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Progressive - Why would I not get my full pip coverage?
I have $2500 in pip coverage and over $30k in medical bills. I’ve only gotten $900 in pip coverage. My lawyer said that is the offer from progressive. Why would I not get the full pip amount? I’ve also lost over $30k in income but my attorney won’t submit income loss.
Amerigas - Amerigas cut off propane service without notice; possible violations of consumer rights.
Location: New York State
I recently moved and set up auto deliveries with Amerigas, mistakenly assuming auto payments were set up as well. On the morning of March 25th, I discovered my propane service had been cut off without any prior communication or notice, leaving my home cold and smelling of propane. I immediately paid my invoice in full upon realizing the mistake. However, when contacting Amerigas, they stated they couldn't restore service within a reasonable timeframe (2-6 days) and refused to allow another company to fill the tank, which I believe violates the Propane Consumer's Bill of Rights. Additionally, they indicated I couldn't purchase the tank, contrary to my Residential Customer Agreement, and didn't provide the Propane Consumer's Bill of Rights in our contract, which is another violation. They also mentioned no notice was needed before service disconnection, which I understand contradicts New York State Heating Fuel Customer Rights. I have been a customer for six months with no prior issues. What legal options do I have regarding these breaches?
Costco Travel - Bought tickets to Canada before things got bad. My wife is a green card holder.
Location: Tennessee
My wife (German) and I (US) bought tickets from the US to Canada with Costco Travel before things got rough. My wife still has her maiden name on her passport and my last name on her green card. We have both abided by the law and have no criminal history.
It is a bit scary seeing Germans and other EU citizens detained in such traumatic ways, and I do not want my wife going through the same process. We cannot get our money back as the insurance does not offer refunds and Costco cannot offer any refunds on anything but Air Canada flights, which must have an end destination in Canada.
Right now, I have a few options, but I would love to see what type of risk we would be taking here if we decided to go anyway. We really can’t afford to throw away that money, and it might be the risk is rather low.
1. I am contacting the German embassy to make a statement on her passport in relation to her green card.
2. I am contacting my credit card company to see if get a refund. I know some offer travel benefits and protection.
3. Get the refund for Air Canada and use those credits for visiting my wife’s family later through Canada. The downside is I would have to buy more flight tickets in a recessionary environment.
We would love to change it to a domestic trip, but is there anything I can do to get my money back or make it safer to travel to Canada and back into the US
Anthem Blue Cross Blue Shield - Contradictory EOB? Let's play the in-network or not game.
What am I missing here? It looks like Anthem BCBS is acknowledging my provider is in-network and then processing it as out-of-network.
* Provider has been processed as in-network for visits both before and after the visit in question, always with a $30 copay and no balance. This was another routine, non-emergency visit with the exact same provider.
* EOB clearly says in big bold print that "Going to this doctor uses in-network benefits" and elsewhere has the words "(in your plan)" after the provider's name.
* EOB shows no copay, a portion applied to my deductible, and a balance in the "Your total cost" column.
* EOB gives a reason code: "015: The amount shown here is more than your plan allows for this care. If this was not an emergency, the doctor/facility might bill you for the difference between what your plan allowed and what the doctor/facility charged."
How is this possible for an in-network provider? It seems this EOB is just contradictory on its face. I've been trying to get them to fix it, but haven't had any success yet. Any advice?
Healthy Paws - Struvite crystals as a pre-existing condition = stuck with HP?
Hi all, I have two 4-year old cats on Healthy Paws pet insurance. I've seen the recent posts here regarding horrendous premium increases with HP, and am wondering if I should try to switch companies before my cats get older. My cats are healthy and I've never made any claims. My premium is currently about $80 for both cats (and yes, it did go up a good bit this year). I live in California (yikes).
My major concern is that one of my cats has a history of struvite crystals in the urine. He's never had a blockage, a UTI, or any urinary problems - it was an incidental finding on pre-op labs before a dental cleaning. He's been on prescription food since then and the crystals have cleared up. But I know this would be considered a pre-existing condition if I tried to change pet insurance companies. My question is, how broad might this exclusion be? Would I potentially never get covered for anything urine or kidney-related if the insurance company tried to blame it on the history of crystals? And if there's a risk of that happening should I stick it out with HP (maybe the premium increases won't be as bad for cats?), or still try to switch? I do not have access to an employer-sponsored MetLife plan covering pre-existing conditions. I've read some companies might cover certain pre-existing conditions if they have been treated and symptom-free for over 12 months, would that potentially include my cat's history of crystals?
Appreciate any opinions or advice. Thanks!
TaxAct - TaxAct breached my name and email to other clients, now they won't stop emailing me
I filed my taxes through TaxAct and last night I received an email from their reviewer (a very generic "we need more time to look at this" email) - After I received this, I started receiving emails from other personal Gmail accounts to TaxAct with my email CC'd - one of them actually greeted me directly, as though I were the TaxAct representative. I'm not sure how this happened, because when I look at the original message it appears to be addressed only to me. The only thing I can even think of is that perhaps these other people were BCC'd on the email addressed to me? Because they for sure have my email copied in their replies.
This seems like a huge breach of data privacy as I now have full names and email addresses of their clients, and they have mine. I tried calling their customer support this morning and the rep I spoke with didn't seem to understand why I was upset - and when I asked to speak to a supervisor I kind of got placated and passed around with a "they'll call you". I'm not sure if this truly breaches any kind of data privacy law or how I even begin to handle it.
Location: California
MetLife - Good pet insurance companies?
Currently have metlife and i’m not happy. I pay $100/month for 3 of my cats. Theyve been putting me through hell & back for MONTHS over a claim I submitted for a $12 medication that will only go towards my $500 deductible anyway, every few weeks they ask me for more paperwork and information, now they want a handwritten letter from my vet explaining WHY my cat needs this medication. It’s always something new and im over it atp and realize if something ever major happens to my cat are they even gonna cover it? cause it soundd like not and i’m wasting my money.
Anthem - Anthem denied BRCA 1/2 test saying “once per lifetime” — but I’ve never had it before
Hi all,
Hoping someone here can help me make sense of this or share advice on next steps.
I recently had a BRCA genetic test done through Labcorp. Before the test, I received an estimate of $43.17 and got pre-authorization from Anthem. Everything looked good, so I went ahead.
Now I’ve received an EOB from Anthem denying the claim. They say I’ve reached my “once per lifetime” limit for BRCA testing—and they’re expecting me to pay $3,000 out-of-pocket.
I called Anthem, and they said the correct CPT codes were used and the denial is based solely on the lifetime limit. But I have never had BRCA testing before. It’s my first time. Anthem is now reviewing the case, but I’m trying to understand what might have gone wrong.
My theory is that their system may have logged the pre-authorization itself as a completed test, and when the actual test was billed, it triggered the “second” test denial. Has anyone seen something like this happen?
Thanks in advance!
FBFS - Should I send a letter of intent or file a lawsuit against prior home insurance company?
Looking for advice on dealing with an insurance dispute with prior insurance company.
In July 2023, a hailstorm damaged my home’s Structural Insulated Panels (SIPs) that had rolled roofing on them. Company initially agreed the panels needed replacement because rolled roofing couldn’t be reapplied per manufacturer installation guidelines. They first classified it under Ordinance or Law (ORD) coverage.
Later, they changed their stance, saying it wasn’t ORD, but still wouldn’t move it under Dwelling Coverage. They paid $5k but refused to pay the remaining $8,606 for full replacement.
Key points:
• Manufacturer guidelines require panels to be clean and debris-free before rolled roofing can be reinstalled — which wasn’t the case after removal.
• During demo, water intrusion was found. FBFS says they don’t cover “water seepage,” but there’s no proof it existed pre-storm.
• Multiple adjusters were involved. Insurance company hasn’t provided their “expert” who allegedly inspected the panels.
• Delays in their claim process (over 1.5 years) worsened the damage.
At this point, I’m debating whether to send a letter of intent (basically putting them on notice before litigation) to try and get the $8,606 paid, or just go straight to filing a lawsuit for breach of contract/bad faith.
The whole panels had to be replaced because rolled roofing couldn't be reinstalled and needing to get the roof back to pre storm condition. The water intrusion found 1.5 years later has nothing really to do with the initial insurance coverage in my opinion.
Has anyone dealt with this or a similar situation? Did sending a letter of intent work, or did you have to sue to get results? Will they say fine okay it'll cost us more if we do get sued even if we win and decide to pay the $8606 instead?
Next, even though they closed the claim, I'm filling another complaint with the states department of insurance.
Nationwide - Anyone have nationwide and get their dog tested for allergies
I’ve tried meds and special bland food and the dog is still scratching excessively. I got a quote for testing at like $1500 plus a $300 consultation fee. Was wondering if anyone knows if this is covered. When I called nationwide they were very vague, saying it depends and they can’t guarantee if it’s covered. Smh
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