
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.
USAA - $500 policy increase in MA
My policy just renewed this month, my overall policy went from $2300 to over $2800. I had an accident back in 2023, very minor rear end tap. (I was at fault) the other party didn’t bring litigation against me until 2 months before the statute of limitations went up this year in april. My insurance company did pay out the settlement, and I was told I did not have a surcharge from this incident, and that if my insurance was to go up from this accident it would have happened in 2023 when the accident occurred. My insurance company (USAA) informed me of a state-wide increase being put into effect and that this increase on this renewal was only a portion of the overall increase. I’m just very confused, and unsure how it would increase that much if it wasn’t from this prior accident, and my driving record outside of it is totally clean. Been with this ins company for 6 years now, and I don’t want to switch as i’ve enjoyed it thus far but feel like I have to now that i’m being priced out of it. anyone in massachusetts have any insights?
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